Fluorescent Cholangiography Could Prevent Bile Duct Injury During Laparoscopic Cholecystectomy Fluorescent Cholangiography Could Prevent Bile Duct Injury During Laparoscopic Cholecystectomy

Fluorescent cholangiography during laparoscopic cholecystectomy could prevent bile duct injury by improving visualization of biliary anatomy, according to a new review.Reuters Health Information
Source: Medscape General Surgery Headlines - Category: Surgery Tags: Gastroenterology News Source Type: news

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CONCLUSIONS: STC seems to be an effective technique to avoid bile duct injury in difficult cholecystectomy cases. However, the perioperative morbidity associated with STC is relatively high. Surgeons should be aware of the risks of STC and take appropriate steps to minimise them.PMID:34821508 | DOI:10.1308/rcsann.2021.0291
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Source Type: research
CONCLUSIONS: Gender (male), past history of acute cholecystitis, gallbladder wall thickness (≥4-5 mm), fibrotic gallbladder, and adhesion at Calot's triangle are significant predictors for difficult LC. Moreover, an awareness about reliable predictors for difficult LC would be helpful for an appropriate treatment plan and application of the resources to anticipate difficult LC.PMID:34815866 | PMC:PMC8591467 | DOI:10.1016/j.amsu.2021.103060
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
Surg Innov. 2021 Nov 21:15533506211052744. doi: 10.1177/15533506211052744. Online ahead of print.ABSTRACTBile duct injury is a major complication of laparoscopic cholecystectomy (LC). Intraoperative cholangiogram is useful, but faster techniques are available to assist the surgeon, like near-infrared fluorescent cholangiography (NIFC) with indocyanine green (ICG). The aim of our study is to evaluate the usefulness of NIFC during LC. This is a retrospective study conducted on prospectively recorded data of the General Surgery department of Trieste Academic Hospital, Italy. All patients underwent elective LC from January 201...
Source: Surgical Innovation - Category: Surgery Authors: Source Type: research
We present a case of migration of gallstone to the lung resulting in an inflammatory mass in the right middle lobe as a complication of spillage at laparoscopic cholecystectomy.PMID:34807771 | DOI:10.1308/rcsann.2021.0023
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Source Type: research
Surg Innov. 2021 Nov 21:15533506211052744. doi: 10.1177/15533506211052744. Online ahead of print.ABSTRACTBile duct injury is a major complication of laparoscopic cholecystectomy (LC). Intraoperative cholangiogram is useful, but faster techniques are available to assist the surgeon, like near-infrared fluorescent cholangiography (NIFC) with indocyanine green (ICG). The aim of our study is to evaluate the usefulness of NIFC during LC. This is a retrospective study conducted on prospectively recorded data of the General Surgery department of Trieste Academic Hospital, Italy. All patients underwent elective LC from January 201...
Source: Surgical Innovation - Category: Surgery Authors: Source Type: research
AbstractIn Japan, the number of bariatric surgeries performed has remained low. Thus, concomitant laparoscopic cholecystectomy (LC) with laparoscopic sleeve gastrectomy (LSG) is still relatively uncommon, but is increasing. We developed new port-sharing techniques for LC and LSG, which we performed on 26 obese Japanese patients with gall bladder (GB) diseases, using the LSG trocar arrangement and one additional trocar. We performed LC first, and after exchanging a port for a liver retractor in the epigastrium, we then completed LSG. One patient with an anomalous extrahepatic bile duct required one additional port. The mean...
Source: Surgery Today - Category: Surgery Source Type: research
DISCUSSION: Among young patients who underwent laparoscopic appendectomy or cholecystectomy, the administration of opioids during hospitalization for postoperative pain was minimal. The opioid sparing protocol did not reduce the amount of inpatient postoperative opioids administered but found a decrease in the amount of opioids prescribed at discharge. The study findings identified further areas of intervention and education to optimize postoperative opioid prescribing after these common pediatric surgical procedures.PMID:34794319 | DOI:10.1177/00031348211054709
Source: The American Surgeon - Category: Surgery Authors: Source Type: research
Conditions:   Cholecystitis;   Chronic Calculous Cholecystitis;   Acute Calculous Cholecystitis Interventions:   Procedure: Indocyanine Green Fluorescent Laparoscopic Cholangiography;   Procedure: White Light Sponsor:   Ain Shams University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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