Predicting the degree of difficulty of laparoscopic cholecystectomy following endoscopic retrograde cholangiopancreatography- Subgroup analysis does not improve the prediction
Nitya Krishnamohan, Christina Lo, Ravindra S DateJournal of Minimal Access Surgery 2019 15(4):360-361
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...
Conclusion: Early laparoscopic cholecystectomy is safe and effective for patients with MAGP, but the indications and contraindications must be strictly controlled.
CONCLUSION Nonsurgical admissions of patients with cholecystitis are common, even among lower-risk patients. Routine admission to the surgical service should decrease LOS, resource utilization and costs. LEVEL OF EVIDENCE Therapeutic/care management, level IV.
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
ConclusionsStone size>9 mm, CBD diameter ≥10 mm, and prior history of LC were risk factors for recurrence of CBDS after LCBDE.
Conclusions: Common bile duct clearance by Endoscopic Retrograde Cholangio-Pancreatography requires multiple procedures and complications are frequent leading to prolonged treatment and hospitalization suggesting a limited efficacy. PMID: 31526285 [PubMed - as supplied by publisher]
Conclusions: Transjejunal LAERCP is an effective approach for endoscopic management of biliary complications in patients with Roux-en-Y hepaticojejunostomy and other modified gastrointestinal anatomy. Previous recommendations by more experienced teams have been reported, nonetheless, there are too few cases reported to make definitive recommendations and conclusions. In limited settings, such as ours, some of these recommendations may not be applicable. We are certain that, with the increasing expertise and innovations in laparoscopy surgery for the management of complications that cannot be addressed by endoscopic or noni...
Authors: Shahid Rasool , Khalid Mahmood Yahya , A.G.Rehan Affiliations: Associate Professor, Department of Medicine and Gastroenterology, Madina Teaching Hospital, University Medical&Dental College, Faisalabad, Pakistan Professor and Head of Medicine, Madina Teaching Hospital, University Medical…The postRetrieval of Surgical Clip from Common Bile Duct by Endoscopic Retrograde Cholangiopancreatography: A Rare Complication of Laparoscopic Cholecystectomy appeared first onJPMS.
ConclusionsRobotic repair of bile duct injuries is feasible and safe, even when liver resection is necessary. This video may help oncologic surgeons to perform this complex procedure.
CONCLUSION: ERCP is useful in the management of IBDI that is not diagnosed intraoperatively. This procedure facilitates the localization of the injured area of the bile duct, therapeutic maneuvers and successful outcomes in postoperative complications. PMID: 31368333 [PubMed - as supplied by publisher]