Benefits of intraoperative cholangiogram for acute cholecystitis
ConclusionIn the context of laparoscopic cholecystectomy, IOC has a significant role to play. Our data show that it can reduce the likelihood of complications, retained stones and the need to convert to an open procedure. However, its routine use at present is difficult to justify given that the current study does not appear to make a difference in the most serious complications such as bile duct injury and bile leak. This study builds on previous work in justifying increased use of IOC during laparoscopic cholecystectomy. (Source: Surgical Practice)
Source: Surgical Practice - June 9, 2021 Category: Surgery Authors: Alan Askari,
Amjid A. Riaz,
Rory Brittain,
Joel Zhou,
Saskia Irwin,
Michael Talbot Tags: ORIGINAL ARTICLE Source Type: research
Id: 3521859 optimal diagnostic imaging strategy for patients with intermediate probability for choledocholithiasis: a cost-effectiveness analysis
For patients with cholelithiasis with intermediate probability for choledocholithiasis, various confirmatory imaging studies including endoscopic ultrasound (EUS), magnetic resonance cholangiopancreatography (MRCP), and intraoperative cholangiogram (IOC) are advocated by the American Society for Gastrointestinal Endoscopy, instead of diagnostic endoscopic retrograde cholangiopancreatography (ERCP). While local expertise will affect the choice of one confirmatory imaging study over another, there is limited information available regarding the most cost-effective approach. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 26, 2021 Category: Gastroenterology Authors: Faisal S. Ali, Maryam R. Hussain, Shahrooz Rashtak, Srinivas Ramireddy, Ricardo Badillo, Sushovan Guha, Nirav Thosani, Tomas DaVee Tags: Friday, May 21, 2021 Source Type: research
Risk factors for 30-day readmission and indication for ERCP following laparoscopic cholecystectomy: a retrospective NSQIP cohort study
ConclusionsOlder patients, patients with greater preoperative morbidity, and those discharged to care facilities were more likely to be readmitted for any reason following laparoscopic cholecystectomy, whereas patients with evidence of complicated gallstone disease were more likely to be readmitted with an indication for ERCP, even when controlling for the use of intraoperative cholangiogram. Initiatives aimed at reducing readmission with indication for ERCP should focus on these patient subgroups. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 21, 2021 Category: Surgery Source Type: research
Prolonged endoscopic retrograde cholangiopancreatography results in higher rates of pancreatitis and unplanned hospitalisation
ConclusionsProlonged procedures had increased rates of pancreatitis and unplanned/prolonged hospitalisation. Failed access to desired duct, advanced age, biliary strictures, no previous sphincterotomy and unplanned emergency cases were associated with prolonged procedures. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 19, 2021 Category: Surgery Source Type: research
Micro-Dosing of Indocyanine Green for Intraoperative Fluorescence Cholangiography
CONCLUSION: ICG cholangiography is an alternative to more invasive means of intraoperative imaging during biliary surgery, but the optimal dose of ICG is unknown. We have used a 0.05 mg micro-dose of ICG to successfully visualize biliary structures and reduce background liver fluorescence. This preliminary report can be used to develop further studies into whether micro-dosing of ICG is associated with improved clinical outcomes.PMID:33724433 (Source: Surgical Technology International)
Source: Surgical Technology International - March 16, 2021 Category: Surgery Authors: Jorge G Zarate Rodriguez Chet W Hammill Source Type: research
Benefits of Intra ‐Operative Cholangiogram for Acute cholecystitis
ConclusionIn the context of laparoscopic cholecystectomy, IOC has a significant role to play. Our data shows that it can reduce the likelihood of complications, retained stones and the need to convert to an open procedure. However, its routine use at present is difficult to justify given that the current study does not appear to make a difference in the most serious complications such as bile duct injury and bile leak. This study builds on previous work in justifying increased use of IOC during LC. (Source: Surgical Practice)
Source: Surgical Practice - March 15, 2021 Category: Surgery Authors: Alan Askari,
Amjid A Riaz,
Rory Brittain,
Joel Zhou,
Saskia Irwin,
Michael Talbot Tags: ORIGINAL ARTICLE Source Type: research
Early laparoscopic cholecystectomy in acute gallbladder perforation: Single-centre experience
Conclusion: Early laparoscopic cholecystectomy in acute GBP is feasible and can be safely performed in centres having sufficient expertise. Retroinfundibular technique of laparoscopic cholecystectomy is useful in tackling frozen Calot's triangle in GBP. (Source: Journal of Minimal Access Surgery)
Source: Journal of Minimal Access Surgery - March 15, 2021 Category: Surgery Authors: Gautham Krishnamurthy Senthil Ganesan Jayapriya Ramas Karthikeyan Damodaran Aswin Khanna Radhakrishna Patta Source Type: research
The Role of Transaminases in Predicting Choledocholithiasis. A Novel Predictive Composite Score Development in a Cohort of 1089 Patients Undergoing Laparoscopic Cholecystectomy
CONCLUSIONS: Aspartate aminotransferase predicted choledocholithiasis adequately and should be featured in choledocholithiasis screening algorithms. We developed a biochemical composite score, shown to be accurate in preoperative choledocholithiasis risk assessment in an emergency surgery setting.PMID:33710916 | DOI:10.1177/0003134821998664 (Source: The American Surgeon)
Source: The American Surgeon - March 12, 2021 Category: Surgery Authors: Nikolaos Kokoroskos Thomas Peponis Jae Moo Lee Majed El Hechi Leon Naar Charlie Nederpelt Apostolos Gaitanidis April E Mendoza Noelle Saillant Haytham Kaafarani David King George Velmahos Peter Fagenholz Source Type: research
The Role of Transaminases in Predicting Choledocholithiasis. A Novel Predictive Composite Score Development in a Cohort of 1089 Patients Undergoing Laparoscopic Cholecystectomy
CONCLUSIONS: Aspartate aminotransferase predicted choledocholithiasis adequately and should be featured in choledocholithiasis screening algorithms. We developed a biochemical composite score, shown to be accurate in preoperative choledocholithiasis risk assessment in an emergency surgery setting.PMID:33710916 | DOI:10.1177/0003134821998664 (Source: The American Surgeon)
Source: The American Surgeon - March 12, 2021 Category: Surgery Authors: Nikolaos Kokoroskos Thomas Peponis Jae Moo Lee Majed El Hechi Leon Naar Charlie Nederpelt Apostolos Gaitanidis April E Mendoza Noelle Saillant Haytham Kaafarani David King George Velmahos Peter Fagenholz Source Type: research
The Role of Transaminases in Predicting Choledocholithiasis. A Novel Predictive Composite Score Development in a Cohort of 1089 Patients Undergoing Laparoscopic Cholecystectomy
CONCLUSIONS: Aspartate aminotransferase predicted choledocholithiasis adequately and should be featured in choledocholithiasis screening algorithms. We developed a biochemical composite score, shown to be accurate in preoperative choledocholithiasis risk assessment in an emergency surgery setting.PMID:33710916 | DOI:10.1177/0003134821998664 (Source: The American Surgeon)
Source: The American Surgeon - March 12, 2021 Category: Surgery Authors: Nikolaos Kokoroskos Thomas Peponis Jae Moo Lee Majed El Hechi Leon Naar Charlie Nederpelt Apostolos Gaitanidis April E Mendoza Noelle Saillant Haytham Kaafarani David King George Velmahos Peter Fagenholz Source Type: research
