Open conversion for laparoscopically difficult cholecystectomy is still a valid solution with unsolved aspects

The difficult laparoscopic cholecystectomy remains a surgical challenge for surgeons who must decide between laparoscopic continuation and open conversion. The balance between the lack of open surgery training...
Source: World Journal of Emergency Surgery - Category: Emergency Medicine Authors: Tags: Letter to the Editor Source Type: research

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ConclusionsThis series represents six cases of subtotal reconstituting cholecystectomy with no recurrent gallbladder symptoms on long-term follow-up. This may encourage surgeons who feel that subtotal reconstituting cholecystectomy is the safest way to proceed with cholecystectomy in the setting of severe inflammation.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
CONCLUSIONS: The application of Hem-o-Lok clip during laparoscopic surgery is safe and effective. Postoperative Hem-o-Lok migration into the duodenum is rare. The treatment could be conservative in the majority of cases. PMID: 31958943 [PubMed - in process]
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research
Subtotal cholecystectomy, where the gallbladder infundibulum is transected to avoid dissecting within the triangle of Calot, has been suggested to conclude laparoscopic cholecystectomy while avoiding common bile duct injury. However, some reports suggest the possibility of recurrent symptoms from a remnant gallbladder.
Source: American Journal of Surgery - Category: Surgery Authors: Source Type: research
ConclusionDIC ‐CT is useful for predicting the surgical difficulty of LC.
Source: Journal of Hepato-Biliary-Pancreatic Surgery - Category: Surgery Authors: Tags: ORIGINAL ARTICLE Source Type: research
One of the early meta-analyses on the timing of laparoscopic cholecystectomy after an episode of acute cholecystitis, published in 2006, included 4 studies with a cumulative number of 504 participants randomized to early or delayed laparoscopic cholecystectomy.1 The authors found similar perioperative outcomes and a shorter hospital stay in patients undergoing early cholecystectomy. Since this publication, a number of cohort studies, randomized controlled trials (RCTs) and meta-analyses have found similar results and, additionally, have demonstrated a lower risk of wound infection following early cholecystectomy.
Source: American Journal of Surgery - Category: Surgery Authors: Source Type: research
Conclusion: LC can be safely performed in cirrhotic patients. However, higher CTP and MELD scores, operative bleeding, more blood and plasma transfusion units, longer operative time, lower platelet count, and higher INR values are predictors of poor outcome that can be improved by proper patient selection and meticulous peri-operative care and by using Harmonic scalpel shears.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
Conclusionsthe absence of high ‐level evidences precludes the possibility to draw definitive conclusions. However, the available data derived from a growing number of centers demonstrates that minimally invasive surgery may offer its well‐known advantages on postoperative outcomes also in the setting of severe iatrogenic inju ry to the bile ducts.
Source: Journal of Hepato-Biliary-Pancreatic Sciences - Category: Gastroenterology Authors: Tags: SYSTEMATIC REVIEW Source Type: research
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
Source: Journal of Laparoendoscopic and Advanced Surgical Techniques - Category: Surgery Authors: Source Type: research
Condition:   Cholelithiasis Intervention:   Diagnostic Test: Fluorescence Cholangiography Sponsors:   University of Malaya;   Ummi Surgical Sdn Bhd Completed
Source: - Category: Research Source Type: clinical trials
Conclusions: We identified a lack of quality and thorough educational surgical videos appropriate for third year medical students and a need for improved online video based instruction. Our checklist can be utilized as a guide for anyone creating surgical videos for medical student education in the future. PMID: 31920174 [PubMed - in process]
Source: Medical Education Online - Category: Universities & Medical Training Tags: Med Educ Online Source Type: research
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