Appendix, Gallbladder and Surgical Emergencies · 1 June 2026

Endoscopic ultrasound-drained gallbladders safe in perforation

Surgeons can safely use endoscopic ultrasound-guided gallbladder drainage in patients with inoperable acute cholecystitis and Niemeier type II perforation.

Technical success was 100% in 14 patients treated with electrocautery-enhanced stents.
Clinical success reached 92.9% with only mild adverse events, and no severe complications after a median follow-up of 315 days.

Consider this approach in high-risk cases previously deemed inoperable, as it may improve patient outcomes.

Journal Article by Shin IS, Moon JH (…) Cho YD et 8 al. in Gastrointest Endosc

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Fewer severe complications with robotic emergency surgery

Among older adults having urgent abdominal surgery, robotic operations were linked to fewer severe complications and more discharges home, but not shorter stays after adjustment.

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