Complications of laparoscopic cholecystectomy are biliary. Medical search. Frequent questions

In addition, retained gallstones following laparoscopic cholecystectomy may cause biliary fistula or abdominal wall sinuses. (medscape.com)
[3] Of those with gallstones, biliary colic occurs in 1 to 4% each year. (wikipedia.org)
The presence of gallstones can lead to inflammation of the gallbladder ( cholecystitis ) or the biliary tree ( cholangitis ) or acute inflammation of the pancreas ( pancreatitis ). (wikipedia.org)
Biliary pain in the absence of gallstones, known as postcholecystectomy syndrome , may severely affect the patient's quality of life, even in the absence of disease progression. (wikipedia.org)
Generally, only persons with symptoms related to the presence of gallstones (e.g., steady, nonparoxysmal pain lasting four to six hours located in the upper abdomen) or complications (such as acute cholecystitis or gallstone pancreatitis) warrant surgical intervention. (aafp.org)
Laparoscopic cholecystectomy is considered the most cost-effective management strategy in the treatment of symptomatic gallstones. (aafp.org)
Biliary colic is the most common gallstone pathology, characterized by temporary acute right upper quadrant abdominal pain due to intermittent obstruction of the cystic duct by gallstones. (jomi.com)
1 Between 1% and 4% of patients with gallstones will have an episode of biliary colic each year. (jomi.com)
Gallstones intermittently obstruct the cystic duct and so cause recurrent biliary colic. (msdmanuals.com)
Chronic cholecystitis is suspected in patients with recurrent biliary colic plus gallstones. (msdmanuals.com)
The diagnosis is made in patients with a history of recurrent biliary colic and ultrasonographic evidence of gallstones. (msdmanuals.com)
Laparoscopic cholecystectomy is indicated in patients with symptomatic gallstones. (mhmedical.com)
Laparoscopic gallbladder cholecystectomy is most commonly performed when the individual is suffering from symptomatic gallstones. (medfin.in)
A laparoscopic gallbladder cholecystectomy is performed most often to treat gallstones and their complications. (medfin.in)
Acute, chronic, or acalculous cholecystitis (biliary inflammation that is not caused by gallstones), repeated episodes of biliary colic, biliary dyskinesia, gallstone pancreatitis, and occasionally cholangitis are indications for the procedure. (unboundmedicine.com)
Laparoscopic cholecystectomy is recommended when a person has gallstones. (myupchar.com)
Ultrason- had already had cholecystectomy and 30 ography remains the method of choice for had gallstones). (who.int)

This communication can be either spontaneous (often a complication of neglected gallstone disease) or deliberate (as in the case of a therapeutic percutaneous cholecystostomy used to treat cholecystitis or empyema of the gallbladder, which is generally reserved for patients unfit for surgical intervention). (medscape.com)
This condition is invariably a complication of neglected gallstone disease, though isolated case reports have described spontaneous cholecystocutaneous fistula due to carcinoma of the gallbladder and acalculous cholecystitis . (medscape.com)
[6] Patients usually have normal vital signs with biliary colic, whereas patients with cholecystitis are usually febrile and more ill appearing. (wikipedia.org)
Operative time was significantly more in male, cholecystitis, and interval cholecystectomy. (nepjol.info)
Conversion to open was significantly associated with Nassar grade 4, acute cholecystitis, and interval cholecystectomy. (nepjol.info)
By the time the diagnosis has been made, at least half of the patients experience a cholecystitis-related complication such as gangrene or a confined perforation of the gallbladder. (thieme-connect.de)
Besides cholecystectomy (CC), percutaneous cholecystostomy (PC) has been recommended for the management of critically ill patients with acute cholecystitis. (aerzteblatt.de)
The benefit of percutaneous cholecystostomy (PC) over cholecystectomy (CC) in the management of critically ill patients with acute cholecystitis could not be proven in this systematic review. (aerzteblatt.de)
While early cholecystectomy (surgical removal of the gallbladder independent of the means of access) has been unequivocally established as the gold standard for the management of young and fit for surgery patients with AC ( 1 3 ), the optimal management of critically ill and elderly patients with acute cholecystitis remains a topic of discussion. (aerzteblatt.de)
The aim of this systematic review therefore was to investigate the clinical benefit of PC in the management of critically ill patients with acute cholecystitis by comparing the outcomes of critically ill patients managed with PC to those of similar patients managed with cholecystectomy (CC). The null hypothesis assumed there is no difference amongst both interventions with regard to outcomes. (aerzteblatt.de)
We used the following search terms: acute cholecystitis OR severe cholecystitis OR cholecystitis AND cholecystectomy OR laparoscopic cholecystectomy OR open cholecystectomy AND Cholecystostomy OR percutaneous cholecystectomy OR gallbladder drain OR gallbladder tube OR transhepatic gallbladder drain OR transhepatic gallbladder tube OR cholecystostomy tube. (aerzteblatt.de)
Patients with longer-lasting biliary pain, in combination with abdominal tenderness, fever, and/or leukocytosis, require an ultrasound evaluation to help establish a diagnosis of acute cholecystitis. (aafp.org)
Patients with acute cholecystitis should have a laparoscopic cholecystectomy early in their management course. (aafp.org)
Once symptoms begin, recurrent pain is common, and complications such as cholecystitis and pancreatitis are more likely to develop. (aafp.org)
CT scanning is a secondary imaging test that can identify extrabiliary disorders and complications of acute cholecystitis when US has not yielded a clear diagnosis. (medscape.com)
Treatment of cholecystitis depends on the severity of the condition and the presence or absence of complications. (medscape.com)
Laparoscopic cholecystectomy (LC) is a frequently performed operation and is the gold standard for the treatment of many biliary disease processes such as cholelithiasis and cholecystitis. (highwire.org)
2 Biliary colic is often a harbinger of future gallstone complications, with 15% eventually developing cholecystitis or inflammation of the gallbladder. (jomi.com)
Cholelithiasis, cholecystitis and biliary dyskinesia were the commonest indications for LC. (dspace-express.com)
Gallbladder perforation (GBP) is a rare yet life-threatening complication associated with acute cholecystitis. (ijsurgery.com)
Laparoscopic subtotal cholecystectomy (SC) is considered to be a safe option in severe cholecystitis with frozen anatomy within Calot's triangle where there is a potential risk of causing injury to the common bile duct (CBD) [ 6 ]. (hindawi.com)

INTRODUCTION: The aim of the study is to describe and divulgate the surgical errors that must be avoided during laparoscopic cholecystectomy. (sages.org)
CONCLUSION: The authors show clearly and in detail the chilling path of surgical error and they underline the strategy for preoperative diagnosis and the surgical technique for biliary tract reconstruction. (sages.org)
17-22 This chapter will provide an overview of potential perioperative catastrophes and a philosophy for approaching minimally invasive surgical procedures and their complications. (sls.org)
To reduce the complications of endoscopic surgery, The Japan Society for Endoscopic Surgery (JSES) established a committee for the Endoscopic Surgical Skill Qualification System (ESSQS) in 2001. (sages.org)
They must submit a list of patients on whom they have performed surgery (including complications) and an unedited video showing one of the relevant surgical procedures. (sages.org)
2 3 Right upper quadrant pain arising from biliary etiologies is a common indication for surgical consultation and is within the typical scope of ACS practice. (highwire.org)
Patients with biliary colic require surgical removal of their gallbladder (cholecystectomy) to alleviate their recurring symptoms. (jomi.com)
Laparoscopic cholecystectomy (LC) has replaced open technique as the main surgical intervention in the treatment of gall bladder stones. (sgo-iasgo.com)
Our case emphasises the critical role of early employment of advanced imaging modalities, such as CT scans, and prompt surgical intervention in these situations to pre-empt potential complications. (ijsurgery.com)
Describe and compare clinical and surgical results of the laparoscopic CBD exploration with primary closure using a 3-port vs multiport approach. (wjols.com)
Correct surgical approach and management are very important for MS as chronic biliary tree inflammation and bile duct anatomic alteration necessitate a rigorous technique [ 5 ]. (hindawi.com)
To assess the results of surgical treatment of infants and children with biliary tract disease. (jamanetwork.com)
The records of children with biliary tract disorders requiring surgical intervention were reviewed retrospectively. (jamanetwork.com)
Here the author describes a new surgical technique of biliary reconstruction using native gall bladder as biliary conduit. (scirp.org)
Benefits of the new surgical technique are total absence of Roux-en-Y related intestinal complications. (scirp.org)
S. Hoque, "A New Surgical Technique of Biliary Drainage," International Journal of Clinical Medicine , Vol. 4 No. 9, 2013, pp. 400-404. (scirp.org)
A. Shimotakahara, A. Yamataka, T. Yanai, H. Kobayashi, T. Okazaki, G. J. Lane and T. Miyano, "Roux-en-Y Hepa tico-Jejunostomy for Biliary Reconstruction during the Surgical Treatment of Choledochal Cyst: Which Is Better? (scirp.org)
Between one third and one half of all major complications occur at the time of surgical entry. (medicalprotection.org)
There are no evidence-based guidelines for volume replacement during surgical procedures such as laparoscopic cholecystectomy. (dovepress.com)
Laparoscopic gallbladder cholecystectomy is a surgical procedure that is used to remove the gallbladder. (medfin.in)
Laparoscopic gallbladder cholecystectomy, or laparoscopic cholecystectomy, is a minimally invasive surgical procedure to remove an infected or diseased gallbladder. (medfin.in)
The surgical procedure for removing the gallbladder is called a cholecystectomy. (myupchar.com)
Surgical cures are most often accomplished with incidentalomas discovered on pathologic review after laparoscopic cholecystectomy performed for other indications. (medscape.com)
Surgical resection includes cholecystectomy, en bloc hepatic resection (typically of segments IVb and V), and lymphadenectomy with or without bile duct excision, depending on the location of the tumor. (medscape.com)
In rare cases, it is associated with complications (intra- e postoperative bleeding, visceral injury and surgical site infection). (medscape.com)

Biliary fistulas are abnormal communications between organs and the biliary tract. (wikipedia.org)
Furthermore, biliary pain may be associated with functional disorders of the biliary tract, so-called acalculous biliary pain (pain without stones), and can even be found in patients post-cholecystectomy (removal of the gallbladder), possibly as a consequence of dysfunction of the biliary tree and the sphincter of Oddi . (wikipedia.org)
Subsequent diagnostic tests showed a double lesion of the CBD, at the level of the upper-pancreatic tract and at the biliary confluence. (sages.org)
They conclude highlighting the importance of viewing the original video of laparoscopic cholecystectomy to accurately evaluate the damage and decide preoperatively the strategy for biliary tract repair. (sages.org)
Rath AM, Zhang J, Bourdelat D et al: Arterial vascularisation of the extrahepatic biliary tract. (edu.pl)
In all the cases, fluorescent cholangiography using intravenous injection of ICG has become the optimal tool to confirm the biliary tract anatomy during LC because it has potential advantages over radiographic cholangiography in that it does not require irradiation or dissection of the triangle of Calot. (wjols.com)
Depending on the degree of involvement of the biliary tract, the patients may be grouped into five distinct groups and coexistence of cholecystoenteric fistula and MS was classified as type V [ 2 ]. (hindawi.com)
The gall stone may also get stuck outside the biliary tract (gall stone ileus). (learnsurgeryonline.com)
Gemcitabine combined with oxaliplatin (GEMOX) in advanced biliary tract adenocarcinoma: a GERCOR study. (cancercentrum.se)
Neoadjuvant chemoradiotherapy is not currently a standard option for patients with biliary tract cancer. (medscape.com)

Similarly, there is growing concern that residents see so few open procedures, particularly in the case of cholecystectomy, that they will be incapable of successful management should an open procedure or conversion be necessary. (sls.org)
This team concept simplifies the procedure as each member understands the nuances of laparoscopic procedure, has knowledge of the equipment used, and is able to anticipate the needs of the other team members. (sls.org)
An important issue for surgeons performing a laparoscopic cholecystectomy is whether and when the procedure should be converted to an open cholecystectomy . (medscape.com)
Conversion to an open procedure should not be considered a complication, and the possibility that it will prove necessary or advisable should be discussed with the patient preoperatively. (medscape.com)
As a general rule, if the junction of the gallbladder and the cystic duct has not been identified within 30 minutes of the start of the procedure, a laparoscopic cholecystectomy should be converted to an open cholecystectomy. (medscape.com)
Patient demographic data were collected along with data regarding procedure, indication, complications and length of stay. (duke.edu)
BACKGROUND: Laparoscopic cholecystectomy (LC) has become the procedure of choice for the removal of gallbladder within the paediatric population. (dspace-express.com)
This study was aimed to elucidate the role of ICG as an investigative tool that aids the operative procedure of laparoscopic cholecystectomy. (wjols.com)
Risk of bile duct injury is more during a laparoscopic procedure as compared to open procedure and most cholecystectomies today are performed laparoscopically. (nshealth.ca)
The second technique is a new indication of a previously described procedure, antegrade balloon papillary dilation to reduce biliary leaks after primary closure of the common bile duct. (bvsalud.org)
Duration of procedure/surgery : Laparoscopic gallbladder surgery: 2 hours or less. (portanywhere.com)
With laparoscopic surgery, patients go into theatre expecting small-scale surgery to take place, but if there are complications and the patient has to have a laparotomy, and they are not warned that this could be a possibility before the procedure, they could be left very shocked and make a claim. (medicalprotection.org)
Prior to performing a new laparoscopic surgery procedure, appropriate training is necessary. (medicalprotection.org)
Document the indications in support of the performance of the laparoscopic procedure when evaluating patients for surgery. (medicalprotection.org)
Complications can occur including haemorrhage, iatrogenic bile duct injury, gallbladder perforation, conversion to an open procedure and choledocholithiasis postoperatively. (daysurgeryuk.net)
Laparoscopic gallbladder cholecystectomy leaves no scars behind as it is a minimally invasive procedure that doesn't involve much cutting. (medfin.in)

Research and diagnosis have proven that bilomas are secondary to biliary obstruction. (wikipedia.org)
Biliary pain is most frequently caused by obstruction of the common bile duct or the cystic duct by a gallstone . (wikipedia.org)
Biliary surgery in patients with extrahepatic portal vein obstruction with portal cavernoma (PC) is technically challenging, and associated with the risk of bleeding. (referencecitationanalysis.com)
Tumors of the Gallbladder and Bile Ducts Gallbladder and bile duct tumors can cause extrahepatic biliary obstruction. (msdmanuals.com)
Symptoms may be absent but often are constitutional or reflect biliary obstruction. (msdmanuals.com)
However, some patients are lost to follow up for a stent removal having got almost immediate symptomatic relief from biliary obstruction, blissfully unaware of the complications that may ensue due to an unremoved stent. (journalcra.com)
Invariably, the stone from the gallbladder passes into the biliary duct system causing obstruction of the bile duct. (portanywhere.com)

Stanisic V, Milicevic M, Kocev N, Stanisic B. A prospective cohort study for prediction of difficult laparoscopic cholecystectomy. (nepjol.info)

ACS teams commonly perform laparoscopic cholecystectomy (LC) for acute biliary disease. (highwire.org)
It offers an important clinical reminder of maintaining a high index of clinical suspicion in patients presenting with acute onset abdominal pain and hypovolaemic shock following a laparoscopic cholecystectomy. (daysurgeryuk.net)

Biliary colic , also known as symptomatic cholelithiasis , a gallbladder attack or gallstone attack , is when a colic (sudden pain) occurs due to a gallstone temporarily blocking the cystic duct . (wikipedia.org)
No further imaging was necessary as these findings correlated with the patient's clinical history and confirmed the diagnosis of biliary colic resulting from cholelithiasis. (jomi.com)
A total of 300 patients treated from 1972 through 1993 were evaluated, including 102 with biliary atresia, 29 with choledochal cyst, and 169 with cholelithiasis. (jamanetwork.com)
Laparoscopic cholecystectomy is the gold standard treatment for symptomatic cholelithiasis. (daysurgeryuk.net)

Here we present the case of a young woman with recurrent episodes of biliary colic who undergoes a laparoscopic cholecystectomy. (jomi.com)

With the upcoming idea of Natural Orifice Transluminal Endoscopic Surgery (NOTES) in the recent years and noticing the lack of feasibility of the, Background: Modifications to conventional laparoscopic cholecystectomy (CLC) are aimed at decreasing abdominal wall trauma and improving cosmetic outcome. (ancasta.pl)

A biloma is a circumscribed abdominal collection of bile outside the biliary tree. (wikipedia.org)
Injury and abdominal trauma can cause damage to the biliary tree. (wikipedia.org)
Delayed diagnosis 77% of patients resulted from abdominal bile collections and bile leaks after a laparoscopic cholecystectomy. (wikipedia.org)
Effects of Intraperitoneal Lidocaine on Abdominal and Shoulder Pain after a Laparoscopic Cholecystec. (ancasta.pl)
The authors present the case of a 79-year-old female presenting to the Emergency Department one day following a laparoscopic cholecystectomy with right upper quadrant abdominal pain and hypovolaemic shock. (daysurgeryuk.net)
Removal of the gallbladder by laparoscopic or abdominal surgery. (unboundmedicine.com)

If the index of suspicion remains high, a test of biliary dyskinesia such as a hepatobiliary iminodiacetic acid scan should be obtained. (aafp.org)
Biliary dyskinesia, also known as gallbladder dyskinesia. (medfin.in)

There is an increased chance of a person developing biloma after having a gallbladder removal surgery, known as laparoscopic cholecystectomy. (wikipedia.org)
Patients who have undergone hepatobiliary surgery or laparoscopic cholecystectomy are more at risk for developing biloma. (wikipedia.org)
[1] Open surgery through a larger incision is associated with more complications than surgery through small incisions. (wikipedia.org)
[1] As of 2017, [update] it is not clear whether surgery is indicated for everyone with biliary colic. (wikipedia.org)
METHODS AND PROCEDURES: The movie shows a common bile duct (CBD) injury occurring during a laparoscopic cholecystectomy performed in another hospital and its repair in open surgery done in our deparment. (sages.org)
To utilise an operative grading scale to predict open conversion, duration of surgery, total length of stay, complications and to validate Nassar score. (nepjol.info)
The intraoperative outcome parameters were bleeding, bile spillage, stone spillage, presence of bowel or biliary injury, operative time and conversion to open surgery. (nepjol.info)
[4] Also, he is the chief editor of the World Journal of Laparoscopic Surgery. (wikipedia.org)
Single incision laparoscopic surgery (SILS) inguinal hernia repair-recent clinical experiences of this novel technique. (wikipedia.org)
Few would argue the fact that complications can and do occur during surgery and that it is preferable to prevent them from occurring in so far as it is possible. (sls.org)
Surgeons should recognize that laparoscopic surgery, like all surgery, carries a risk of morbidity and mortality. (sls.org)
This reduces the hospital stay but does not reduce the complication rate compared with delayed surgery. (aafp.org)
In a randomized clinical study 7 comparing surgery with observation for patients with symptomatic, noncomplicated gallstone disease, approximately 20 percent of patients in the observation group had recurrent biliary pain requiring hospital admission. (aafp.org)
Statistical analysis demonstrated significant relationships between conversion, length of surgery, age, gender, and intraoperative cholangiogram with various complications. (highwire.org)
Scholars@Duke publication: Laparoscopic-assisted ERCP and EUS in patients with prior Roux-en-Y gastric bypass surgery: a dual-center case series experience. (duke.edu)
BACKGROUND: Patients with Roux-en-Y gastric bypass (RYGB) develop pancreatobiliary issues after surgery. (duke.edu)
Therefore, prior portal vein decompression is usually recommended before definitive biliary surgery. (referencecitationanalysis.com)
Eisedrath DN Anomalies of the bile ducts and blood vessels as the cause of accidents in biliary surgery. (edu.pl)
What causes shoulder pain after laparoscopic surgery? (ancasta.pl)
Single-access surgery laparoscopic cholecystectomy and appendectomy, Advantages of Minimal Incision Laparoscopic Cholecystectomy. (ancasta.pl)
Shoulder pain after laparoscopic surgery has been thought to be due to the irritation of the phrenic nerve, which may be mainly caused by insufflated carbon dioxide. (ancasta.pl)
Laparoscopic surgery has changed many ways in which we as surgeons manage patients, offering better results, quicker recovery, and fewer complications using minimally invasive techniques, especially in common bile duct (CBD) surgery. (wjols.com)
Not only can laparoscopic techniques be applied to programed surgery but also emergencies and those following failed endoscopic retrograde cholangiopancreatography (ERCP). (wjols.com)
104 patients were managed by three-port vs 93 multiport laparoscopic surgery in five centers of Bogotá, Colombia, between 2013 and 2017 with follow-up of 1 year. (wjols.com)
Laparoscopic gallbladder surgery is an alternative to open gallbladder surgery. (nshealth.ca)
This pamphlet is a French translation of 'Laparoscopic Gallbladder Surgery' pamphlet 0298. (nshealth.ca)
This operation is called a laparoscopic cholecystectomy ("key-hole surgery") and patients are now able to return home after only one night in hospital. (portanywhere.com)
Cholecystectomy (Gallbladder - Gallstone Removal Surgery) Cost Averages Around the Country. (portanywhere.com)
The benefits of laparoscopic surgery are clear but when complications occur, they tend to be serious. (medicalprotection.org)
In 2010, the highest laparoscopic surgery settlement MPS experienced was for more than R11 million, for a laparoscopic Nissen fundoplication with complications. (medicalprotection.org)
What types of claims are associated with laparoscopic surgery? (medicalprotection.org)
In some instances, a laparotomy may be a more appropriate form of treatment, rather than a laparoscopy, and complications may arise as a result of the wrong choice of surgery. (medicalprotection.org)
Managing patient expectations and ensuring that they are fully informed of the risks and benefits of laparoscopic surgery is essential. (medicalprotection.org)
You must warn patients explicitly about the risks with laparoscopic surgery, says Dr Graham Howarth, MPS Head of Medical Services (Africa). (medicalprotection.org)
Although patients tend to think of laparoscopic surgery as minor surgery, it is major surgery with the potential for major complications - visceral injury and bleeding, injury to the bowel, or injury to the bladder. (medicalprotection.org)
What's more, the public's view of laparoscopic surgery as something minor is enhanced by the fact that patients are usually discharged the following day, or sometimes even the same day as surgery. (medicalprotection.org)
Smaller incisions, better visualization during surgery, less tissue trauma, and a shorter hospital stay mean that laparoscopic cholecystectomy has a reduced risk of complications than open cholecystectomy. (medfin.in)
If a laparoscopic approach is used, the patient will typically be discharged on the day of or the day after surgery. (unboundmedicine.com)
The initial experience with laparoscopic liver surgery demonstrated that even major resections could be performed with acceptable morbidity and mortality, in a selected group of patients and in specialized centers. (fortunejournals.com)
Biliary leakage (BL) remains the Achilles heel of liver surgery and accounts for a major fraction of postoperative complications [5]. (fortunejournals.com)
Cholecystectomy is a surgery for the removal of the gallbladder, which is a small pear-shaped organ under the liver. (myupchar.com)
Your doctor may suggest you get a list of tests done before the operation to make sure that you are fit enough to undergo the surgery and assess your risk of complications. (myupchar.com)
Hepatic resection in 485 R0 pT2 and pT3 cases of advanced carcinoma of the gallbladder: results of a Japanese Society of Biliary Surgery survey--a multicenter study. (cancercentrum.se)
Results of a Japanese Society of Biliary Surgery Survey: a multicenter study. (cancercentrum.se)
Current consensus guidelines from the Americas Hepato-Pancreato-Biliary Association recommend re-resection for patients with T1b, T2 or T3 gallbladder cancer that is incidentally identified in a cholecystectomy specimen, unless this surgery is contraindicated because of advanced disease or poor performance status. (medscape.com)

Subcapsular liver haematoma is a rare, life-threatening complication occurring after laparoscopic cholecystectomy. (daysurgeryuk.net)
Conclusions Splenic rupture is an unusual but life-threatening complication of LC. (medscape.com)

A total of 197 patients were taken to laparoscopic gallbladder removal along with CBD exploration with primary closure, 104 patients via three-port technique and 93 patients via multiport. (wjols.com)
Laparoscopic cholecystectomy is now the preferred method for gallbladder removal over open cholecystectomy, which requires larger incisions and a longer recovery time. (medfin.in)

The surgeons perform this technique for over 20 years with excellent results, with no mortality and no long-term postoperative complications. (sages.org)
Predictions of difficult cholecystectomy preoperative make the surgeon prepared, thereby making a more careful dissection, back up from senior surgeons, and a low threshold for early conversion. (nepjol.info)
Nassar operating scale is simple scale that can be used by all level of surgeons to predict difficult laparoscopic cholecystectomy. (nepjol.info)
[2] He is a member of the Society of Gastrointestinal Laparoscopic Surgeons (SAGES). (wikipedia.org)
The problems of the learning curve have passed for laparoscopic cholecystectomy, but the rigors of mastering the techniques and technologies necessary for so-called "advanced" procedures remain for the majority of surgeons. (sls.org)
Applicants should be the board certified surgeons and should have performed at least 50 laparoscopic cholecystectomies or 20 advanced laparoscopic procedures as the chief surgeon. (sages.org)
7-9 Although these complications and associated risk factors have been well studied, limited literature exists evaluating risk factors for perioperative complications in this newer setting of an ACS service, which runs on a team-based concept with changing primary surgeons on call day to day. (highwire.org)

the development of complications such as gangrene or perforation renders the prognosis less favorable. (medscape.com)
If the value is higher than that of serum and is greater than 6 mg/dL, and the ascitic fluid amylase is not elevated (indicating upper intestinal perforation), it can be assumed that the gallbladder has perforated into the peritoneum (choleperitoneum) or either bowel or biliary perforation has occurred. (mayocliniclabs.com)
Clinical experience in laparoscopic treatment of gallbladder perforation. (ijsurgery.com)

Other conditions, such as biliary pancreatitis associated with cholangitis, also need antibiotic coverage. (medscape.com)
Primary biliary cholangitis is an autoimmune liver disease that leads to progressive destruction of intrahepatic bile ducts, increasing the risk of developing cirrhosis and portal hypertension. (bvsalud.org)
Over the past 40 years numerous clinical trials have supported the clinical efficacy of ursodeoxycholic acid and its safety when used in patients with primary biliary cholangitis. (bvsalud.org)
A review of ursodeoxycholic acid in the context of primary biliary cholangitis is carried out, and its history, mechanisms of action, side effects and dosage are described. (bvsalud.org)

Laparoscopic-assisted ERCP (LA-ERCP) via the excluded stomach has been highly successful. (duke.edu)
METHODS: A retrospective review was conducted at two tertiary referral centers for cases that involved laparoscopic-assisted ERCP and EUS. (duke.edu)
Endoscopic Retrograde Cholangio Pancreatography (ERCP) with biliary stenting is one of the most commonly performed endoscopic procedures for preoperative biliary decompression in obstructive jaundice of benign or malignant etiology. (journalcra.com)
Subcapsular liver haematoma, described as a blood collection under the Glisson capsule is a rare life-threatening occurrence after laparoscopic cholecystectomy, endoscopic retrograde cholangiopancreatography [ERCP] or colonoscopy. (daysurgeryuk.net)

ACS services are capable of performing a high volume of LCs for emergent indications with low complication and conversion rates. (highwire.org)
Uncomplicated biliary colic is one of the commonest indications for laparoscopic cholecystectomy. (altmetric.com)

This study was performed to compare the safety and efficacy of one-stage laparoscopic common bile duct exploration (LCBDE) plus laparoscopic cholecystectomy (LC) with those of endoscopic sphincterotomy (EST) plus LC for concomitant gallbladder (GB) and common bile duct (CBD) stones in elderly patients. (e-jmis.org)
Both one-stage laparoscopic common bile duct exploration (LCBDE) plus laparoscopic cholecystectomy (LC) and two-stage endoscopic sphincterotomy (EST) plus LC are standard treatment options for patients with GB and CBD stones. (e-jmis.org)
Pedraza M, Cabrera LF, Gomez DA, Mendoza-Zuchini AC, Pulido JA, Jiménez MC, Villarreal RA, Sanchez-Ussa S. Laparoscopic Cholecystectomy and Common Bile Duct Exploration Using Choledochotomy and Primary Closure Following Failed Endoscopic Retrograde Cholangiopancreatography: A Multicentric Comparative Study Using Three-port vs Multiport. (wjols.com)

Open, small-incision, or laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis. (rug.nl)
Patients with symptomatic cholecystolithiasis are treated by three different techniques of cholecystectomy: open, small-incision, or laparoscopic. (rug.nl)
To summarise Cochrane reviews that assess the effects of different techniques of cholecystectomy for patients with symptomatic cholecystolithiasis. (rug.nl)

Grading operative findings at laparoscopic cholecystectomy following the new scoring system in duhok governorate: Cross-sectional study. (nepjol.info)
Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy. (nepjol.info)
Patients with biliary pain should have laparoscopic cholecystectomy on first open operative day. (aafp.org)
Trials with low risk of bias showed a quicker operative time for small-incision cholecystectomy (MD, low risk of bias considering 'blinding', random-effectsmodel 16.4minutes (95% CI 8.9 to 23.8)) while trials with high risk of bias showed no statistically significant difference. (rug.nl)
Laparoscopic cholecystectomy patients had a shorter hospital stay (MD, random-effects model -3 days (95% CI -3.9 to -2.3)) and convalescence (MD, random-effects model -22.5 days (95% CI -36.9 to -8.1)) compared with open cholecystectomy but did not differ significantly regarding mortality, complications, and operative time. (rug.nl)
Small-incision cholecystectomy had a shorter hospital stay (MD, random-effects model -2.8 days (95% CI -4.9 to -0.6)) compared with open cholecystectomy but did not differ significantly regarding complications and operative time. (rug.nl)
Laparoscopic and small-incision cholecystectomies seem to be comparable, but the latter has a significantly shorter operative time, and seems to be less costly. (rug.nl)
1) Furthermore, biliary leakage after laparoscopic cholecystectomy is the most common post-operative complication. (mayocliniclabs.com)

This was a prospective cross-sectional study done from 2020 July 9 to 2021 January 30 after ethical clearance among all patients of BPKIHS planned for laparoscopic cholecystectomy for symptomatic gallstone disease. (nepjol.info)
In a multivariate analysis 1 of more than 900 patients, researchers identified a family history of cholecystectomy in a first-degree relative and obesity (defined as body mass index [BMI] greater than 30 kg per m 2 ) as strong risk factors for symptomatic gallstone disease with a relative risk of 2.2 (95% confidence interval [CI], 1.5 to 3.0) and 3.7 (95% CI, 2.3 to 5.3), respectively. (aafp.org)
Har B , Mishra S, Mahesh AS, Shrimal A, Bhojwani R . Feasibility of laparoscopic cholecystectomy for symptomatic gallstone disease with portal cavernoma: Can prior portal vein decompression be avoided? (referencecitationanalysis.com)
MS and cholecystoenteric fistulas are rare and late complications of gallstone disease [ 3 , 4 ]. (hindawi.com)

Therapeutic interventions included laparoscopic cholecystectomy, lysis of adhesions, biliary and pancreatic sphincterotomy, biliary and pancreatic stent placement, stone removal including mechanical lithotripsy and EUS biopsy and diagnosis of pancreatic cancer. (duke.edu)

Complications in elective cholecystectomy are high. (rug.nl)
She underwent an elective day case laparoscopic cholecystectomy, Hem-o-lok clips were used and haemostasis was achieved. (daysurgeryuk.net)

There was no statistically significant difference in postoperative complication rate between hot" and "cold" laparoscopic cholecystectomies (p = 0.6). (dspace-express.com)

Michels NA The hepatic, cystic and retroduodenal arteries and their relations to the biliary ducts: With samples of entire celiacal blood supply. (edu.pl)
Hepatic portoenterostomy was performed in 87 patients with biliary atresia, and biopsy alone was performed in 15. (jamanetwork.com)
Survival in patients with biliary atresia (71%) has improved with hepatic portoenterostomy complemented by liver transplantation. (jamanetwork.com)

CT scans will show fluid collection in the right upper quadrant of the abdomen.In order to localize the leak, CT intravenous cholangiography can be used to show the communication between the biliary tree and the biloma. (wikipedia.org)
Mann K, Belgaumkar AP, Singh S. Post-endoscopic retrograde cholangiography laparoscopic cholecystectomy: Challenging but safe. (nepjol.info)
Laparoscopic cholecystectomy with real-time ICG fluorescence cholangiography enables a better visualization and identification of the biliary tree and therefore should be considered as a means of increasing the safety of LC. (wjols.com)

Leakage of bile and destruction of the biliary tree are the most common causes of biloma. (wikipedia.org)
Bile leakage is located at the biliary tube site with rare occurrences at the anastomotic site. (wikipedia.org)
Biliary leakage (BL) is a major cause of postoperative morbidity after liver resection. (fortunejournals.com)
The overall biliary leakage (BL) rate was 5.1% (n= 8). (fortunejournals.com)
We were able to demonstrate that in open liver resections the intraoperative placement of a T drainage may reduce the incidence of biliary leakage [7] and that the intraoperative placement of external biliary drains may prevent, and worst case, also treat biliary leakages after extended liver resections [8]. (fortunejournals.com)

Postoperative outcomes noted were total length of stay, 30-day complications, reintervention, and mortality. (nepjol.info)
There was no mortality, 30-day reintervention, and complication. (nepjol.info)
Deziel et al 31,32 reported an incidence of 0.04% postoperative mortality in a series of 77 604 laparoscopic cholecystectomies performed in 4292 hospitals. (sls.org)
These data underscore the fact that laparoscopic procedures can be performed with a low rate of mortality. (sls.org)
There was no significant difference regarding mortality or complications. (rug.nl)
No statistically significant differences in the outcome measures of mortality and complications have been found among open, small-incision, and laparoscopic cholecystectomy. (rug.nl)
There were eight complications and one death (0.59% mortality). (jamanetwork.com)
This practice can lead to hypervolemia and tissue edema, 3 which can cause cardiopulmonary complications, anastomotic insufficiency, longer hospital stays, mechanical ventilation, endothelial glycocalyx damage, and higher mortality rates. (dovepress.com)

Ding YM, Wang B, Wang WX et al: New classification of the anatomic variations of cystic artery during laparoscopic cholecystectomy. (edu.pl)
Laparoscopic stapling devices are an effective method for performing LSC or dividing a dilated cystic duct or neck of gallbladder due to its ease and speed of application [ 7 ]. (hindawi.com)
A cystic duct stump leak due to improper clip placement, spontaneous clip displacement, ischaemic necrosis and elevated common bile duct pressures should also be considered in the differential diagnosis in patients presenting with hypovolaemic shock following cholecystectomy. (daysurgeryuk.net)

Real-time intraoperative imaging using indocyanine green (ICG) reduces the risk of bile duct injury by improving visualization of the biliary tree during laparoscopy. (wjols.com)
A multimodal therapeutical approach introducing state-of-the-art intraoperative visualization techniques [2,3] and advanced resection strategies [4] may furthermore increase the feasibility and safety of laparoscopic liver resections. (fortunejournals.com)

Common Bile Duct Injury During Laparoscopic Cholecystectomy. (sages.org)
5 6 Well-recognized complications of laparoscopic cholecystectomy include bile leak, common bile duct injury, hemorrhage, retained gallstone, and wound infections. (highwire.org)
Bile duct injury is very rare but a serious complication of this operation. (yorkshiregallstoneclinic.co.uk)
The most feared complication during laparoscopic cholecystectomy (LC) is bile duct injury. (wjols.com)
Bile duct injury is a common complication of cholecystectomy to treat gall stone disease prevalent all over the world. (nshealth.ca)

The quicker recovery of both laparoscopic and small-incision cholecystectomy patients compared with patients on open cholecystectomy justifies the existing preferences for both minimal invasive techniques over open cholecystectomy. (rug.nl)
Patients with planned open cholecystectomy were excluded. (highwire.org)
The decision to convert to open cholecystectomy should be made when important anatomic structures cannot be clearly identified or when no progress is being made. (medscape.com)
during open cholecystectomy. (ancasta.pl)
Open cholecystectomy was performed in 143 patients, and laparoscopic cholecystectomy was performed in 26 patients. (jamanetwork.com)
Both open and laparoscopic cholecystectomy are safe and effective procedures in children. (jamanetwork.com)
After carefully monitoring your condition and symptoms, your doctor will decide between laparoscopic cholecystectomy and open cholecystectomy. (medfin.in)
The recovery time for laparoscopic gallbladder cholecystectomy is shorter than that following open cholecystectomy since only small incisions are made during this technique, facilitating quick wound healing. (medfin.in)
A total of n=156 patients were divided into a group of n=47 patients (30.1%) receiving laparoscopic (LLR) and n=109 patients (69.9%) undergoing open liver resections (OLR). (fortunejournals.com)

Adams DB The importance of extrahepatic biliary anatomy in preventing complications of laparoscopic cholecystectomy. (edu.pl)
Osemblak J, Siwek R The arterial supply of the extrahepatic biliary ducts in newborns and infants. (edu.pl)

Is There an Ideal Port Position for Laparoscopic Urological Procedures? (wikipedia.org)
A sharp rise in the number of laparoscopic procedures has been mirrored by a rise in high claims resulting from laparoscopic injury. (medicalprotection.org)
Postoperatively, complications from otherwise successful laparoscopic procedures include incisional hernias, wound infections and/or haematoma and adhesion formation. (medicalprotection.org)
Laparoscopic gallbladder cholecystectomy is one of the most common procedures performed for the removal of the gallbladder. (medfin.in)

There was a 100 % biliary/pancreatic cannulation and intervention rate. (duke.edu)
Retained stents may remain asymptomatic for years, or more commonly, present with blockage and delayed complications requiring another, and often more difficult intervention. (journalcra.com)

CONCLUSION: This systematic review and meta-analysis is the largest collection of subjects on laparoscopic cholecystectomies in children. (dspace-express.com)

Sudhir MS, Raj P. Preoperative grading system versus intraoperative grading system as predictors for difficult laparoscopic cholecystectomy: A comparative validation study. (nepjol.info)

Mishra, Dr R. K. "Laparoscopic Training at World Laparoscopy Hospital" . (wikipedia.org)
Once a patient is diagnosed, having cholecystectomy early in the course of the disease can significantly reduce the hospital stay. (aafp.org)
Total complications (risk difference, random-effects model -0.01 (95% confidence interval (CI) -0.07 to 0.05)), hospital stay (mean difference (MD), random-effects -0.72 days (95% CI -1.48 to 0.04)), and convalescence were not significantly different. (rug.nl)
The incidence of posttreatment overall complications (17.4% vs. 22.0%, p = 0.530) and total hospital stay (12.7 days vs. 11.7 days, p = 0.339) were similar in the two groups. (e-jmis.org)
The analysis of case series of ICG laparoscopic cholecystectomy in our hospital-the World Laparoscopic Hospital, Gurgaon, India. (wjols.com)

She had recently delivered a child one year prior and had been in good health until six months postpartum when she began to notice symptoms of biliary colic. (jomi.com)
In such cases, cholecystectomy is done to remove the stones and relieve symptoms. (myupchar.com)

However, it seems to obtain valid results because the incidence of complications was significantly lower in patients treated by successful applicants (4.2 }0.3%) than in those treated by failed applicants (5.5 }0.4%)(p=0.0295). (sages.org)
N. Akamatsu, Y. Sugawara and D. Hashimoto, "Biliary Reconstruction, Its Complications and Management of Biliary Complications after Adult Liver Transplantation: A Systematic Review of the Incidence, Risk Factors and Outcome," Transplant International, Vol. 24, No. 4, 2011, pp. 379-392. (scirp.org)

In patients with concomitant calculous cholecystitits, a laparoscopic cholecystectomy is performed soon after, and in the absence of a specific indication to the contrary, most such stents are removed 6-8 weeks later. (journalcra.com)

Laparoscopic cholecystectomy or keyhole removal of gallbladder is the operation of choice. (yorkshiregallstoneclinic.co.uk)
The recent invention of the biodegradable biliary stent, one which disintegrates in the biliary tree after a predetermined period and therefore does not require removal, can provide an answer in this scenario. (journalcra.com)

It may occur as a complication of burns or multiple trauma, and patients are very ill on presentation. (learnsurgeryonline.com)
urine and stool samples are collected for analysis of bile content in the event that any such complications occur. (unboundmedicine.com)

[3] About 15% of people with biliary colic eventually develop inflammation of the gallbladder if not treated. (wikipedia.org)

In the UK, 5.5 million people have gall stones and 50 000 cholecystectomies are performed each year. (learnsurgeryonline.com)

The biliary tree is a system of vessels that direct secreations from the liver, gallbladder, and pancreas through a series of ducts into the duodenum. (wikipedia.org)
Overview of Biliary Function The liver produces about 500 to 600 mL of bile each day. (msdmanuals.com)
Subcapsular Liver Haematoma After Laparoscopic Cholecystectomy: A Rare Entity! (daysurgeryuk.net)
The introduction of different transection techniques in laparoscopic liver resections did not increase morbidity and BL- rate. (fortunejournals.com)

Anatomy8

Diseases33

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment46

Psychiatry and Psychology1

Phenomena and Processes2

Disciplines and Occupations2

Technology, Industry, Agriculture1

Information Science1

Health Care13

Gallstones17

Cholecystitis21

Surgical25

Tract10

Procedure16

Obstruction7

Prediction of difficult laparoscopic cholecystectomy1

Acute2

Cholelithiasis4

Episodes of biliary colic1

Conventional Laparoscopic Cholecystectomy1

Abdominal6

Dyskinesia2

Surgery45

Life-threatening2

Gallbladder removal2

Surgeons7

Perforation3

Cholangitis4

ERCP4

Indications2

Common bile duct explor3

Patients with symptomatic3

Operative8

Gallstone disease4

Sphincterotomy1

Elective2

Statistically significant difference1

Hepatic3

Cholangiography3

Leakage5

Mortality8

Cystic3

Visualization2

Bile duct injury5

Open9

Extrahepatic2

Procedures4

Intervention2

Conclusion1

Preoperative1

Hospital5

Symptoms2

Incidence2

Concomitant1

Removal2

Occur2

Inflammation of the gallbladder1

Stones1

Liver4