Laparoscopic-Assisted Transvaginal Cholecystectomy - the US Military Experience With Long-Term Follow Up
CONCLUSION: TVC is safe and effective. Implementation may improve operational readiness by returning service members to normal activities more expeditiously than conventional laparoscopy.PMID:38562949 | PMC:PMC10984372 | DOI:10.4293/JSLS.2023.00059 (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - April 2, 2024 Category: Surgery Authors: Carolyn Judge Jesse Bandle Andrew Wang Kyle Gadbois Amanda Simsiman Robin Wood Gordon Wisbach Source Type: research

Management of Choledocholithiasis in a Community Hospital: Laparoscopic Common Bile Duct Exploration Versus Endoscopic Retrograde Cholangiopancreatography
DISCUSSION: Since implementation of LC + CBDE, there has been reduced LOS without increasing complication rates. Operative times are increased with LC + CBDE but offset by reduced LOS, additional anesthesia events, and procedures. Our institution will continue to pursue LC + CBDE when indicated with efforts to improve resource allocation.PMID:38557206 | DOI:10.1177/00031348241241626 (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2024 Category: Surgery Authors: Molly M McNamee Michael P Stolz Robert Tyler Harvell Christopher A Staley Emilie E Green Hedaya D Othman Brian H Gibson Source Type: research

Challenges, Preoperative Assessment, and Surgical Strategies for the Left-Sided Gallbladder
Am Surg. 2024 Apr 1:31348241241691. doi: 10.1177/00031348241241691. Online ahead of print.ABSTRACTLeft-sided gallbladder positioning, or sinistroposition, is a rare anatomical variation that poses challenges during surgical intervention due to associated vascular and biliary anomalies. While existing literature suggests an incidence of approximately 0.04-1.1%, it remains an underreported phenomenon that falls well outside the realm of "expected" anatomical variation and are rarely identified on preoperative imaging. Here, we present a case of acute cholecystitis in a patient with unexpected left-sided gallbladder, highligh...
Source: The American Surgeon - April 1, 2024 Category: Surgery Authors: Olivia A Starich Nicolas M Chanes Syed Shahyan Bakhtiyar Zain Aryanpour Magdalene A Brooke Source Type: research

A new variant of gallbladder duplication mimicking a choledochal cyst: stepwise management of an unexpected surgical finding
We present a case of previously unclassified duplicated gallbladder which posed a surgical challenge intraoperatively by mimicking a choledochal cyst. An intraoperative cholangiogram was performed followed by a simple cholecystectomy. No further dissection was performed to avoid bile duct injury and complication from the unconventional anatomy. Postoperative imaging and histology, followed by the second operation confirmed findings consistent with the duplicated gallbladder. Through this case, we have demonstrated the principles of safe cholecystectomy and the importance of a staged approach in an unanticipated encounter o...
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Kim S Lam M A Thirunavaya Kalathil A Paterson D J Bowden S-S Liau Source Type: research

A new variant of gallbladder duplication mimicking a choledochal cyst: stepwise management of an unexpected surgical finding
We present a case of previously unclassified duplicated gallbladder which posed a surgical challenge intraoperatively by mimicking a choledochal cyst. An intraoperative cholangiogram was performed followed by a simple cholecystectomy. No further dissection was performed to avoid bile duct injury and complication from the unconventional anatomy. Postoperative imaging and histology, followed by the second operation confirmed findings consistent with the duplicated gallbladder. Through this case, we have demonstrated the principles of safe cholecystectomy and the importance of a staged approach in an unanticipated encounter o...
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Kim S Lam M A Thirunavaya Kalathil A Paterson D J Bowden S-S Liau Source Type: research

A new variant of gallbladder duplication mimicking a choledochal cyst: stepwise management of an unexpected surgical finding
We present a case of previously unclassified duplicated gallbladder which posed a surgical challenge intraoperatively by mimicking a choledochal cyst. An intraoperative cholangiogram was performed followed by a simple cholecystectomy. No further dissection was performed to avoid bile duct injury and complication from the unconventional anatomy. Postoperative imaging and histology, followed by the second operation confirmed findings consistent with the duplicated gallbladder. Through this case, we have demonstrated the principles of safe cholecystectomy and the importance of a staged approach in an unanticipated encounter o...
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Kim S Lam M A Thirunavaya Kalathil A Paterson D J Bowden S-S Liau Source Type: research

A new variant of gallbladder duplication mimicking a choledochal cyst: stepwise management of an unexpected surgical finding
We present a case of previously unclassified duplicated gallbladder which posed a surgical challenge intraoperatively by mimicking a choledochal cyst. An intraoperative cholangiogram was performed followed by a simple cholecystectomy. No further dissection was performed to avoid bile duct injury and complication from the unconventional anatomy. Postoperative imaging and histology, followed by the second operation confirmed findings consistent with the duplicated gallbladder. Through this case, we have demonstrated the principles of safe cholecystectomy and the importance of a staged approach in an unanticipated encounter o...
Source: Annals of the Royal College of Surgeons of England - February 16, 2024 Category: Surgery Authors: M Kim S Lam M A Thirunavaya Kalathil A Paterson D J Bowden S-S Liau Source Type: research