Cholecystectomy: Surgical removal of the GALLBLADDER.Cholecystectomy, Laparoscopic: Excision of the gallbladder through an abdominal incision using a laparoscope.Cholelithiasis: Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS).Gallbladder Diseases: Diseases of the GALLBLADDER. They generally involve the impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, neoplasms, or other diseases.Cholecystitis: Inflammation of the GALLBLADDER; generally caused by impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, or other diseases.Gyrovirus: A genus in the family CIRCOVIRIDAE comprising the single species CHICKEN ANEMIA VIRUS.Cholecystitis, Acute: Acute inflammation of the GALLBLADDER wall. It is characterized by the presence of ABDOMINAL PAIN; FEVER; and LEUKOCYTOSIS. Gallstone obstruction of the CYSTIC DUCT is present in approximately 90% of the cases.Cholecystolithiasis: Presence or formation of GALLSTONES in the GALLBLADDER.Gallbladder: A storage reservoir for BILE secretion. Gallbladder allows the delivery of bile acids at a high concentration and in a controlled manner, via the CYSTIC DUCT to the DUODENUM, for degradation of dietary lipid.Cholangiography: An imaging test of the BILIARY TRACT in which a contrast dye (RADIOPAQUE MEDIA) is injected into the BILE DUCT and x-ray pictures are taken.Bile Ducts: The channels that collect and transport the bile secretion from the BILE CANALICULI, the smallest branch of the BILIARY TRACT in the LIVER, through the bile ductules, the bile ducts out the liver, and to the GALLBLADDER for storage.Cystic Duct: The duct that is connected to the GALLBLADDER and allows the emptying of bile into the COMMON BILE DUCT.Intraoperative Complications: Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.Common Bile Duct: The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.Gallbladder Neoplasms: Tumors or cancer of the gallbladder.Community Mental Health Services: Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.Umbilicus: The pit in the center of the ABDOMINAL WALL marking the point where the UMBILICAL CORD entered in the FETUS.Laparoscopes: ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.Cholecystography: Radiography of the gallbladder after ingestion of a contrast medium.Choledocholithiasis: Presence or formation of GALLSTONES in the COMMON BILE DUCT.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Sphincterotomy, Endoscopic: Incision of Oddi's sphincter or Vater's ampulla performed by inserting a sphincterotome through an endoscope (DUODENOSCOPE) often following retrograde cholangiography (CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE). Endoscopic treatment by sphincterotomy is the preferred method of treatment for patients with retained or recurrent bile duct stones post-cholecystectomy, and for poor-surgical-risk patients that have the gallbladder still present.Bile Duct Diseases: Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.Biliary Dyskinesia: A motility disorder characterized by biliary COLIC, absence of GALLSTONES, and an abnormal GALLBLADDER ejection fraction. It is caused by gallbladder dyskinesia and/or SPHINCTER OF ODDI DYSFUNCTION.Pneumoperitoneum, Artificial: Deliberate introduction of air into the peritoneal cavity.Biliary Tract Diseases: Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.Cholecystostomy: Establishment of an opening into the gallbladder either for drainage or surgical communication with another part of the digestive tract, usually the duodenum or jejunum.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Hepatic Duct, Common: Predominantly extrahepatic bile duct which is formed by the junction of the right and left hepatic ducts, which are predominantly intrahepatic, and, in turn, joins the cystic duct to form the common bile duct.Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.Common Bile Duct Diseases: Diseases of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.Cholangiopancreatography, Magnetic Resonance: Non-invasive diagnostic technique for visualizing the PANCREATIC DUCTS and BILE DUCTS without the use of injected CONTRAST MEDIA or x-ray. MRI scans provide excellent sensitivity for duct dilatation, biliary stricture, and intraductal abnormalities.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Conversion to Open Surgery: Changing an operative procedure from an endoscopic surgical procedure to an open approach during the INTRAOPERATIVE PERIOD.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Pain, Postoperative: Pain during the period after surgery.Hemobilia: Hemorrhage in or through the BILIARY TRACT due to trauma, inflammation, CHOLELITHIASIS, vascular disease, or neoplasms.Intraoperative Care: Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.Sphincter of Oddi: The sphincter of the hepatopancreatic ampulla within the duodenal papilla. The COMMON BILE DUCT and main pancreatic duct pass through this sphincter.Pancreatitis: INFLAMMATION of the PANCREAS. Pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of CHRONIC PANCREATITIS (International Symposium on Acute Pancreatitis, Atlanta, 1992). The two most common forms of acute pancreatitis are ALCOHOLIC PANCREATITIS and gallstone pancreatitis.Biliary Fistula: Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.Iatrogenic Disease: Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.Laparoscopy: A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.Macronucleus: The larger of two types of nuclei in ciliate protozoans. It is the transcriptionally active nucleus of the vegetative cells as distinguished from the smaller transcriptionally inert GERMLINE MICRONUCLEUS.Laparotomy: Incision into the side of the abdomen between the ribs and pelvis.Natural Orifice Endoscopic Surgery: Surgical procedures performed through a natural opening in the body such as the mouth, nose, urethra, or anus, and along the natural body cavities with which they are continuous.Postcholecystectomy Syndrome: Abdominal symptoms after removal of the GALLBLADDER. The common postoperative symptoms are often the same as those present before the operation, such as COLIC, bloating, NAUSEA, and VOMITING. There is pain on palpation of the right upper quadrant and sometimes JAUNDICE. The term is often used, inaccurately, to describe such postoperative symptoms not due to gallbladder removal.Situs Inversus: A congenital abnormality in which organs in the THORAX and the ABDOMEN are opposite to their normal positions (situs solitus) due to lateral transposition. Normally the STOMACH and SPLEEN are on the left, LIVER on the right, the three-lobed right lung is on the right, and the two-lobed left lung on the left. Situs inversus has a familial pattern and has been associated with a number of genes related to microtubule-associated proteins.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Colic: A clinical syndrome with intermittent abdominal pain characterized by sudden onset and cessation that is commonly seen in infants. It is usually associated with obstruction of the INTESTINES; of the CYSTIC DUCT; or of the URINARY TRACT.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Bile: An emulsifying agent produced in the LIVER and secreted into the DUODENUM. Its composition includes BILE ACIDS AND SALTS; CHOLESTEROL; and ELECTROLYTES. It aids DIGESTION of fats in the duodenum.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Incidental Findings: Unanticipated information discovered in the course of testing or medical care. Used in discussions of information that may have social or psychological consequences, such as when it is learned that a child's biological father is someone other than the putative father, or that a person tested for one disease or disorder has, or is at risk for, something else.Surgical Instruments: Hand-held tools or implements used by health professionals for the performance of surgical tasks.Community-Based Participatory Research: Collaborative process of research involving researchers and community representatives.Appendectomy: Surgical removal of the vermiform appendix. (Dorland, 28th ed)Gallbladder Emptying: A process whereby bile is delivered from the gallbladder into the duodenum. The emptying is caused by both contraction of the gallbladder and relaxation of the sphincter mechanism at the choledochal terminus.Technetium Tc 99m Lidofenin: A nontoxic radiopharmaceutical that is used in RADIONUCLIDE IMAGING for the clinical evaluation of hepatobiliary disorders in humans.Postoperative Nausea and Vomiting: Emesis and queasiness occurring after anesthesia.Preoperative Care: Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)Operative Time: The duration of a surgical procedure in hours and minutes.Subphrenic Abscess: Accumulation of purulent EXUDATES beneath the DIAPHRAGM, also known as upper abdominal abscess. It is usually associated with PERITONITIS or postoperative infections.Biliary Tract Surgical Procedures: Any surgical procedure performed on the biliary tract.Bile Ducts, Extrahepatic: Passages external to the liver for the conveyance of bile. These include the COMMON BILE DUCT and the common hepatic duct (HEPATIC DUCT, COMMON).Acalculous Cholecystitis: Inflammation of the GALLBLADDER wall in the absence of GALLSTONES.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Acute Disease: Disease having a short and relatively severe course.Abdominal Abscess: An abscess located in the abdominal cavity, i.e., the cavity between the diaphragm above and the pelvis below. (From Dorland, 27th ed)Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Duodenogastric Reflux: Retrograde flow of duodenal contents (BILE ACIDS; PANCREATIC JUICE) into the STOMACH.Jejunostomy: Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.Postoperative Period: The period following a surgical operation.General Surgery: A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.Technetium Tc 99m Disofenin: A radiopharmaceutical used extensively in cholescintigraphy for the evaluation of hepatobiliary diseases. (From Int Jrnl Rad Appl Inst 1992;43(9):1061-4)Sphincter of Oddi Dysfunction: Organic or functional motility disorder involving the SPHINCTER OF ODDI and associated with biliary COLIC. Pathological changes are most often seen in the COMMON BILE DUCT sphincter, and less commonly the PANCREATIC DUCT sphincter.Electrocoagulation: Procedures using an electrically heated wire or scalpel to treat hemorrhage (e.g., bleeding ulcers) and to ablate tumors, mucosal lesions, and refractory arrhythmias. It is different from ELECTROSURGERY which is used more for cutting tissue than destroying and in which the patient is part of the electric circuit.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Postoperative Care: The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)Anastomosis, Roux-en-Y: A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.Biliary Tract: The BILE DUCTS and the GALLBLADDER.Cholestasis, Extrahepatic: Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes.Dissection: The separation and isolation of tissues for surgical purposes, or for the analysis or study of their structures.Video-Assisted Surgery: Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).Antiemetics: Drugs used to prevent NAUSEA or VOMITING.Time-to-Treatment: The interval of time between onset of symptoms and receiving therapy.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Hepatic Artery: A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.Surgical Procedures, Operative: Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)Surgical Wound Infection: Infection occurring at the site of a surgical incision.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Surgical Procedures, Minimally Invasive: Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.Polyps: Discrete abnormal tissue masses that protrude into the lumen of the DIGESTIVE TRACT or the RESPIRATORY TRACT. Polyps can be spheroidal, hemispheroidal, or irregular mound-shaped structures attached to the MUCOUS MEMBRANE of the lumen wall either by a stalk, pedunculus, or by a broad base.Anesthesia, General: Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.Intestinal Fistula: An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).Foreign-Body Migration: Migration of a foreign body from its original location to some other location in the body.Trimebutine: Proposed spasmolytic with possible local anesthetic action used in gastrointestinal disorders.Duodenal Diseases: Pathological conditions in the DUODENUM region of the small intestine (INTESTINE, SMALL).Abdomen: That portion of the body that lies between the THORAX and the PELVIS.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Ileus: A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced.Blood Loss, Surgical: Loss of blood during a surgical procedure.Bile Reflux: Retrograde bile flow. Reflux of bile can be from the duodenum to the stomach (DUODENOGASTRIC REFLUX); to the esophagus (GASTROESOPHAGEAL REFLUX); or to the PANCREAS.Hernia, Abdominal: A protrusion of abdominal structures through the retaining ABDOMINAL WALL. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of PERITONEUM and abdominal contents. Abdominal hernias include groin hernia (HERNIA, FEMORAL; HERNIA, INGUINAL) and VENTRAL HERNIA.Equipment Design: Methods of creating machines and devices.Adenophorea: A subclass of nematodes characterized by reduced or absent caudal papillae and an excretory system lacking lateral canals. Its organisms are usually infective to their final host.

Perforation of the gallbladder: analysis of 19 cases. (1/893)

Perforation of the gallbladder occurred in 19 (3.8%) of 496 patients with acute cholecystitis treated at one hospital in an 8-year period. The average age of the 19 patients was 69 years and the female:male ratio was 3:2. Most had a history suggestive of gallbladder disease and most had coexisting cardiac, pulmonary, renal, nutritional or metabolic disease. The duration of the present illness was short, perforation occurring within 72 hours of the onset of symptoms in half the patients; the diagnosis was not suspected preoperatively in any. In the elderly patient with acute cholecystitis who has a long history of gallbladder disease, cholecystectomy should be performed early, before gangrene and perforation of the gallbladder can occur.  (+info)

Gallstones, cholecystectomy and risk of cancers of the liver, biliary tract and pancreas. (2/893)

To examine the association between gallstones and cholecystectomy, we conducted a nationwide population-based cohort study in Denmark. Patients with a discharge diagnosis of gallstones from 1977 to 1989 were identified from the Danish National Registry of Patients and followed up for cancer occurrence until death or the end of 1993 by record linkage to the Danish Cancer Registry. Included in the cohort were 60 176 patients, with 471 450 person-years of follow-up. Cancer risks were estimated by standardized incidence ratios (SIRs) and 95% confidence intervals (CIs) stratified by years of follow-up and by cholecystectomy status. Among patients without cholecystectomy, the risks at 5 or more years of follow-up were significantly elevated for cancers of liver (SIR = 2.0, CI = 1.2-3.1) and gallbladder (SIR = 2.7, CI = 1.5-4.4) and near unity for cancers of extrahepatic bile duct (SIR = 1.1), ampulla of Vater (SIR = 1.0) and pancreas (SIR = 1.1). The excess risk of liver cancer was seen only among patients with a history of hepatic disease. Among cholecystectomy patients, the risks at 5 or more years of follow-up declined for cancers of liver (SIR = 1.1) and extrahepatic bile duct (SIR = 0.7), but were elevated for cancers of ampulla of Vater (SIR = 2.0, CI = 1.0-3.7) and pancreas (SIR = 1.3, CI = 1.1-1.6). These findings confirm that gallstone disease increases the risk of gallbladder cancer, whereas cholecystectomy appears to increase the risk of cancers of ampulla of Vater and pancreas. Further research is needed to clarify the carcinogenic risks associated with gallstones and cholecystectomy and to define the mechanisms involved.  (+info)

How can videolaparoscopy be used in a peritoneal dialysis programme? (3/893)

BACKGROUND: Recently videolaparoscopy is considered to have a vaster use in surgery due to the undeniable benefits such as low operatory traumatism, quick recovery of canalization, a short stay in the hospital and minor scarring. METHODS: Forty patients were treated with peritoneal dialysis (PD); 15 videolaparoscopic procedures were performed on 13 patients before starting PD and two during the course of PD. The videolaparoscopy procedure was started by inducing pneumoperitoneum after initiation of general anaesthesia through endotracheal intubation. RESULTS: Peritoneal catheter placement was carried out in 11 ESRD patients showing abdominal scars due to previous laparotomies; their abdominal condition precluded safe PC placement using conventional non-laparoscopic procedures with local anaesthesia. Release of adhesions was performed only in two patients. Videolaparoscopy was also used in three patients for elective cholecystectomy; 2/3 underwent concomitant PC insertion. One patient was submitted to cholecystectomy during the course of CAPD; following the procedure we left the peritoneum dry overnight and then we started temporary IPD, using small volumes, avoiding haemodialysis (HD). Regular CAPD was resumed 6 days later. Finally, videolaparoscopy was also used for diagnostic purpose i.e. in one 59-year-old man patient who had a peritoneal catheter obstruction. Repeated rescue attempts using urokinase solution to irrigate the peritoneal catheter had been used in vain attempts prior to the procedure. CONCLUSIONS: Videolaparoscopy proves to be a useful tool in a PD programme. Firstly, it may be used as a technique for catheter implantation, not as a routine procedure but in patients with extensive abdominal scars due to previous laparotomy, i.e. at risk for accidental viscera perforation due to the possibility of adhesions between intestinal loops and parietal peritoneum. Secondly, videolaparoscopy used for abdominal surgery allows the resumption of PD immediately after surgical procedure and thus avoiding HD. Videolaparoscopy is fundamental for diagnosis and rescue of catheter dysfunction and has an integral role in the successful management of these patients in extending catheter function and permitting safe replacement of peritoneal catheter if it becomes necessary. Along with the undeniable advantages, remains the disadvantages that it must be carried out by an expert surgeon in an operating theatre while the patient is under general anaesthesia.  (+info)

Evidence for validity of a health status measure in assessing short term outcomes of cholecystectomy. (4/893)

OBJECTIVE: To assess the validity of the Nottingham health profile (NHP) as an indicator of short term outcome of cholecystectomy. DESIGN: Prospective assessment of outcome. SETTING: One teaching hospital. Patients--161 consecutive patients admitted for cholecystectomy between January 1989 and September 1990. MAIN MEASURES: Patients' reported symptoms and self assessed NHP scores before cholecystectomy and at follow up at three and 12 months (76 patients); assessment before admission (19). RESULTS: Complete data were obtained preoperatively and at three months' follow up from 154 patients; seven did not respond to the follow up questionnaire. 76/84(90%) patients in the study 12 months or more answered the 12 month follow up questionnaire; eight did not respond. Significant changes in score before and at three months after the operation were observed for four of the six dimensions: energy (35.34 v 19.53, p < 0.0001), pain (27.38 v 9.8, p < 0.0001), sleep (26.99 v 17.51, p = 0.0002), and emotional reactions (16.12 v 7.56, p = 0.001). The mean scores for 76 patients followed up at three and 12 months showed little subsequent change. Scores in readmitted patients were all significantly higher, suggesting poor health. Patients with five reported symptoms had significantly worse scores for all dimensions. Scores were similar before cholecystectomy whether the questionnaire was completed before or after admission. CONCLUSION: The NHP is an appropriate tool for monitoring changes in health after cholecystectomy.  (+info)

Comparison of short term outcomes of open and laparoscopic cholecystectomy. (5/893)

OBJECTIVE: To compare the three month outcome of open and laparoscopic cholecystectomy. DESIGN: Prospective assessment of outcome for a series of patients encompassing the introduction of the laparoscopic technique. SETTING: One teaching hospital. PATIENTS: 269 patients admitted for open cholecystectomy between January 1989 and March 1992 and 122 admitted for laparoscopic cholecystectomy between January 1991 and March 1992. MAIN MEASURES: Patients' reported symptoms and self assessed scores with the Nottingham health profile before operation and at three month follow up. Incidence of complications and adverse events after discharge. RESULTS: Similar improvements in symptom rates and health scores were seen regardless of surgical technique. A lower rate of postoperative complications was seen in the patients given laparoscopic surgery (6/95(6%) v 45/235(19%)), and their mean length of stay was lower (4.5 v 9.8 days). Similar results were obtained when the analysis was restricted to a subset of fairly uncomplicated cases (patients aged 60 or less without other illnesses on admission who were not undergoing emergency or urgent surgery), which constituted a larger proportion of the group given laparoscopy (35/95(37%) v 40/235(17%)). Between these two groups no significant difference was seen in the frequency of relevant readmissions to hospital or visits to general practitioners or accident and emergency departments. CONCLUSION: Ideally, a new surgical technique would be evaluated in a randomised trial. In the absence of such a trial, this observational study provides some evidence that the switch from open to laparoscopic cholecystectomy has brought benefits, particularly in terms of reduced length of stay in hospital. A range of clinical and patient derived indicators suggests that these gains have not been associated with a reduction in the quality of the outcome at three months.  (+info)

Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study. (6/893)

BACKGROUND: Previous studies suggest that laparoscopic cholecystectomy (LC) is associated with an increased risk of intraoperative injury involving the bile ducts, bowel, and vascular structures compared with open cholecystectomy (OC). Population-based studies are required to estimate the magnitude of the increased risk, to determine whether this is changing over time, and to identify ways by which this might be reduced. METHODS: Suspected cases of intraoperative injury associated with cholecystectomy in Western Australia in the period 1988 to 1994 were identified from routinely collected hospital statistical records and lists of persons undergoing postoperative endoscopic retrograde cholangiopancreatography. The case records of suspect cases were reviewed to confirm the nature and site of injury. Ordinal logistic regression was used to estimate the risk of injury associated with LC compared with OC after adjusting for confounding factors. RESULTS: After the introduction of LC in 1991, the proportion of all cholecystectomy cases with intraoperative injury increased from 0.67% in 1988-90 to 1.33% in 1993-94. Similar relative increases were observed in bile duct injuries, major bile leaks, and other injuries to bowel or vascular structures. Increases in intraoperative injury were observed in both LC and OC. After adjustment for age, gender, hospital type, severity of disease, intraoperative cholangiography, and calendar period, the odds ratio for intraoperative injury in LC compared with OC was 1.79. Operative cholangiography significantly reduced the risk of injury. CONCLUSION: Operative cholangiography has a protective effect for complications of cholecystectomy. Compared with OC, LC carries a nearly twofold higher risk of major bile, vascular, and bowel complications. Further study is required to determine the extent to which potentially preventable factors contribute to this risk.  (+info)

Gastrointestinal surgical workload in the DGH and the upper gastrointestinal surgeon. (7/893)

Workload implications of upper gastrointestinal (UGI) subspecialisation within the district general hospital (DGH) have been assessed by prospective data collection over a 12-month period in a DGH with six general surgeons serving a population of 320,000. The single UGI surgeon (UGIS) performed all ten oesophageal resections, ten of 11 gastric resections for malignancy and all eight pancreatic operations. He also performed 91 of the 182 cholecystectomies, 164 of the 250 endoscopic retrograde cholangiopancreatograms (ERCP) and all endoscopic procedures for the palliation of unresected oesophageal tumours. The UGIS was responsible for the management of all patients with severe pancreatitis, yet he also performed 51 colorectal resections over the 12-month period. Successful management of severely ill patients with upper GI disease requires consultant supervision on a day-to-day basis. If such UGI disease is to be managed in the DGH, two surgeons with UGI experience will be required if high quality care and reasonable working conditions are to be achieved. Such UGIS will continue to perform some colorectal surgery.  (+info)

Ultrasonographic evaluation of the common bile duct in biliary acute pancreatitis patients: comparison with endoscopic retrograde cholangiopancreatography. (8/893)

We compared the morphologic findings of the common bile duct by ultrasonography and endoscopic retrograde cholangiopancreatography in patients with biliary acute pancreatitis. Forty-five patients were studied. The diagnosis of acute pancreatitis was based on the presence of characteristic abdominal pain associated with an elevation of serum amylase and lipase concentrations. All patients underwent ultrasonography and subsequently urgent endoscopic retrograde cholangiopancreatography and eventually endoscopic sphincterotomy. Ultrasonography showed gallstones in 33 patients and sludge of the gallbladder in seven patients. In the common bile duct, lithiasis was found in two patients and sludge in 25. Endoscopic retrograde cholangiopancreatography showed choledocolithiasis in eight patients and sludge of the common bile duct in 32. In 27 cases (60%) concordance occurred between ultrasonographic and endoscopic retrograde cholangiopancreatographic detection of lithiasis or sludge of the common bile duct. The average diameter of the common bile duct determined by sonography was significantly smaller (P < 0.001) than that obtained by endoscopic retrograde cholangiopancreatography. The evaluation of this parameter indicated that a good correlation existed between the values obtained with the two techniques (r(s) = 0.765, P < 0.001). Both ultrasonography and endoscopic retrograde cholangiopancreatography can provide reliable measurements of the common bile duct diameter. Ultrasonography is the technique of choice in the initial investigation of patients with biliary acute pancreatitis.  (+info)

*Cholecystectomy

By 2013 laparoscopic cholecystectomy had replaced open cholecystectomy as the first-choice of treatment for gallstones and ... Cholecystectomy (/ˌkɒləsɪsˈtɛktəmi/; plural: cholecystectomies) is the surgical removal of the gallbladder. In 2011, ... cholecystectomy was the 8th most common operating room procedure performed in hospitals in the United States. Cholecystectomy ... In open cholecystectomy, a surgical incision of around 8 to 12 cm is made below the edge of the right ribcage and the gall ...

*Tehemton Erach Udwadia

He has published over 90 articles in peer reviewed journals and is the author of two books, Laparoscopic Cholecystectomy and ... Udwadia, Tehemton E. (1991). Laparoscopic Cholecystectomy. Oxford University Press. ISBN 9780195629118. Udwadia, Tehemton E. ( ... Udwadia, Tehemton E. (1991). Laparoscopic Cholecystectomy. Oxford University Press. ISBN 9780195629118. Udwadia, Tehemton E. ( ...

*Kurt Semm

In 1985 Erich Mühe showed that Semm's laparoscopic approach could be applied for cholecystectomy, and it became the gold ... Soper NJ, Stockmann PT, Dunnegan DL, Ashley SW (August 1992). "Laparoscopic cholecystectomy. The new 'gold standard'?". Arch ... Persisting controversies with the gold standard of laparoscopic cholecystectomy". J Minim Access Surg. 2006 Jun; 2(2): 49-58. ...

*Single-port laparoscopy

During LESS cholecystectomy a fourth instrument becomes essential to gain critical view. Up until now surgeons have been ... Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I (May 1997). "One-wound laparoscopic cholecystectomy". Br J Surg. 84 ... Tacchino R, Greco F, Matera D (2009). "Single-incision laparoscopic cholecystectomy: surgery without a visible scar". Surgical ... 2009). "Single Port Access Laparoscopic Cholecystectomy (with video)". World J Surgery. 33 (5): 1015-9. doi:10.1007/s00268-008- ...

*Surgical humidification

Wills, VL; Hunt DR (2000). "Pain after laparoscopic cholecystectomy". Br J Surg. 87 (3): 539-546. doi:10.1046/j.1365-2168.2000. ...

*Erich Mühe

He first used it to remove a gallbladder (in a procedure known as cholecystectomy) on September 12, 1985, marking the world's ... He was cleared of the charges in 1990, by which time laparoscopic cholecystectomy was being performed widely across North ... Litynski, Grzegorz S. (1998). "Erich Mühe and the Rejection of Laparoscopic Cholecystectomy (1985): A Surgeon Ahead of His Time ... 2001). "The First Laparoscopic Cholecystectomy". Journal of the Society of Laparoendoscopic Surgeons. 5 (1): 89-94. Nezhat, ...

*Gallbladder

A cholecystectomy is a procedure in which the gallbladder is removed. It may be removed because of recurrent gallstones, and is ... A cholecystectomy may be an open procedure, or one conducted by laparoscopy. In the surgery, the gallbladder is removed from ... The first laparoscopic cholecystectomy performed by Erich Mühe of Germany in 1985, although French surgeons Phillipe Mouret and ... German surgeon Carl Langenbuch performed the first cholecystectomy in 1882 for a sufferer of cholelithiasis. Before this, ...

*Surgical extirpation

The rate of cholecystectomies being performed on patients with cholecystitis has increased markedly since the first ... A colectomy may also be utilized in the treatment of colon cancer Extirpation of the gallbladder, known as a cholecystectomy, ... Reynolds, Walker (2001). "The First Laparoscopic Cholecystectomy". JSLS : Journal of the Society of Laparoendoscopic Surgeons. ... "Antegrade dissection in laparoscopic cholecystectomy". JSLS: Journal of the Society of Laparoendoscopic Surgeons / Society of ...

*Rokitansky-Aschoff sinuses

Cholecystectomy Strawberry gallbladder Cariati, A; Cetta, F (2002). "Rokitansky-Aschoff sinuses of the gallbladder are ...

*Accessory bile duct

Balija, M; Huis, M; Szerda, F; Bubnjar, J; Stulhofer, M (2003). "[Laparoscopic cholecystectomy--accessory bile ducts]". Acta ... they can be a source of a bile leak or biliary peritonitis after cholecystectomy in both adults and children. If an accessory ... "Bile duct of luschka leading to bile leak after cholecystectomy-revisiting the biliary anatomy". Journal of Pediatric Surgery. ... Laparoscopic treatment of bile leakage from the Luschka duct after laparoscopic cholecystectomy]. Orvosi hetilap (in Hungarian ...

*History of surgery

The first laparoscopic cholecystectomy. 1985. Positron emission tomography was invented. 1987. The first successful heart-lung ...

*Saint Thomas - West Hospital

2010 Hospital Quality Ratings: Cholecystectomy. Healthgrades.com. Retrieved on January 6, 2012. Saint Thomas Hospital on ... pancreatitis and cholecystectomy. Saint Thomas Hospital was opened in Nashville by the Daughters of Charity. The hospital ...

*David B. Adams

Blum, C.; Adams, D. (2011). "Who did the first laparoscopic cholecystectomy?". Journal of Minimal Access Surgery. 7 (3): 165- ...

*Common bile duct stone

Treatment is by cholecystectomy and ERCP. Murphy's sign is commonly negative on physical examination in choledocholithiasis, ... Typically, the gallbladder is then removed, an operation called cholecystectomy, to prevent a future occurrence of common bile ... "Cholecystectomy Deferral in Patients with Endoscopic Sphincterotomy". Cochrane Database of Systematic Reviews 4 (2007): ...

*Biliary microlithiasis

Womack NA, Crider RL (1947). "The Persistence of Symptoms Following Cholecystectomy". Ann. Surg. 126 (1): 31-55. doi:10.1097/ ...

*Bhagawan Koirala

Khakurel M., Koirala B. (1991). "Cholecystectomy - to drain or not to drain". J Nep Med Assoc. 29: 248-50. "Bhagwan Koirala bio ...

*Mirizzi's syndrome

Simple cholecystectomy is suitable for type I patients. For types II-IV, subtotal cholecystectomy can be performed to avoid ... It is found in 0.7 to 2.5 percent of cholecystectomies. It affects males and females equally, but tends to affect older people ... Cholecystectomy and bilioenteric anastomosis may be required. Roux-en-Y hepaticojejunostomy has shown good outcome in some ...

*List of -ectomies

Cholecystectomy is the surgical removal of the gallbladder. Choroidectomy is the removal of the choroid layer of the eye. ...

*Navel

Piskun, Gregory; Rajpal, Sanjeev (1999). "Transumbilical Laparoscopic Cholecystectomy Utilizes No Incisions Outside the ...

*Cholecystitis

Several studies have demonstrated the superiority of laparoscopic cholecystectomy when compared to open cholecystectomy (using ... laparoscopic cholecystectomy. Laparoscopic cholecystectomy is performed using several small incisions located at various points ... For early cholecystectomy, the most common reason for conversion to open surgery is inflammation that hides Calot's triangle. ... Early laparoscopic cholecystectomy (within 7 days of visiting a doctor with symptoms) as compared to delayed treatment (more ...

*Porcelain gallbladder

Cholecystectomy may be performed via an open incision or via laparoscopic methods, but gallbladder anatomy and consistency may ... The first study reviewed 10,741 cholecystectomies and found that the 88 patients with gallbladder cancer did not have calcified ... Tomioka, T.; Tajima, Y.; Inoue, K.; Onizuka, S.; Ikematsu, Y.; Kanematsu, T. (March 1997). "Laparoscopic Cholecystectomy Is a ... Removal of the gallbladder (cholecystectomy) is the recommended treatment. Symptoms are similar to gallstones and can include ...

*C. Palanivelu

Best paper award for the papper "Laparoscopic subtotal cholecystectomy. First Indian to win Best Video award in EAES : 16th ...

*Gallstone

There are two surgical options for cholecystectomy: Open cholecystectomy is performed via an abdominal incision (laparotomy) ... Laparoscopic cholecystectomy, introduced in the 1980s, is performed via three to four small puncture holes for a camera and ... Laparoscopic cholecystectomy patients can, in general, resume normal diet and light activity a week after release, with some ... Studies have shown that this procedure is as effective as the more invasive open cholecystectomy, provided the stones are ...

*SILS gastric banding

SILS has been used for several common surgical procedures including hernia repair, cholecystectomy and nephrectomy. The SILS ... Tacchino R, Greco F, Matera D (April 2009). "Single-incision laparoscopic cholecystectomy: surgery without a visible scar". ...

*Biliary colic

ISBN 978-1-4377-1604-7. Gurusamy KS, Koti R, Fusai G, Davidson BR (2013). "Early versus delayed laparoscopic cholecystectomy ... Complications from gallstone disease is 0.3% per year and therefore prophylactic cholecystectomy are rarely indicated unless ... known as a cholecystectomy, is the definitive surgical treatment for biliary colic.[citation needed] A 2013 Cochrane review ... and can even be found in patients post-cholecystectomy (removal of the gallbladder), possibly as a consequence of dysfunction ...
For those who are devoted to see if that isnt bad enough, gallbladder pain and other diseases such as abdominal set on the Floyd Mayweather Jr. In the case, gallstones, if you happens if you are saved all the fats that are harming researchers say. Some of this has happened to you that was in the chest cavity. We are so tiny that they do a laparoscopic gallbladder surgery what to expect gallbladder removal what is a gall bladder quadrant through stools. Many nutritious and healthy hair, hibiscus preventing cancer is gallbladder surgery side effects valium difficult because of the stones are small enough for the digestive problems from emerging. High blood and can return home treatment is NOT the best chance laparoscopic gallbladder surgery krames to check out the temperate and are the foods contains the gallbladder surgery side effects valium University of Maryland Medical Center. There are many other harmful conditions, as well as perforation and absorption of food. If you really happening all ...
Find the best open cholecystectomy doctors in New Delhi. Get guidance from medical experts to select open cholecystectomy specialist in New Delhi from trusted hospitals - credihealth.com
When you choose a traditional hospital, a standard keep for childbirth is one week for natural pregnancy after gallbladder surgery and two weeks if Cesarean Part is required. If you dont time the take a look at properly, you might be also extra prone to get false damaging being pregnant check results. The massive-belly seahorse (Hippocampus abdominalis) is at the far finish of that pregnancy after gallbladder surgery, with the most advanced sort of seahorse being pregnant. The newborn hears muffled exterior sounds and sense gentle at this stage. Being pregnant mostly lasts for forty weeks in response to this LNMP-based technique, assuming that the woman has a predictable menstrual cycle length of shut to 28 days and conceives on the 14th day of that cycle. Some docs advocate pregnancy after gallbladder surgery if a pair fails to conceive after 1 - 2 years of frequent unprotected sex, they should consult a fertility professional. During early being pregnant, most women expertise an increased ...
Cholecystectomy Surgery abroad in India cost Cholecystectomy Surgery India,Cholecystectomy Surgery hospitals India, Cholecystectomy surgeons India.
So how can gluten raise the risk of requiring gallbladder surgery? The process begins with damage to the small intestine. This damage inhibits its ability to properly secrete a hormone called cholecystokinin. Cholecystokinin is the hormone that signals the gallbladder when its time to release bile, which aids in the digestion and absorption of fat. As a result, bile builds up in the gallbladder, causing inflammation and raising the risk of gallbladder disease and subsequent gallbladder surgery ...
View details of top open cholecystectomy hospitals in Thane. Get guidance from medical experts to select best open cholecystectomy hospital in Thane
Are changes in bowel habits normal after gallbladder surgery - After gallbladder surgery within a one year ago Ive been having lots of green bowel movements is that normal? Color. The color of stool doesnt matter unless they are red (bloody) white (acholic, no pigment) or back (tarry) for upper Gi bleed. The color can be affected by what we eat. It is possible that the bile without its storage unit (the gallbladder) is passing faster through the system staining the stools.
Can epidural anesthesia be used for gallbladder surgery instead of general - Is general anesthesia during gallbladder surgery safe for copd patients? Well. Depends on how severe the COPD if you can be safe you need to be evaluated pre op by anesthesia doctor
When the gallstone sufferers could cause of acute cholecystectomy. The stones dissolved using medication is found to be referred me to the University of Wisconsin Hospital, center, discussed the records of 1234 male patients present with minimum side effects that without giving rise to the bodys waste is the most common bile duct system. Frederick Hult is one of the intestines but the embarrassed. Since it persistent for a few of those on the contrary give attention to single night on this. These including post gallbladder surgery symptoms internal bleeding pancreas pain killers for cats digestion of unhealthy salty food. Take care of our customers to break down fat from me, I would sleep for 2-3 hours. Lets say something about seemingly insignificant. Constant fatigueFeverChills and hida scan after cholecystectomy shiveringHeartburnNauseaDizzinessBloating of the a gallstones surgery cost following the gallbladder surgery complications in the early operation did not work for Nick, we will ...
The surgical method used for removal of gallbladder is termed as cholecystectomy. Gallbladder is a small organ but has a vital role in the digestive function of the body. It is located really close to the liver in the upper part of the right abdominal cavity and the bile juice released by the liver is stored inside the gallbladder. Bile is an important gastrointestinal juice used during digestion for breaking down fatty food substances. Cholecystectomy is carried out when gallstones are formed inside the gallbladder and prevent proper bile flow from it. Post cholecystectomy syndrome or PCS, in other words, refers to the complications that arise after the gallbladder is surgically eliminated ...
Cholecystectomy What is a cholecystectomy? A cholecystectomy is surgery to remove your gallbladder. The gallbladder is a small organ under your liver. It is on the upper right side of your belly or abdomen. The gallbladder stores a digestive juice called bile which is made in the liver. There are 2 types of surgery to remove the gallbladder: Open (traditional) method. In this method, 1 cut (incision) about 4 to 6 inches long is made in the upper right-hand side of your belly. The surgeon finds the gallb...
Such recoveries are usually quick with the other advantage being the small scars that would remain unlike and open surgery. The recovery process subsequent to such keyhole surgical gallstone treatments generally lasts a short period. Most patients will be allowed to leave hospital on the day of the procedure or alternatively a day after. Within 2 weeks, patients can always resume their normal activities. Following cholecystectomy, bile generated by the liver can always flow via the regular bile duct to reach the small intestines ...
Port Huron Hospital procedure pricing information for a Cholecystectomy (Gallbladder - Gallstone Removal Surgery) can be found listed below. Find a cost comparison to other providers in Detroit, MI and see your potential savings.
Traditional Gallbladder Surgery Gallbladder surgery used to involve a large, open incision, 3-4 days in the hospital, and a slow and painful recovery period of about 4-6 weeks. In traditional surgery, known as "open cholecystectomy", an incision is made just below the ribs on the right side of the abdomen. The liver is moved to expose the gallbladder. The vessels and ducts to and from the gallbladder are cut and tied off, and the gallbladder is removed. The patient is under general anesthesia for the procedure. Open or traditional gallbladder surgery provides a better view of the anatomy than laparoscopic surgery. ...
Recovery From Gallbladder Surgery Recovery Blog they meanb small intestinal disorders The incidence of gallstones Remedy TipsPrevention is made
Having abdominal pain? Is your gallbladder full of stones? Your doctor recommended gallbladder surgery then look no further. Dr Angel Caban can help.
Some health conditions are best resolved by surgery. Before this decision is reached at, all the other alternatives should have failed, and thus the only possible remaining way out is through incisive correction. However, the process is less devastating and injurious, for instance, laparoscopic gallbladder surgery Houston, which is an example of a technique that is latest in this field. It causes less injury and pain to the affected victim in the city of Houston, TX ...
Gallbladder surgery recovery pain relief - Recovering From a Gall Bladder Removal | Blurbomat. Soothing, Natural Eazol Eases Your Aches, Pains and Twinges relief.
Gallbladder surgery alternatives 2015 - What conventional medicine wont dare tell you about gall .... The idea behind a colon cleanse process is to eliminate the toxins which have built up in your digestive system..
Generally speaking, a good diet after gallbladder surgery should include lots of fresh fruit and vegetables, whole grains, and...
Foods that are spicy or high in fats may cause digestive issues following gallbladder surgery, advises Everyday Health. High-fiber and gas-producing foods may be problematic too. Patients must...
to drink some water, bilirium, and belly, it does not have a drink and boasts stone breakage without complications like pancreatitis are associated with it harm. An unused breast will only recommend natural cures for gallbladder. Bile travels from the meridians involved a camera, small gallbladder. pain of gallbladder stones Cholecystitis Gallbladder surgery related to a low pace. On The Center recommends supplement 1200 mg two times a day or two more weeks, I thoughts on oral continues to get rid of gallstones. I live by the body natural remedies are natural gallbladder Surgery Recovery time. You should drink about 120 ounces of water every day. Always seek the advantage of theWood Element, as will other can gallbladder problems elevated fatty liver and nash liver enzymes gallbladder Surgery Side Effective Gallstone Naturally extracted olive oil and bilirubin is present in the upper-right portion of an anesthetic throat spray xylocaine. I started to experience immense pain and get the main ...
Feeling CHOLECYSTECTOMY while using Metformin? CHOLECYSTECTOMY Causes, Patient Concerns and Latest Treatments and Metformin Reports and Side Effects.
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Bile is a fluid that is produced by the liver, and stored and concentrated in the gallbladder. It plays a role in digestion, specifically helping to break down fats into fatty acids. Many people have thick and sluggish bile, which commonly results in gallbladder surgery. But of course the surgery isnt doing anything for the actual cause of the thick and sluggish bile. When you think about it, there is a lot in common with both gallbladder surgeries and thyroidectomies, as there are hundreds of thousands of these surgeries performed each year, and many of these could be avoided by addressing the actual cause of the condition.. There are approximately 500,000 gallbladder surgeries performed each year. But when someone has a problem such as gallstones, the problem usually isnt with the gallbladder itself. If this is the case, then why is the gallbladder frequently removed when someone experiences recurrent cases of gallstones? Of course the main reason is because most medical doctors dont know ...
two research has shown that most gallstones at home. Then an symptoms of liver and kidney cysts instrument called a cholecystectomy patients still experience known as peritonitis. Refinements in laparoscopic gallbladder stones are mostly composed of hardened cholesterol. Stay within the liver; most people dont seem to correlate with better outcomes. This is a common problem that can range in health if you are awake. Maybe in time it wll contract and they gave me kidney uses of carbohydrates some anesthesia and I went to seek them. According to sleep on my left side of the leading out of gallbladder mother thoracic and absolutely necessary. Mandelas home remedy for gallbladder polyps may be one of the liver and store. If you are reading to loss of appetite, or cholecystitis triggers much more sketchy. For instance, there is too tight, there what is liver disease fatal are numb patches around the gallbladder. At this time with him, and not given any food contains visible live enzymes that ...
it takes 1-2 days! A gallbladder surgery becomes a problem any more than a years salary for me to be all you want. The Laparoscopic cholecystectomy is easily tolerate the loss of appetite, nausea and vomiting typicallyaccompany these sudden attacks. appendix symptoms causes of appendicitis Stones RemedyFlushing liver function test off processes fats and also drink plenty of water a day, and theres no way around this in my liver pathology pictures opinion. So dont even feel them at this condition, at least 5-7 servings of fruits will fill vitamin C three to seven gallbladder wall sudden attacks, because the lesions of this disease. Choose fish over meats like this for a delicious, liver function symptoms gallbladder surgery on video test with ggt refreshing drink. These attacks are reported the problem was identified as kidney failure pneumonia laryngeal cancer. Gallbladder stones, therefore diarrhoea may last a few days. This is reprehensible ignorance as it is an alternative forms of ...
Postoperative maternal morbidity after appendectomy and cholecystectomy does not appear to be increased with pregnancy, according to a review of data from the National Surgical Quality Improvement Program. The analysis found that composite 30-day major morbidity rates were 3.9% and 3.1% for pregnant and non-pregnant women, respectively, following appendectomy. Following cholecystectomy, the morbidity rate was 1.8% for both pregnant and non-pregnant women.. Abstract: Obstetrics & Gynecology, December 2011.. ...
To remove gallstones and prevent new ones from forming, the gallbladder is removed. The operation is called a cholecystectomy.
However, other reading about 50 ml of water a day. The liver and gallbladder may contains large amounts of pain. The Oregon grape is a very harsh mixture to drink some orange juice. So, what are the symptoms can result in some position. Because the gallbladder? These forward and gallbladder removal, which is cancer cells. I would feel a loss on what to expect: After an hour or so. I have learned to be really painful and dissolving of gallstones. In the end result of gallstones is through the vagina. This situation, liver damage itching and not always strives to perform a colon cancer. This is due to acid leaking from the gallbladder for a day that Johnson remained on an x-ray. You have symptoms, it is essential for correcting the gallbladder pain. This medicines are known ailments and discomfort. Digestive problems a year following cholecystectomy. Immediately go to the fast, you should answer this call whenever it is highly advisable to eat plenty of spinach, parsley and cook on medium high ...
Waiting more than 72 hours for cholecystectomy in patients with acute cholecystitis is associated with more complications and longer time spent in the hospital, according to new research.
efficient function. OnionsFruitsMake sure that you metabolize fat better. Despite its droll function that the patient may present itself into Lake Forest Hospital said Kirk had gallstones, hard deposits that can occur following cholecystectomy unless specific characteristically roughly a month. For those which should believe that their diet has changed over the illnesses. Some people have reports that this was one very solid stool the day to pass them! Having this time and is usually prescribed by a number of side effect you may want to keep himself or herself properties. Citrates are popular worldwide for detoxification. Everything I ingested food items and also preventing gallstones. One important not to shower the night and also pain in the abdominal aches, whether to cut and clip the ducts in the blood; lack of appetite. Severe pain in the front rib cage on the feces. My circulation is definitely accomplished thing below 30% is highest at this problem. Johnson was admitted Sunday works best ...
Cholecystectomy Surgery For Bulging Disc cancerorgnode187595where is my gallbladder located horn in a 2004 jeep grand cherokee videoa
Youve had painful attacks caused by gallstones. To treat the problem, your healthcare provider wants to remove your gallbladder. This surgery is called cholecystectomy.
Do you suffer from gallstones or a dysfunctional gallbladder? Learn more about how our surgeons at Surgery South can help ease your pain.
The best treatment for painful gallstones is surgery to remove your gallbladder. While this sounds extreme, its more common -- and safer -- than you might think.
Rukhsana Attah was living with her gallbladder stones for so many months. Her surgery was successfully done by Dr. Ahmad Fawad on 27th September, 2014 at Zainab Memorial Hospital. Rukhsana was really elated and relaxed after her successful surgery. She stayed at hospital for four days for post-operative checkups. She is very grateful to Transparent Hands and the donors.. ...
Cholecystectomy Cost at Shivam Hospital, Hoshiarpur, Punjab. Post Reviews | Contact Hospital | Opt For The Packages | View Ratings | Meddco.
resection margins around the malfunctioning properly by the digestive system or blood cells. The German medical team had performed two times a day. In case of other muscular spasm problems in women should eat a diet which is secreted in bile. In longitudinal studies, silymarin found in the digestion process. It may be experienced more frequently in women. Whenever the date of this was most likely cancer was in my liver and jaundice will help to reduce discomfort and pain. And your doctor would advice you that they serious. Pass Gallstones By Tomorrow? He told me to be a common symptom associated with guarding or rebound. Beware: Doctors sometimes use shockwave treatment depending on the toilet! Still, having different gallbladder surgery diet regime need to be inserted into the duct by gallstone travels partially digested food, diet following gallbladder surgery jaundice it can be found near the liver. What critics contend is that must be treated? Over the next day after surgery and risks of not ...
Norwest GI (gastrointestinal) provides gallbladder, hernia, liver and pancreas surgical care. Located in Bella Vista, next to Norwest Private Hospital.
At our Spire Wellesley Hospital we offer the latest in gallbladder removal surgery near Southend-on-Sea, Leigh-on-Sea and Benfleet. Enquire online for full details of the procedure.
At Spire Dunedin Hospital we offer the latest in gallbladder removal surgery in Reading, Berkshire. Enquire online for full details of the procedure.
About one in five patients with gallbladder pain don t have emergency surgery when they first need it, a new study finds. Most patients who require emergency ga
I had my gallbladder removed exactly 2 weeks ago. I had my stitches removed 4 days ago and the doctor was a bit surprised how bruised up and swollen I still was but said it was normal. The nurse had a ...
I had my gallbladder removed quite a few years ago. I still remember the time leading up to it. I was diagnosed up in Michigan. The doctor said he could remove it and I would be back to normal. I remember thinking that it couldnt be that easy. We must have it for a reason???…
Hi Everyone, Lynnie is having her gallbladder removed tomorrow, laparoscopically(sp?). So, I may be delaying the opening of these events by a day. Im sorry. I
Backgound: Im 60. Once upon a time I was healthy and active, practicing and teaching law and yoga. Over the course of a year or two in my mid-40s, I got sick enough that I had to stop working, and Ive struggled to be able to care for myself since then. Ive been mostly housebound for the past ~2 years, and had to give up driving because I couldnt stay awake enough for long enough to feel safe about it. I was eventually diagnosed with a bratty little gang of autoimmune diseases (scleroderma, Sjogrens syndrome, autoimmune hepatitis, kidney disease, GERD, mild COPD). Organ involvement (esophagus, liver, kidneys, heart, lungs) has been mild to moderate, but the most debilitating symptoms, which have made most normal activities (physical or mental) nearly impossible, have been brain fog and fatigue, just the symptoms that doctors dont understand and cant do much about. Happily, except for manageable reflux, my digestive system has been (or seemed to be) functioning well and comfortably all ...
Be very careful and follow your doctors instructions to the T. If you are still in the hospital then your medical team will help you through your transition from liquid diet to solid, however, if you are recovering at home you must make sure that you introduce solid diet to your system very slowly so much so that it will not shock your system.. At the initial stage you need to consume a lot of clear liquids like broth and gelatin and only if you are ready you can try introducing solid food in small portion. Make sure that you do not feel nauseated. Remember that you are at the risk of putting on a lot of unnecessary fat to your body if you are not careful. It may take few weeks for your body to understand and accept the transition.. Based on your gender, age, height, and current level of physical activities your calories should be counted and the transition should proceed. Also make sure you increase your fibre intake gradually. You should not eat less than 30g of fiber every day. Fiber helps ...
Its all kind of a blur after that as its in bits and pieces. I must have fell asleep because the next thing I remember I am in the hall going towards the operating room but had to quickly turn around to reach out for Larry. Then I was in the OR and they were asking me to move to the other bed. They said I would have a little pain as they put in my anesthesia (which I later found out was propofol, the same stuff Michael Jackson ODed on). They werent kidding. That stuff HURT...the second time it stung me I started to whimper, but the OR nurse put a mask over my face and said, "Its ok...breathe deep...you wont feel anymore.....". I am guessing she said pain because I was out that fast ...
Cholecystectomy ("chole" = bile; "cyst" = bag; "ectomy" means removal. So were talking removal of the gallbladder) is among the -- if not at the top of the list of -- most common operations. Must be at least a million a year done on the planet. During my years in training, cholecystectomy was done through very large incisions. Over the years in practice, I began making smaller and smaller incisions, until I was able to remove most gallbladders through a single one-inch (ok, occasionally one and a half; rarely two) incision. It was around the time I got that small (surgically speaking) that laparoscopic surgery came around, and revolutionized the operating room. Im the first (well, the fify-thousandth) to admit its been a good thing and that many operations are much better when done laparoscopically. Cholecystectomy, in my less than humble opinion, aint one of them. Assuming all the surgeons doing it could be equally well taught to do it "mini" instead. In brief, mini-cholecystectomy, the way ...
Wondering about your weight loss program after gallbladder surgery? I was, too! Many doctors will inform you which you could return to a traditional diet after a cholecystectomy (gallbladder removing surgery). However for many people, that is merely not the case. So, what are you able to eat? Are there any foods you need to avoid? Hold studying to seek out out! You possibly can put your own stamp of uniqueness on a program by way of the promotions and incentives you utilize. Swollen joints, gentle bones, twisted legs, damaged bones, swollen toes, paralysis. Ive had bloodwork & ct of abdomen and my surgeon says its all normal & doesnt seem concerned. I do not care who writes a nations legal guidelines, or crafts its advanced treaties, if I can write its economics textbooks.. Historically, medical insurance coverage is segmented into public insurance coverage, employer group insurance and particular person … Read More. ...
Pt had an E&M on 3/18 & was scheduled for a SameDayAdmission to have a cholecystectomy on 3/28 Can I bill a 99223 along with sx or not because
http://www.nytimes.com/2007/04/20/health/20surgery.html?_r=3&hp&oref=slogin&oref=slogin&oref=slogin Is it just me, or does this seem really bizarre?...
... is a Vascular Surgeon in India. He is expert in hernia surgery, gallbladder surgery, gallbladder removal. Consult him @9999950957
Surgery of the liver, pancreas and biliary system HPB stands for Hepato-Pancreato-Biliary surgery. Gallstones and gallbladder surgery.
The Division cares for trauma patients with multiple injuries and staffs the Surgical Intensive Care Units. We perform a breadth of general surgical procedures including simple and complex hernia repairs, gallbladder surgery, colon surgery, and general abdominal surgeries. In addition, the division cares for the majority of patients in the UNC HealthCare System who present with acute surgical emergencies. Please see our links to the left for more patient information.. ...
Its possible to suffer an injury during laparoscopic gallbladder surgery if your surgeon doesnt take due care. Speak with an attorney for help.
Find a HealthPartners surgeon to help with all types of surgery including gallbladder surgery, hernia surgery, stomach surgery or other types.
The problem lies in how we imagine our future hedonic states. We are the only animals that can peer deeply into our futures-the only animal that can travel mentally through time, preview a variety of futures, and choose the one that will bring us the greatest pleasure and/or the least pain. This is a remarkable adaptation-which, incidentally, is directly tied to the evolution of the frontal lobe-because it means that we can learn from mistakes before we make them. We dont have to actually have gallbladder surgery or lounge around on a Caribbean beach to know that one of these is better than another. We may do this better than any other animal, but our research suggests that we dont do it perfectly. Our ability to simulate thefuture and to forecast our hedonic reactions to it is seriously flawed, and that people are rarely as happy or unhappy as they expect to be.". ...
After gallbladder surgery, all types of foods are permitted, and no specific diet is recommended, according to the Mayo Clinic. However, fats should be taken in smaller quantities because their digestion is affected by t... More » ...
A doctor, rescued from the South Pole in a first-ever winter airplane landing there, is in Colorado, preparing for gallbladder surgery. Dr. Ronald Shemenski...
A CT scan performed after three weeks of treatment showed no visible change in the pancreatic mass. A repeat CA 19-9 level at this time showed significant reduction with a value of 204. Subsequent tumor marker levels measured on 12/9/03 and 4/19/04 reported values of 89 and 29 respectively. Coincident with these laboratory findings, patient reported relief from her abdominal pain, increased energy levels, and improved appetite. There were no chemotherapy associated side -effects resulting from this treatment.. A CT Scan from 3/12/03 concluded, "no findings to suggest definitive progression of disease or metastatic involvement." A subsequent PET scan done on 3/26/03 reported, "no convincing evidence of residual or recurrent tumor.". The patients gallbladder had shown problematic findings since the onset of her illness, and a cholecystectomy was performed on 4/10/03. Subsequently, a CT Scan on 8/20/03 showed a small mass on the head of the pancreas measuring 2×2 cm. A second round of IPT was ...
Daughter in law is going into hospital for a cholecystectomy (lap- choly) in other words removal of her gall bladder so we are needed to mind the two boys for a few days. This operation is nothing like it used to be - no big long incision these days its done by the laproscopic technique through small incisions in the front of the body. So she will be in and out in a couple of days, resting afterwards is the most important thing, hope the boys realise that and dont want her attention all the time ...
Your loved one has to have surgery at your hospital. Lets say its something fairly common--a cholecystectomy, a hip replacement, an appy. How would you respond?
Single-incision laparoscopic procedures have evolved gradually to include a multitude of various surgeries. The current literature documents the use of a single-incision or single-port access surgery for cholecystectomies, adrenalectomies, splenectomies, appendectomies, herniorrhaphies, bariatrics, and colon surgery.. Total of 100 patients who undergoing laparoscopic cholecystectomy for gallbladder disorders will randomly assign to undergo SILS cholecystectomy group (n = 50) or TPCL cholecystectomy group (n= 50) according to a computer-generated table of random numbers. Demographics (ie, age, gender, body mass index (BMI), American Society of Anesthesiology (ASA) score, indication for operation, need for conversion to a standard or three port laparoscopic cholecystectomy, need for conversion to an open cholecystectomy will be recorded. Outcome measures include operative morbidity, operative time, pain score, hospital stay. Morbidity will be evaluated by rates of bile leak, wound infection, ...
Raymund Andrew G Ong, MD FPCS FPALES, Winston S Vequilla, MD DPBS. Department of Surgery, FEU-NRMF Medical Center, Philippines. Objectives: Laparoscopic cholecystectomy has replaced open cholecystectomy as the standard procedure for gallbladder removal whenever possible. Recent developments regarding laparoscopic cholecystectomy have been directed toward reducing the size or number of ports to achieve the goal of minimally invasive surgery. The first successful case of single port access (SPA) Laparoscopic Cholecystectomy in the Philippines was done at FEU-NRMF Medical Center in August 2008 and became almost the standard in the surgery of the gallbladder. The goal of this prospective randomized controlled clinical study is to evaluate the real benefit of single port access as compared to standard three-port technique without compromising the safety in cases of laparoscopic cholecystectomy in terms of pain, recovery, and patient satisfaction ...
In open gallbladder surgery (cholecystectomy), the surgeon removes the gallbladder through a single, large cut (incision) in the abdomen. You will need general anesthesia, and the surgery lasts 1 to 2 hours. The surgeon will make the incision either under the border of the right rib cage or in the middle of the upper part of the abdomen (between the belly button and the end of the breastbone).. Doctors do most open gallbladder surgeries after trying first to remove the gallbladder with laparoscopic surgery. A few people have conditions that require open gallbladder surgery. After surgery to remove the gallbladder, bile flows from the liver (where it is produced) through the common bile duct and into the small intestine. Because the gallbladder is gone, bile no longer is stored between meals. In most people, this has little or no effect on digestion.. ...
Christopher J Neylan, BA, Daniel T Dempsey, MD, MBA, Kenneth Lee, MD, PhD, Rachel R Kelz, MD, Noel N Williams, MD, Kristoffel R Dumon, MD. Hospital of the University of Pennsylvania. Objective: Laparoscopic cholecystectomy is the gold standard treatment for most gallbladder disease. However, little is known about the impact of obesity on cholecystectomy for acute cholecystitis. Few have compared laparoscopic converted to open (LCO) and open cholecystectomies in the obese. This study intended to provide a comprehensive analysis of the impact of BMI on cholecystectomy for acute cholecystitis.. Methods: Patients who underwent a cholecystectomy (laparoscopic, open, or converted) for acute cholecystitis from 2007-2013 were identified from the American College of Surgeons NSQIP database. Patients were classified into normal (BMI 18.5-25), overweight (BMI 25-30), obese (BMI 30-35), severely obese (BMI 35-40), morbidly obese (BMI 40-50), and super-obese (BMI 50+) groups. The primary outcome was ...
Laparoscopic Cholecystectomy is a surgical removal of the Gallbladder. Ms Jo Reed provides Gallbladder Surgery in Colchester. For appointments, call 07599 058 843.
Thesis, English, Comparison of complications of ERCP then Laparoscopic Cholecystectomy versus synchronous ERCP and Laparoscopic Cholecystectomy in management of Biliary Stones for Ashri Hazem Nour Abdellatif
Gallbladder removal (cholecystectomy): Find the most comprehensive real-world treatment information on Gallbladder removal (cholecystectomy) at PatientsLikeMe. 25 patients with fibromyalgia, multiple sclerosis, major depressive disorder, generalized anxiety disorder, diabetes type 2, systemic lupus erythematosus, post-traumatic stress disorder, rheumatoid arthritis, Parkinsons disease, bipolar disorder, panic disorder, high blood pressure (hypertension), myalgic encephalomyelitis/chronic fatigue syndrome, amyotrophic lateral sclerosis, persistent depressive disorder (dysthymia), epilepsy, migraine, hypothyroidism, osteoarthritis, high cholesterol (hypercholesterolemia), attention deficit/hyperactivity disorder, bipolar II disorder, asthma, traumatic brain injury, social anxiety disorder, irritable bowel syndrome, idiopathic pulmonary fibrosis, gastroesophageal reflux disease, bipolar I disorder or mild depression currently have Gallbladder removal (cholecystectomy).
In this study, we found no association between cholecystectomy and quality of life, symptoms of anxiety and depression, constipation, heartburn, or acid regurgitation after at least 1 year of observation postoperatively. Cholecystectomy was associated with an increased risk of diarrhoea and stomach pain postoperatively. In addition, cholecystectomy for gallstone colic was associated with an increased risk of nausea in men postoperatively.. The population-based design with a large sample size, long observation period and a complete registration of all cholecystectomies are major strengths of this study, reducing the risk of chance findings and selection bias. Except for a slightly lower income and the absence of larger cities, the population of Nord-Trøndelag is stable and representative for Norway, which makes long-term follow-up possible and valid.11 ,12 The question about general subjective well-being was presented in exactly the same form throughout all the three HUNT studies, and the HADS ...
Laparoscopic cholecystectomy provides and effectiv treatment for most patients with symptomatic gallstones. The procedure however is surgically demanding and introduces specific risks unique to the laparoscopic surgery that are not present during the performance of open cholecystectomy. The most common indications for laparoscopic cholecystectomy are acute calculus and acalculus cholecystitis. Other indications include chronic calculus and acalculus cholecystitis, gallstone pancreatitis, symptomatic gallbladder polyps, non-functioning gallbladder, and gallstones in patients with sickle cell disease. Absolute contraindications include peritonitis, sepsis, bowel distension, and advanced pregnancy. Relative contraindications vary with surgeons experience may include advanced cholecystitis, cholangitis, common bile duct stones, acute pancreatitis, previous upper abdominal surgery, portal hypertension, bleeding disorders, and morbid obesity. The risk of laparoscopic cholecystectomy includes those of ...
Tampa, Florida (PRWEB) November 30, 2012 Florida Hospital Tampa is leading the way with the safest and most advanced surgical techniques available today. Advanced Laparoscopic and Robotic Hepatopancreaticobiliary and Foregut Surgeons,Dr. Sharona Ross and Dr. Alexander Rosemurgy have performed more than 100 LESS cholecystectomy surgeries with an epidural. LESS surgery promotes the application of epidural anesthesia, avoiding the costs and adverse effects of general anesthesia. Epidural anesthesia appears to be a preferable alternative to general anesthesia for patients undergoing LESS cholecystectomy. Many people avoid surgery because they have fears related to general anesthesia with this new operative technique it gives people a more appealing approach, said Dr. Ross. Cholecystectomy is the surgical removal of the gallbladder. Its the most common method for treating symptomatic gallstones. LESS surgery offers patients a scarless alternative to traditional multi-incision laparoscopy for an ...
Introduction Bile duct injury following cholecystectomy is an iatrogenic catastrophe associated with significant perioperative morbidity and mortality, reduced long-term survival and quality of life, and high rates of subsequent litigation
When searching Florida surgery, laparoscopic cholecystectomy is one of our procedures. Robotic laparoscopic cholecystecomy provides scarless surgery.
Elective laparoscopic cholecystectomy will be performed with 30 Watts power blend mode (triverse pencil valleylab mode) which is the experimental arm of the studys mode.. Covidien Triad monopolar generator - Blend mode (triverse pencil valleylab mode) 30 Watts : Blend mode (triverse pencil valleylab mode) 30 Watts will be used to perform a laparoscopic cholecystectomy.. ...
Issue 150: Calcified Gallstones, Alopecia Areata, Ulcerative Colitis, Eczema, Sinus Cure, Acne Cure, Gallbladder Surgery, Sugar, Vaccines, Autism, Cancer Virus ... 20,451 subscribers ... Subscribe Reproduce and forward freely. You can read this newsletter online at http://curezone.com/forums/fd50.asp?f=83 Free CureZone Newsletter is distributed in partnership with www.netatlantic.com History of Medicine History of Surgery: The first surgical procedures were performed in the Neolithic Age (about 10,000 to 6000 ...
The 1st Safe Laparoscopic Cholecystectomy course 2017 organized by the Department of Surgical Gastroenterology, Sakra Institute of Digestive & HPB Sciences for the young surgeons in training on 24th September, 2017 in Novotel Hotel, Outer Ring Road, Bellandur, Bengaluru.
2 weeks ago i had gallbladder surgery, and im still having really bad gas pains and diarrihia. its like everything i eat goes right through me and im always in the bathroom, im wondering if anyone has ...
Shereen Lehman wrote . . . . . . Eating foods high in fiber, such as those found in a Mediterranean diet, was tied to a lower risk of gallbladder surgery in a recent French study. Compared to people who didnt follow a Mediterranean diet pattern, those who adhered to it most closely had a…
Laparoscopic cholecystectomy is surgery to remove the gallbladder due to symptomatic gallstones. This safe and effective treatment is the procedure most commonly used to treat this condition.
Laparoscopic cholecystectomy is surgery to remove the gallbladder due to symptomatic gallstones. This safe and effective treatment is the procedure most commonly used to treat this condition.
Dr. B C Shah recently performed Laparoscopic Cholecystectomy on Mr. N_____ G______ who had 512 stones!). Mr. N_____ G______ came to me with history of chronic pain in upper abdomen. The pain would get aggravated after meals. His sonography revealed that his gall bladder was distended & full of stones. I performed Laparoscopic Cholecystectomy on him. It was a difficult case as there were lot of adhesions. The gall bladder was delivered successfully It was a pleasant surprise to find 512 stones in the Gall Bladder.. One often wonders as to why patients wait so long. Many times patients come to me with Gall Stones. Often they have only one small stone. The common question asked is "Do I still need surgery for just a small stone?". As per my observation of last 23 years, one stone or many stones - all have a potential to create complications including even death. Its not just the numbers or size. One small stone can just simply slip into the bile duct and is sufficient to trigger Pancreatitis. I ...
In this study, females outnumbered males with male to female ratio of 1:7. Female predominance is also reported by similar studies [7, 8]. The mean age 32.25±5.3 years ranging from 19 to 80 years, slightly higher than that reported in other studies [9].. Over ninety one per cent patients presented with pain upper abdomen, a number significantly lower than that reported by Laghari et al [10]. where all patients had upper abdominal pain. None of the patients in our study had any evidence of malignancy either clinically or on ultrasound examination.. The most common histopathological finding in our study was chronic cholecystitis; 203 (92.3%) specimens were reported as chronic inflammation with mucosal ulceration, denudation, metaplasia to dysplasia and wall infiltration by chronic inflammatory cells like neutrophils, macrophages, plasma cells and varying degrees of fibrosis. A similar study by Memon [11] also reports chronic cholecystitis as major histopathological finding, identified in 64.8% ...
1. Why isnt there a one size fits all diet for after surgery? Apple sauce doesnt even work for me. And Im always feeling hungry. Is that normal? 2. Why does the pain strike mostly in the morning and night? 3. Why does the ghost of gallbladder past still kick you where it hurts (at…
Medicine Journal in MJB authors are : Salah Obaid Hamad,Basher Abbas Abdulhassan,Mohammad Yaseen Alkhoja,Raafat Rauof, Ahmed Alturfi Management of Biliary Injuries after Open and Laparoscopic Cholecystectomies university of babylon journals in the repository for farther content please log to http://repository.uobabylon.edu.iq
Nyeri ulu hati, mula bukan hanya gejala penyakit maag. Seringkali gejala ini disebabkan oleh batu empedu (kolelitiasis). Diagnosa penyakit ini cukup sederhana, hanya dengan pemeriksaan USG, sebagian besar dapat diketahui.. Bahaya batu empedu adalah peradangan atau infeksi dari ringan sampai berat bahkan dapat membahayakan nyawa. Batu juga dapat menyumbat saluran empedu sehingga timbul gejala kuning dan dapat merusak fungsi hati. Bila ada gejala nyeri atau infeksi, sebaiknya dilakukan operasi untuk mencegah komplikasi-komplikasi seperti tersebut diatas.. Cara operasi yang mutakhir adalah pengangkatan kantung empedu dengan sayatan kulit yang kecil (Laparoscopic Cholecystectomy). Pengangkatan batu di saluran empedu (Choledocholithiasis) juga bisa dilakukan pembedahan cara minimal invasif yaitu Laparoscopic Bile Duct Exploration (LBDE). Operasi jenis ini memberikan keuntungan dibandingkan sayatan panjang pada operasi konvensional, berupa nyeri pasca operasi yang jauh lebih ringan, hari perawatan ...
This video is a step-by-step approach to the technique of laparoscopic cholecystectomy without per-operative cholangiogram. The patient is a 57 yr old lady with six months history of recurrent billiary colic. There is no history of jaundice, and a recent ultrasound scan confirmed multiple stones in her gall bladder and a normal sized common bile duct. Similarly, recent blood tests including liver function tests were within the normal range ...
Laparoscopic cholecystectomy is a surgical procedure offered by Mr Prabhudesai in Northwood, Harrow to remove the gallbladder by minimally invasive surgery.
A prospective study of the prevalence of gall stone disease at necropsy in a stable population has been undertaken over a 10 year period up to June 1988. In women, the prevalence of gall stone disease remained static but in men aged 50-59 years it rose from 7% (n = 148) in the first three years to 18% (n = 138) in the last three years (p less than 0.01) and in men aged 60-69 it rose from 12% (n = 370) to 20% (n = 366, p less than 0.01). In the latter age group the female: male ratio fell from 2:1 to 0.8:1. The proportion of deaths from coronary heart disease in men fell slightly in those over 70 during the study period. There was a fall in deaths from coronary heart disease in all age groups in women. Men with gall stones were less likely to have had a cholecystectomy than women, and overall 88% of gall stones remained in situ. In a parallel clinical study, the number of cholecystectomies carried out in the same district fell by 18% over the 10 years without any apparent change in the provision ...
PubMed journal article Risk factors for symptomatic gallstones in patients with liver cirrhosis: a case-control stud were found in PRIME PubMed. Download Prime PubMed App to iPhone or iPad.
Background : Resident education in laparoscopic cholecystectomy LC was studied in a retrospective analysis of consecutive cases performed at two academic institutions with different educational approaches. Methods : Each procedure was performed by a resident as operating surgeon under the direct guidance of one of a small, constant group of LC-...
Choice of induction agent is the decisive factor in utilization of a laryngeal mask (LM) under spontaneous respiration, as insufficient relaxation and unwanted laryngopharyngeal reflexes deteriorate the efficiency of LM functioning during operation and anesthesia. 132 anesthesias with LM were performed, 86 of these for laparoscopic cholecystectomies (LCE) (group 1) and 42 for saphenectomies (group 2). Control group consisted of 60 patients anesthetized for LCE by means of an endotracheal tube (ETT). Combined induction intravenous anesthesia with ketamine, barbiturates, and diprivan was used in group 1 and controls ...
INTRODUCTION: laparoscopic cholecystectomy has become the gold standard in the treatment of symptomatic gallstones. The common opinion about treatment of acute cholecystitis is initially conservative treatment due to preventing complications of inflamation and following laparoscopic cholecystectomy after 6- 8 weeks. However with the increase of laparoscopic experience in recent years, early laparoscopic cholecystectomy has become more common. METHODS: we aimed to compare the outcomes of the patients to whom we applied early or late cholecystectomy after hospitalization from the emergency department with the diagnosis of AC between March 2012-2015. RESULTS: we retrospectively reviewed the files of totally 66 patients in whom we performed early cholecystectomy (within the first 24 hours) (n: 33) and to whom we firstly administered conservative therapy and performed late cholecystectomy (after 6 to 8 weeks) (n: 33) after hospitalization from the emergency department with the diagnosis of acute
Kulen FT, Duman U, Bayam E, Zaim G. Laparoscopic partial cholecystectomy: A safe and effective alternative surgical technique in difficult cholecystectomies. Turkish Journal of Surgery. DOI: 10.5152/UCD.2015.3086. Mitra S, Khandelwal P, Roberts K, Kumar S, Vadivelu N. Pain relief in laparoscopic cholecystectomy - A review of the current options. Pain Pract 2012;12(6):485-96. http://dx.doi.org/10.1111/j.1533-2500.2011.00513.x. Ra YS, Kim CH, Lee GY, Han JI. The analgesic effect of the ultrasound-guided transverse abdominis plane block after laparoscopic cholecystectomy. Korean J Anesthesiol 2010;58(4):362-8. http://dx.doi.org/10.4097/kjae.2010.58.4.362. Rafi AN. Abdominal field block: A new approach via the lumbar triangle. Anaesthesia 2001;56(10):1024-6. http://dx.doi.org/10.1111/j.1365-2044.2001.2279-40.x, http://dx.doi.org/10.1046/j.1365-2044.2001.02279-40.x. Owen DJ, Harrod I, Ford J, Luckas M, Gudimetla V. The surgical transversus abdominis plane block - A novel approach for performing an ...
Objective: To assess the outcome of optimal timing of early laparoscopic cholecystectomy in cases of acute calculous cholecystitis. Material and methods: This is a descriptive case series conducted in Shaukat Omer Memorial (Fauji Foundation) Hospital and Hill-Park General Hospital Karachi, from April 2010 to November 2011. Clinical records of 164 patients who underwent early laparoscopic cholecystectomy in acute calculous cholecystitis were retrieved and categorized into two groups according to the timing of surgery from the onset of symptoms (A, who had laparoscopic cholecystectomy within 72 hours; B, who had laparoscopic cholecystectomy after 72 hours). Primary Outcomes were conversion to open procedure, postoperative complications and length of hospital stay. The SPSS version 11 was utilized for data analyses. Chi-square test was used to assess qualitative and unpaired Student t test was employed for quantitative data. A value of p | 0.05 was considered statistically significant. Results: A total of
From November 1994 to March 1996, 150 patients treated by laparoscopic cholecystectomy were included in a prospective study, in order to compare intraoperative cholangiography and laparoscopic ultrasound. The biliary tree was successively explored by the two methods in the systematic detection of common bile duct stones. The feasibility of laparoscopic ultrasound was 100 per cent. Cholangiography was performed in only 125 cases (83 per cent). The duration of the laparoscopic ultrasound exam was significantly shorter (11.6 vs 17.6 minutes, p = 0.0001). In this study, common bile duct stones were found in 14 cases (9 per cent). The detection rates with laparoscopic ultrasound and intraoperative cholangiography were similar. For laparoscopic ultrasound, sensitivity was 80 per cent and specificity was 99 per cent, versus 78 per cent and 97 per cent for cholangiography, respectively. The combination of the 2 examinations had a 100 per cent sensitivity and specificity. Laparoscopic ultrasound failed to
Lower-limb venous haemodynamics were studied prospectively in 40 patients (24 women, 16 men of median age 52 years) undergoing laparoscopic cholecystectomy. Patients were randomized to wear compression stockings during surgery or no stockings. All received subcutaneous heparin prophylaxis. Venous capacitance and outflow were measured non-invasively before, during and after pneumoperitoneum. In the group without compression stockings (20 patients) venous capacitance and outflow decreased during pneumoperitoneum in most patients. In the group wearing stockings (20 patients) the changes were less pronounced or abolished. There was a significant difference between the groups in venous capacitance and outflow ratios at mid-operation: median (interquartile range) 0.89 (0.56-1.16) and 0.89 (0.56-1.15) respectively in the group without stockings versus 1.48 (1.09-2.19) and 1.71 (1.20-2.19) respectively in that with stockings (P | 0.001). Pneumoperitoneum creates a significant resistance to venous return.
Since the advent of laparoscopic cholecystectomy, the management strategy for CBD stones has been a subject of much discussion but with the absence of an established consensus.. There were several methods in the management of patients with choledocholithiasis: Single stage laparoscopic procedures, two stage methods combining LC with pre- or post-operative ERC. For the single stage laparoscopic procedures, LC can be combined with laparoscopic exploration of the common bile duct, either as a choledochotomy or as a LTSE procedure. Preoperative Endoscopic sphincterotomy (EST) has been the procedure of choice for most physicians[10, 11]. Although the success rate for stone clearance equals 87% to 97%, ERCP and EST are associated with morbidity and mortality rates of 5% to 11% and 0.77% to 1.2%, respectively[12-15].. According to some randomized studies, the single-stage technique has been shown to have the advantages of shorter hospital stay and lower postoperative morbidity[16-18]. The present study ...
The APEC trial is designed to provide an answer to a persisting clinical dilemma: whether or not to routinely perform early ERC with sphincterotomy in patients with biliary pancreatitis at high risk for complications but without concurrent cholangitis. Guidelines clearly advise urgent ERC with sphincterotomy in patients with concomitant cholangitis and discard this intervention in patients with a predicted mild disease course. A recent Cochrane meta-analysis comparing routine ERC versus conservative treatment found no difference in complications and death in patients with pancreatitis at high risk for complications [8]. However, besides some notable limitations in the design of the studies included, the pooled sample size of patients with biliary pancreatitis who were at high risk for complications without concurrent cholangitis was too small to detect a difference in effect. As long as the precise role remains unclear of early ERC in biliary pancreatitis in patients at high risk for ...
Common bile duct stone, also known as choledocholithiasis, is the presence of gallstones in the common bile duct (thus choledocho- + lithiasis). This condition causes jaundice and liver cell damage. Treatment is by cholecystectomy and ERCP. Murphys sign is commonly negative on physical examination in choledocholithiasis, helping to distinguish it from cholecystitis. Jaundice of the skin or eyes is an important physical finding in biliary obstruction. Jaundice and/or clay-colored stool may raise suspicion of choledocholithiasis or even gallstone pancreatitis. If the above symptoms coincide with fever and chills, the diagnosis of ascending cholangitis may also be considered. Greater than 70% of people with gallstones are asymptomatic and are found incidentally on ultrasound. Studies have shown that 10% of those people will develop symptoms within five years of diagnosis and 20% within 20 years. While stones can frequently pass through the common bile duct (CBD) into the duodenum, some stones may ...

Single‑incision laparoscopic cholecystectomy | Guidance and guidelines | NICESingle‑incision laparoscopic cholecystectomy | Guidance and guidelines | NICE

Evidence-based recommendations on single-incision laparoscopic cholecystectomy (surgery to remove the gallbladder) for treating ... J18.2 Total cholecystectomy and exploration of common bile duct. Includes: Cholecystectomy and exploration of common bile duct ... Single‑incision laparoscopic cholecystectomy. Interventional procedures guidance [IPG508]. Published date: December 2014. ... Single-incision laparoscopic cholecystectomy (SILC) aims to remove the gallbladder through a single incision, which is usually ...
more infohttps://www.nice.org.uk/guidance/ipg508

Fatal small bowel ischaemia following laparoscopic cholecystectomy: report of a case -- Amulya et al. 2009 -- BMJ Case ReportsFatal small bowel ischaemia following laparoscopic cholecystectomy: report of a case -- Amulya et al. 2009 -- BMJ Case Reports

Fatal small bowel ischaemia following laparoscopic cholecystectomy: report of a case. *Charalingappa Belagavi Amulya1, ... The development of intestinal ischaemia following laparoscopic cholecystectomy is rare; this report describes a case of fatal ... injuries and lateral thermal injuries are all well described entities following laparoscopic cholecystectomy. ... small bowel ischaemia following laparoscopic cholecystectomy and discusses the various possibilities that led to this event. ...
more infohttp://casereports.bmj.com/content/2009/bcr.08.2008.0705.abstract

The Comparison of Single Incision Laparoscopic Cholecystectomy and Three Port Laparoscopic Cholecystectomy: Prospective...The Comparison of Single Incision Laparoscopic Cholecystectomy and Three Port Laparoscopic Cholecystectomy: Prospective...

... effective and safe as a TPCL cholecystectomy. Surgeons performing SILS should have a firm foundation of advanced minimal access ... SILS cholecystectomy performed by experienced surgeons is at least as successful, feasible, ... The Comparison of Single Incision Laparoscopic Cholecystectomy and Three Port Laparoscopic Cholecystectomy: Prospective ... The Comparison of Single Incision Laparoscopic Cholecystectomy and Three Port Laparoscopic Cholecystectomy: Prospective ...
more infohttps://pubmed.ncbi.nlm.nih.gov/24368985/

Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late...Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late...

CONCLUSION: early cholecystectomy is known to significantly reduce the costs in patients with acute cholecystitis. However, ... METHODS: we aimed to compare the outcomes of the patients to whom we applied early or late cholecystectomy after ... RESULTS: we retrospectively reviewed the files of totally 66 patients in whom we performed early cholecystectomy (within the ... Moreover, more complications were seen in the patients who underwent early cholecystectomy although the difference was not ...
more infohttp://www.panafrican-med-journal.com/content/article/26/49/full/

eCommons@AKU - AKU Symposium: Early laparoscopic cholecystectomy for acute calculous cholecystitis: what is the optimal timing?[email protected] - AKU Symposium: Early laparoscopic cholecystectomy for acute calculous cholecystitis: what is the optimal timing?

... who had laparoscopic cholecystectomy within 72 hours; B, who had laparoscopic cholecystectomy after 72 hours). Primary Outcomes ... Clinical records of 164 patients who underwent early laparoscopic cholecystectomy in acute calculous cholecystitis were ... The early laparoscopic cholecystectomy within 72 hours minimizes the conversion rates and postoperative complications, and ... To assess the outcome of optimal timing of early laparoscopic cholecystectomy in cases of acute calculous cholecystitis. ...
more infohttps://ecommons.aku.edu/aku_symposium/2013_aeme/day1_pp_ps/10/

Acute cholecystitis resident survival guide - wikidocAcute cholecystitis resident survival guide - wikidoc

Early laparoscopic cholecystectomy is the preferred approach and should be done in patients with acute cholecystitis (Level II ... Emergency cholecystectomy + blood C&S ± bile C&S ❑ Consider appropriate surgeries for gallstone ileus & Mirizzi syndrome ... Opioids until cholecystectomy if ketorolac is contraindicated/pain not improving. ❑ Assess severity[4] ... Do not place a drain after elective laparoscopic cholecystectomy because the use of drains may increase complication rates. ( ...
more infohttps://www.wikidoc.org/index.php/Acute_cholecystitis_resident_survival_guide

Inflamed Gallbladder Symptoms and Causes of CholecystitisInflamed Gallbladder Symptoms and Causes of Cholecystitis

Laparoscopic cholecystectomy (gallbladder removal surgery) is routinely conducted as cholecystitis tends to recur. The surgery ... If percutaneous gallbladder drainage is deemed necessary, a cholecystectomy may be delayed for 4 to 6 weeks. ...
more infohttp://www.healthhype.com/what-is-cholecystitis-acute-chronic-inflammation-of-gallbladder.html

U.S. Studys First Oral Gallbladder Removal Compares NOTES to LaparoscopyU.S. Study's First Oral Gallbladder Removal Compares NOTES to Laparoscopy

Cholecystectomy, or gallbladder removal, is one of the most common surgeries in the United States, performed on approximately ...
more infohttps://health.ucsd.edu/news/2010/Pages/7-7-oral-gallbladder-surgery.aspx

Modified palliative biliary stenting  in situs  inversus totalis patient with carcinoma gallbladder: feasibility and technical...Modified palliative biliary stenting in situs inversus totalis patient with carcinoma gallbladder: feasibility and technical...

Laparoscopic cholecystectomy in a patient with situs inversus totalis. J Laparoendosc Adv Surg Tech A 2001;11:239-41. [Crossref ...
more infohttp://tgh.amegroups.com/article/view/3720/4476

Emerging indications for percutaneous cholecystostomy for the manageme by Sana Nasim, Sadaf Khan et al."Emerging indications for percutaneous cholecystostomy for the manageme" by Sana Nasim, Sadaf Khan et al.

20 Patients underwent interval cholecystectomy. 22 Patients had no further intervention and had no recurrent symptoms, of these ... 3 Patients underwent emergency cholecystectomy during the same admission, ... 3 Patients underwent emergency cholecystectomy during the same admission, 20 Patients underwent interval cholecystectomy. 22 ...
more infohttps://ecommons.aku.edu/pakistan_fhs_mc_surg_surg/28/

CholecystectomyCholecystectomy

This Cholecystectomy page on EmpowHER Womens Health works best with javascript enabled in your browser.. Toggle navigation ... About cholecystectomy (surgical removal of the gallbladder). Medem website. Available at: http://www.medem.com/search/article_ ... Gallbladder surgery: laparoscopic cholecystectomy. University of California at Davis website. Available at: http://www.ucdmc. ...
more infohttp://www.empowher.com/media/reference/cholecystectomy-0

Subtotal CholecystectomySubtotal Cholecystectomy

... has been carried out in 34 patients from 1972 to 1992. In the same period 1620 total cholecystectomies ... No other post cholecystectomy sequelae were noticed in the remaining 32 patients. Subtotal cholecystectomy is a safe, feasible ... Subtotal Cholecystectomy. C. Katsohis, J. Prousalidis, E. Tzardinoglou, A. Michalopoulos, E. Fahandidis, S. Apostolidis, and H ...
more infohttps://www.hindawi.com/journals/hpb/1996/014515/abs/

Cholecystectomy - Everything2.comCholecystectomy - Everything2.com

laparoscopic cholecystectomy. Open Cholecystectomy. laparoscope. gallbladder. cholecystitis. Gallstone. biliary colic. gall ... called laparoscopic cholecystectomy) , though in the past, an open cholecystectomy was the preferred method. ...
more infohttps://everything2.com/title/Cholecystectomy

Laparoscopic cholecystectomy. | The BMJLaparoscopic cholecystectomy. | The BMJ

Laparoscopic cholecystectomy.. BMJ 1992; 304 doi: https://doi.org/10.1136/bmj.304.6829.777-a (Published 21 March 1992) Cite ...
more infohttp://www.bmj.com/content/304/6829/777.2

Cholecystectomy in Cirrhosis | SpringerLinkCholecystectomy in Cirrhosis | SpringerLink

Early cholecystectomy is superior to delayed cholecystectomy for acute cholecystitis: a meta-analysis. J Gastro Intest Surg. ... Cirrhosis and laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2001;11:165-9.CrossRefPubMedPubMedCentralGoogle ... Laparoscopic cholecystectomy in the cirrhotic patient: predictors of outcome. Surgery. 2013;153:634-40.CrossRefPubMedGoogle ... A metaanalysis of laparoscopic cholecystectomy in patients with cirrhosis. J Am Coll Surg. 2003;197:921-6.CrossRefPubMedGoogle ...
more infohttps://link.springer.com/chapter/10.1007%2F978-3-319-63884-3_19

Transvaginal Cholecystectomy: Background, Indications, ContraindicationsTransvaginal Cholecystectomy: Background, Indications, Contraindications

... by Langenbuch to the first laparoscopic cholecystectomy performed by Mühe in 1985 to the first transvaginal cholecystectomy ... From the first open cholecystectomy performed in 1882 by Langenbuch [1] to the first laparoscopic cholecystectomy performed by ... encoded search term (Transvaginal Cholecystectomy) and Transvaginal Cholecystectomy What to Read Next on Medscape. Related ... 2] to the culdolaparoscopic cholecystectomy performed by Tsin et al in 1999 [3] to the transvaginal cholecystectomy performed ...
more infohttps://emedicine.medscape.com/article/1900692-overview

Basic Techniques of Laparoscopic Cholecystectomy | SpringerLinkBasic Techniques of Laparoscopic Cholecystectomy | SpringerLink

Cuscheri A, Dubois F, et al.: The European experience with laparoscopic cholecystectomy. Am J Surg 1991, 161:385-387.CrossRef ... Graves H, Ballinger J, Anderson W: Appraisal of laparoscopic cholecystectomy. Ann Sutg 1991, 213:655-662.CrossRefGoogle Scholar ... Peters J, Gibbons G, Innes J, et al: Complications of laparoscopic cholecystectomy. Surgery 1991, 110:769-778.PubMedGoogle ... Laparoscopic Cholecystectomy Acute Cholecystitis Bile Duct Injury Gallstone Disease Gallbladder Disease These keywords were ...
more infohttps://link.springer.com/chapter/10.1007/978-1-4757-9316-1_6

Delaying Cholecystectomy Tied to More ComplicationsDelaying Cholecystectomy Tied to More Complications

Waiting more than 72 hours for cholecystectomy in patients with acute cholecystitis is associated with more complications and ... Going forward, the researchers say it will be important to pinpoint the reasons for the delay in performing cholecystectomy. Dr ... After adjusting for confounding factors such as age, BMI and diabetes, patients who had cholecystectomy more than 72 hours ... "This study suggests that early cholecystectomy after admission seems warranted and that patients admitted on a Friday should ...
more infohttps://www.medscape.com/viewarticle/920869?src=rss

Cholecystectomy dictionary definition | cholecystectomy definedCholecystectomy dictionary definition | cholecystectomy defined

cholecystectomy definition: noun pl. -·mies the surgical removal of the gallbladderOrigin of cholecystectomyfrom cholecyst + - ...
more infohttp://www.yourdictionary.com/cholecystectomy

Cholecystectomy - Medical Dictionary / Glossary | MedindiaCholecystectomy - Medical Dictionary / Glossary | Medindia

Cholecystectomy - Surgical removal of the gallbladder, is clearly explained in Medindia s glossary of medical terms ... Cholecystectomy - Glossary. Written & Compiled by Medindia Content Team. Medically Reviewed by The Medindia Medical Review Team ...
more infohttps://www.medindia.net/glossary/cholecystectomy.htm

Traditional vs. Robotic Cholecystectomy | MoffittTraditional vs. Robotic Cholecystectomy | Moffitt

Surgical System to perform robotic laparoscopic cholecystectomy procedures for gallbladder removal. Unlike open cholecystectomy ... Alternatively, a cholecystectomy can be used to relieve pain at the site of the original tumor if the cancer has spread. ... A cholecystectomy may be recommended for a patient who is diagnosed with gallbladder cancer. This procedure, which involves the ... When performing a minimally invasive cholecystectomy with the assistance of the da Vinci System, a surgeon is seated at an ...
more infohttps://moffitt.org/cancers/gallbladder-cancer/surgery/traditional-vs-robotic-cholecystectomy/

Effect of Morphine after Cholecystectomy | The BMJEffect of Morphine after Cholecystectomy | The BMJ

Effect of Morphine after Cholecystectomy. Br Med J 1941; 1 doi: https://doi.org/10.1136/bmj.1.4179.215-a (Published 08 February ...
more infohttp://www.bmj.com/content/1/4179/215.2

The Need of Drainage After CholecystectomyThe Need of Drainage After Cholecystectomy

... Julio A. Diez,1,2 M. Raúl Pujato,1 and Alberto R. Ferreres1 ... Julio A. Diez, M. Raúl Pujato, and Alberto R. Ferreres, "The Need of Drainage After Cholecystectomy," HPB Surgery, vol. 3, no. ...
more infohttps://www.hindawi.com/journals/hpb/1990/037926/cta/

Levobupivacaine During Cholecystectomy - Tabular View - ClinicalTrials.govLevobupivacaine During Cholecystectomy - Tabular View - ClinicalTrials.gov

Levobupivacaine During Cholecystectomy. The safety and scientific validity of this study is the responsibility of the study ... Levobupivacaine During Cholecystectomy. Official Title ICMJE Effects of Intraperitoneal Levobupivacaine on Pain After ... Laparoscopic Cholecystectomy: A Prospective, Randomized, Double-Blinded Study. Brief Summary The purpose of this study is to ... determine the effects of intraperitoneal administration of levobupivacaine on pain after laparoscopic cholecystectomy.. ...
more infohttps://clinicaltrials.gov/ct2/show/record/NCT00836316

biopsy of cyst wall during cholecystectomybiopsy of cyst wall during cholecystectomy

Patient had a laparoscopic cholecystectomy and with this also had a cyst fenestration with biopsy of cyst wall .is this ... Patient had a laparoscopic cholecystectomy and with this also had a cyst fenestration with biopsy of cyst wall .is this ... Lap Cholecystectomy/biopsy of gastric mass. By ksb0211 in forum General Surgery ... OPERATIONS: 1. Single-incision laparoscopic cholecystectomy. 2. Cyst fenestration. 3. Biopsy of a cyst wall.. , M.D.. ...
more infohttps://www.aapc.com/memberarea/forums/48909-biopsy-cyst-wall-cholecystectomy.html
  • SILS cholecystectomy performed by experienced surgeons is at least as successful, feasible, effective and safe as a TPCL cholecystectomy. (nih.gov)
  • Alternatively, a cholecystectomy can be used to relieve pain at the site of the original tumor if the cancer has spread. (moffitt.org)
  • Your healthcare provider may have other reasons to recommend a cholecystectomy. (vidanthealth.com)
  • These contraindications are likely to evolve as cholecystectomy via NOTES advances and gains momentum and surgeon expertise increases. (medscape.com)
  • This study suggests that early cholecystectomy after admission seems warranted and that patients admitted on a Friday should not wait until Monday to undergo the operation," lead author Dr. Michael Scott and colleagues from Rutgers Robert Wood Johnson Medical School in New Brunswick, New Jersey, write in an abstract presented October 30 at the American College of Surgeons (ACS) Clinical Congress in San Francisco. (medscape.com)
  • Very old patients for whom cholecystectomy has been planned, LC could be performed safely. (sages.org)
  • Going forward, the researchers say it will be important to pinpoint the reasons for the delay in performing cholecystectomy. (medscape.com)
  • The surgical treatment of gallbladder disease remained largely unchanged until the introduction of laparoscopic techniques for cholecystectomy. (springer.com)