The study compared the effects of ampulla-guided realignment and conventional gallbladder triangle anatomy in difficult laparoscopic cholecystectomy. Data from 100 patients undergoing the procedure were retrospectively analyzed. The experimental group (ampulla-guided realignment) showed shorter operation time, reduced blood loss, lower postoperative complications, shorter hospitalization, and decreased bile duct injury compared to the control group. The […]
Category: Appendix, Gallbladder and Surgical Emergencies
Fluorescent Cholangiography Improves Visualizaton and Surgeon Satisfaction in Laparoscopic Cholecystectomy
Fluorescent cholangiography (nirf-c) was compared with intraoperative cholangiogram (ioc) and critical view of safety in white light (cvs-wl) for laparoscopic cholecystectomy (lc) performed by trainee surgeons. A total of 338 patients were analyzed, with nirf-c group showing higher rates of common hepatic and common bile duct visualization. There were no significant differences in operative time […]
Minimum Number of Lymph Nodes Required for Staging Adenocarcinoma of the Appendix
Researchers aimed to determine the minimum number of lymph nodes (lns) needed to accurately stage adenocarcinoma of the appendix. They analyzed data from 3,602 patients and found that harvesting at least ten lns was necessary to minimize the risk of missing lymph node positive (lnp) disease. Failing to evaluate at least ten lns was also […]
Success of Cholecystectomy for Functional Gallbladder Disorder
Interim analysis of a prospective cohort study on functional gallbladder disorder (fgbd) reveals promising results for cholecystectomy as a treatment option. Despite ejection fraction and pain reproduction not predicting success, the majority of enrolled patients experienced significant improvement in biliary pain and quality of life after surgery. 83.9% reported rapid improvement and 93.3% reported sf12 […]
Acupressure effectively reduces nausea after laparoscopic cholecystectomy
Acupressure has shown potential in managing nausea and vomiting after laparoscopic cholecystectomy (LC). A meta-analysis of six randomized controlled trials revealed that acupressure significantly reduced the incidence of nausea at 2 and 6 hours after LC, as well as the need for rescue antiemetics. However, it did not have a significant impact on vomiting or […]
Conservative management as effective as surgery in uncomplicated symptomatic gallstone disease: C-GALL trial
The C-GALL trial compared conservative management with laparoscopic cholecystectomy in adults with uncomplicated symptomatic gallstone disease. After 18 months, there was no significant difference in quality of life between the two groups. Furthermore, conservative management was found to be less costly and there was no significant difference in quality-adjusted life years. The study suggests that […]
Incidentally detected T2 gallbladder cancer associated with poorer outcomes compared to upfront surgery
Incidentally detected T2 gallbladder cancer (pt2 GBC) has been found to have significantly worse outcomes compared to similarly staged patients who undergo upfront radical cholecystectomy. A retrospective analysis of 425 cases revealed that patients with incidentally detected tumors had higher rates of locoregional, liver, and abdominal wall recurrences. The five-year disease-free survival rate was lower […]
Comparison of outcomes between re-resected incidental gallbladder carcinoma and primary gallbladder carcinoma
Patients with re-resected incidental gallbladder carcinoma (rrigbc) had better prognosis and were at earlier tumor stage compared to those with primary radically resected gallbladder carcinoma (prgbc). Subgroup analysis revealed similar outcomes for patients with T1-2 tumors in both groups. However, patients with T3-4 tumors in the prgbc group had significantly worse prognosis. Incidental gallbladder carcinoma […]
Laparoscopic Cholecystectomy Effectively Alleviates Symptoms in Patients with Normal Ejection Fraction
Laparoscopic cholecystectomy is found to be effective in improving symptoms for patients with abdominal pain and biliary dyskinesia (low ejection fraction 35%). In a retrospective study of 117 patients with negative workup, including normal ejection fraction, who underwent laparoscopic cholecystectomy, 84% reported resolution of pre-operative symptoms. There was no significant correlation between pain during hida […]
Subtotal Cholecystectomy: Safe Approach with Postoperative ERCP for Bile Leak Resolution
This study examined 102 cases of subtotal cholecystectomy (STC) as a strategy for difficult cholecystectomies. Of all patients with STC, 47.1% underwent intra- or postoperative ERCP. Bile leak was the main indication for ERCP, with a higher resolution rate for postoperative ERCP (95.7%) compared to intraoperative ERCP (60.0%). No injuries to the central bile ducts […]