Intra-thoracic migration of a gallstone and its thoracoscopic management
AbstractIntra-thoracic migration of a gallstone spilled during laparoscopic cholecystectomy is an extremely rare complication. This is a video documenting the successful thoracoscopic management of a patient who presented with this entity.
AbstractBackgroundLaparoscopic cholecystectomy (LC) is the criterion standard for treating patients with symptomatic gallstone disease; however, the optimal technique for extracting common bile duct stones remains unclear. Recent studies have noted improved outcomes with single-stage techniques, such as intraoperative endoscopic retrograde cholangiopancreatography (iERCP) and laparoscopic common bile duct exploration (LCBDE); however only few studies have directly compared those two single-stage techniques.ObjectivesUsing the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database, w...
ConclusionFluorescent cholangiography can be considered a useful imaging diagnostic tool comparable to MRCP for detailed intra-operative visualization of the cystic duct-common hepatic duct anatomy during elective laparoscopic cholecystectomies.
Cholelithiasis is a disease encountered commonly in clinical practice. In recent years, the incidence and recognition of cholelithiasis has increased annually, and the total global prevalence of cholelithiasis in adults has reached 10% to 20%.1 In 1987, the first laparoscopic cholecystectomy was conducted, which resulted in minimal trauma and rapid recovery. This approach demonstrated the superiority of and created a precedent for minimally invasive operations.2 Subsequently, many patients with cholelithiasis worldwide have undergone laparoscopic cholecystectomy.
Condition: Cholelithiasis Intervention: Procedure: Laparoscopic Assisted Transvaginal Cholecystectomy Sponsor: University of Texas Southwestern Medical Center Withdrawn
Conclusion: Early laparoscopic cholecystectomy is safe and effective for patients with MAGP, but the indications and contraindications must be strictly controlled.
CONCLUSIONS Gut microbiome of PCS patients was dominated by Proteobacteria in feces and contained little Firmicutes and Bacteroidetes. The enhanced abundance of Proteobacteria might be the highly pathogenic risk factor for chronic abdominal pain and diarrhea in PCS patients. PMID: 31563920 [PubMed - in process]
ConclusionWe highlight here the challenge to make the difference between a primary gallbladder carcinoma and metastasis from RCC. Diagnosis is made on pathological examination and immunochemistry.
Conditions: Lithiasis; Cholecystitis, Acute; Cholangiopathy Interventions: Procedure: laparoscopic cholecystectomy; Diagnostic Test: systematic intraoperative cholangiography Sponsor: Centre Hospitalier Universitaire, Amiens Not yet recruiting