Posterior infundibular dissection: safety first in laparoscopic cholecystectomy
ConclusionAdopting an initial posterior mobilization of the gallbladder infundibulum lessens the need for medial and cephalad dissection to the node of Lund, allowing for a safer laparoscopic cholecystectomy. In fact the safety of the technique comes from the initial dissection of the lateral border of the infundibulum. The risk of BDI can be reduced to null as was our experience. This approach does not preclude the use of other intra-operative maneuvers or methods. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - February 8, 2021 Category: Surgery Source Type: research
Sex Disparities in the Presentation of Gallbladder Disease.
CONCLUSION: These data show that women were more likely to present with uncomplicated gallbladder disease, while men were more likely to present with complicated gallbladder disease. This suggests that male patients present at a more advanced stage of disease.
PMID: 33502230 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - January 27, 2021 Category: Surgery Authors: Bailey KS, Marsh W, Daughtery L, Hobbs G, Borgstrom D Tags: Am Surg Source Type: research
Laparoscopic transcystic common bile duct exploration as treatment for choledocholithiasis after Roux-en-Y gastric bypass
ConclusionsLTCBDE offers an effective approach for common bile duct stones in patients who underwent RYGB. This procedure did not add significant length of hospital stay nor morbidity to laparoscopic cholecystectomy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 4, 2021 Category: Surgery Source Type: research
Unanticipated Admission Following Outpatient Laparoscopic Cholecystectomy: Identifying Opportunities for Improvement.
CONCLUSIONS: Unanticipated admissions following outpatient LC occur infrequently for diverse reasons usually within the first week after surgery. Associated factors are patient and disease related and not at all modifiable. In selected patients, increased IOC use may decrease admissions from retained stones.
PMID: 33316162 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - December 14, 2020 Category: Surgery Authors: Beck AC, Goffredo P, Gao X, McGonagill PW, Weigel RJ, Hassan I Tags: Am Surg Source Type: research
Fistulization between liver hydatid cyst and gallbladder. A case report and review of the literature.
In conclusion, cholecysto-hydatid cyst fistula is an extremely rare complication of hydatid cyst disease even in endemic regions. The gold standard for the diagnosis is the combined use of characteristics of clinical presentation, biochemical parameters, and radiological studies. Treatment plan is designed on the basis of the relationship of a fistulized cyst with other bile ducts. KEY WORD: Cholecysto-Hydatid Cyst Fistula, Gallbladder, Hydatid Cyst, Liver.
PMID: 33073774 [PubMed - in process] (Source: Annali Italiani di Chirurgia)
Source: Annali Italiani di Chirurgia - October 21, 2020 Category: Surgery Tags: Ann Ital Chir Source Type: research
Fluorescent cholangiography significantly improves patient outcomes for laparoscopic cholecystectomy
ConclusionICG cholangiography is a non-invasive adjunct to laparoscopic cholecystectomy, leading to improved patient outcomes with respect to operative times, decreased conversion to open procedures, and shorter length of hospitalization. Fluorescence cholangiography improves visualization of biliary anatomy, thereby decreasing rate of CBDI, Strasberg A injuries, and mortality. These findings support ICG as standard of care during laparoscopic cholecystectomy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - October 14, 2020 Category: Surgery Source Type: research
Intraoperative cholangiography during laparoscopic cholecystectomy. Should we follow the recommendations of the current guidelines?
Abstractsince it was proposed by Strasberg in 1995, the concept of Critical View of Safety (CVS) has progressively gained acceptance worldwide, until it became the most recommended method for preventing biliary duct injury (BDI) during laparoscopic cholecystectomy.1 Conversely, the use of routine intraoperative cholangiography (IOC) has gradually decreased, due to several limiting factors such as availability of local resources, expertise to interpret cholangiograms, additional operating time, and the rarity of BDI and choledocholithiasis. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 14, 2020 Category: Gastroenterology Authors: Enrico Erdas,
Gian Luigi Canu,
Fabio Medas Tags: LETTER TO THE EDITOR Source Type: research
Indocyanine Green Fluorescence in Elective and Emergency Laparoscopic Cholecystectomy. A Visual Snapshot.
This report shows that ICG-fluorescence can be helpful in identifying the extrahepatic biliary anatomy during the dissection of Calot's triangle in both elective and emergency cases.
PMID: 33031562 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - October 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research
Utility of Routine Intraoperative Cholangiogram during Cholecystectomy in Children: A Nationwide Analysis of Outcomes and Readmissions
This study aims to determine postoperative outcomes and readmissions in pediatric cholecystectomy with routine IOC utilization. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 4, 2020 Category: Surgery Authors: Hallie J. Quiroz, Samantha F. Valencia, Brent Willobee, Anthony Ferrantella, Emily L. Ryon, Chad M. Thorson, Juan E. Sola, Eduardo A. Perez Source Type: research
Utility of Magnetic Resonance Cholangiopancreatography in Acute Cholecystitis Management
Magnetic resonance cholangiopancreatography (MRCP) is frequently utilized to delineate need for further interventions in patients with elevated bilirubin or liver enzymes in acute cholecystitis (AC). Data regarding effectiveness of MRCP in predicting need for intraoperative cholangiogram (IOC) and/or endoscopic retrograde cholangiopancreatography (ERCP) in AC is limited. (Source: Journal of the American College of Surgeons)
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Syed Omair Nadeem, Raheel Jajja, S. Scott Davis, Jyotirmay Sharma, Juan Manuel Sarmiento Tags: General Surgery Source Type: research
Omentoplasty Combined With Endoscopic Stenting in the Treatment of Lateral Duct Injury at Hepatic Duct Bifurcation.
CONCLUSION: The combination of omentopexy and endoscopic stenting is safe in managing high lateral bile duct injury. Prospective studies are needed to further validate this technique.
PMID: 32862665 [PubMed - as supplied by publisher] (Source: The American Surgeon)
Source: The American Surgeon - August 28, 2020 Category: Surgery Authors: Wei W, Fanous M Tags: Am Surg Source Type: research
Intelligent difficulty scoring and assistance system for endoscopic extraction of common bile duct stones based on deep learning: multicenter study
Conclusions An intelligent DSAS based on deep learning was developed. The DSAS could assist endoscopists by automatically scoring the technical difficulty of CBD stone extraction, and guiding the choice of therapeutic approach and appropriate accessories during ERCP. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Endoscopy)
Source: Endoscopy - August 24, 2020 Category: Gastroenterology Authors: Huang, Li Lu, Xiaoyan Huang, Xu Zou, Xiaoping Wu, Lianlian Zhou, Zhongyin Wu, Deqing Tang, Dehua Chen, Dingyuan Wan, Xinyue Zhu, Zhongchao Deng, Tao Shen, Lei Liu, Jun Zhu, Yijie Gong, Dexin Chen, Di Zhong, Yanfei Liu, Feng Yu, Honggang Tags: Original article Source Type: research
Increased Risk of Pancreatitis after Endoscopic Retrograde Cholangiopancreatography Following a Positive Intraoperative Cholangiogram: A Single-Center Experience.
Conclusions: In this single-center case-control study, there was a five-fold increased risk of PEP following a positive IOC compared to an age-sex matched cohort.
PMID: 32666773 [PubMed - as supplied by publisher] (Source: Clinical Endoscopy)
Source: Clinical Endoscopy - July 16, 2020 Category: Gastroenterology Tags: Clin Endosc Source Type: research
Hemobilia as a Complication of Transhepatic Percutaneous Biliary Drainage: a Rare Indication for Laparoscopic Common Bile Duct Exploration
ConclusionsBiliary obstruction secondary to hemobilia is a rare occurrence after PTBD. Surgical CBD exploration is required when conservative management and endoscopic treatment fail and can be done successfully through a minimally invasive approach. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - June 29, 2020 Category: Surgery Source Type: research
Cost effectiveness of intraoperative laparoscopic ultrasound for suspected choledocholithiasis; outcomes from a specialist benign upper gastrointestinal unit.
CONCLUSION: The use of laparoscopic ultrasound during laparoscopic cholecystectomy for the detection of common bile duct stone is safe, accurate and cost effective. Equipment and maintenance costs are quickly offset and hospital bed days can be saved with its use.
PMID: 32538107 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - June 14, 2020 Category: Surgery Authors: Donoghue S, Jones RM, Bush A, Srinivas G, Bowling K, Andrews S Tags: Ann R Coll Surg Engl Source Type: research
