Cholecystectomy, Laparoscopic: Excision of the gallbladder through an abdominal incision using a laparoscope.Cholecystectomy: Surgical removal of the GALLBLADDER.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.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.Gallstones: Solid crystalline precipitates in the BILIARY TRACT, usually formed in the GALLBLADDER, resulting in the condition of CHOLELITHIASIS. Gallstones, derived from the BILE, consist mainly of calcium, cholesterol, or bilirubin.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.Laparoscopes: ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.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.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.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.Pneumoperitoneum, Artificial: Deliberate introduction of air into the peritoneal cavity.Cystic Duct: The duct that is connected to the GALLBLADDER and allows the emptying of bile into the COMMON BILE DUCT.Umbilicus: The pit in the center of the ABDOMINAL WALL marking the point where the UMBILICAL CORD entered in the FETUS.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.Common Bile Duct: The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.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.Cholangiopancreatography, Endoscopic Retrograde: Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.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.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Appendectomy: Surgical removal of the vermiform appendix. (Dorland, 28th ed)Gallbladder Neoplasms: Tumors or cancer of the gallbladder.Laparotomy: Incision into the side of the abdomen between the ribs and pelvis.Choledocholithiasis: Presence or formation of GALLSTONES in the COMMON BILE DUCT.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.Robotics: The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.Operative Time: The duration of a surgical procedure in hours and minutes.Cholecystography: Radiography of the gallbladder after ingestion of a contrast medium.Conversion to Open Surgery: Changing an operative procedure from an endoscopic surgical procedure to an open approach during the INTRAOPERATIVE PERIOD.Surgical Instruments: Hand-held tools or implements used by health professionals for the performance of surgical tasks.Pain, Postoperative: Pain during the period after surgery.Fundoplication: Mobilization of the lower end of the esophagus and plication of the fundus of the stomach around it (fundic wrapping) in the treatment of GASTROESOPHAGEAL REFLUX that may be associated with various disorders, such as hiatal hernia. (From Dorland, 28th ed)Surgical Mesh: Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal.Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.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.Biliary Tract Diseases: Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.Gynecologic Surgical Procedures: Surgery performed on the female genitalia.Hernia, Inguinal: An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.Colectomy: Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)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.Nephrectomy: Excision of kidney.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.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.Hysterectomy: Excision of the uterus.Learning Curve: The course of learning of an individual or a group. It is a measure of performance plotted over time.Intraoperative Period: The period during a surgical operation.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.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.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.Blood Loss, Surgical: Loss of blood during a surgical procedure.Suture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).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.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.Gastroplasty: Surgical procedures involving the STOMACH and sometimes the lower ESOPHAGUS to correct anatomical defects, or to treat MORBID OBESITY by reducing the size of the stomach. There are several subtypes of bariatric gastroplasty, such as vertical banded gastroplasty, silicone ring vertical gastroplasty, and horizontal banded gastroplasty.Obesity, Morbid: The condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2.Appendicitis: Acute inflammation of the APPENDIX. Acute appendicitis is classified as simple, gangrenous, or perforated.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.Hemobilia: Hemorrhage in or through the BILIARY TRACT due to trauma, inflammation, CHOLELITHIASIS, vascular disease, or neoplasms.Common Bile Duct Diseases: Diseases of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.General Surgery: A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.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.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.Herniorrhaphy: Surgical procedures undertaken to repair abnormal openings through which tissue or parts of organs can protrude or are already protruding.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.Hand-Assisted Laparoscopy: Placement of one of the surgeon's gloved hands into the ABDOMINAL CAVITY to perform manual manipulations that facilitate the laparoscopic procedures.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.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.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.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).Time Factors: Elements of limited time intervals, contributing to particular results or situations.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.Digestive System Surgical Procedures: Surgery performed on the digestive system or its parts.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.Jejunostomy: Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.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.Hernia, Ventral: A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal pressure. Ventral hernias include UMBILICAL HERNIA, incisional, epigastric, and spigelian hernias.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.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)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)Splenectomy: Surgical procedure involving either partial or entire removal of the spleen.Dissection: The separation and isolation of tissues for surgical purposes, or for the analysis or study of their structures.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.Postoperative Nausea and Vomiting: Emesis and queasiness occurring after anesthesia.Gastric Bypass: Surgical procedure in which the STOMACH is transected high on the body. The resulting small proximal gastric pouch is joined to any parts of the SMALL INTESTINE by an end-to-side SURGICAL ANASTOMOSIS, depending on the amounts of intestinal surface being bypasses. This procedure is used frequently in the treatment of MORBID OBESITY by limiting the size of functional STOMACH, food intake, and food absorption.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.Urologic Surgical Procedures: Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available.Postoperative Period: The period following a surgical operation.Hysterectomy, Vaginal: Removal of the uterus through the vagina.Cholangitis: Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.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)Surgical Stapling: A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.Hernia, Hiatal: STOMACH herniation located at or near the diaphragmatic opening for the ESOPHAGUS, the esophageal hiatus.Equipment Design: Methods of creating machines and devices.Gastrectomy: Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed)Anastomosis, Surgical: Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.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.Anastomotic Leak: Breakdown of the connection and subsequent leakage of effluent (fluids, secretions, air) from a SURGICAL ANASTOMOSIS of the digestive, respiratory, genitourinary, and cardiovascular systems. Most common leakages are from the breakdown of suture lines in gastrointestinal or bowel anastomosis.Subphrenic Abscess: Accumulation of purulent EXUDATES beneath the DIAPHRAGM, also known as upper abdominal abscess. It is usually associated with PERITONITIS or postoperative infections.Colonic Diseases: Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).Tissue Adhesions: Pathological processes consisting of the union of the opposing surfaces of a wound.Retroperitoneal Space: An area occupying the most posterior aspect of the ABDOMINAL CAVITY. It is bounded laterally by the borders of the quadratus lumborum muscles and extends from the DIAPHRAGM to the brim of the true PELVIS, where it continues as the pelvic extraperitoneal space.Biliary Tract Surgical Procedures: Any surgical procedure performed on the biliary tract.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Abdominal Wall: The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.Acalculous Cholecystitis: Inflammation of the GALLBLADDER wall in the absence of GALLSTONES.Torsion Abnormality: An abnormal twisting or rotation of a bodily part or member on its axis.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).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.Ureter: One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER.Acute Disease: Disease having a short and relatively severe course.Foreign-Body Migration: Migration of a foreign body from its original location to some other location in the body.Insufflation: The act of blowing a powder, vapor, or gas into any body cavity for experimental, diagnostic, or therapeutic purposes.Surgical Wound Infection: Infection occurring at the site of a surgical incision.Kidney Pelvis: The flattened, funnel-shaped expansion connecting the URETER to the KIDNEY CALICES.Abdomen: That portion of the body that lies between the THORAX and the PELVIS.Technetium Tc 99m Lidofenin: A nontoxic radiopharmaceutical that is used in RADIONUCLIDE IMAGING for the clinical evaluation of hepatobiliary disorders in humans.Adrenalectomy: Excision of one or both adrenal glands. (From Dorland, 28th ed)Ovarian Cysts: General term for CYSTS and cystic diseases of the OVARY.Antiemetics: Drugs used to prevent NAUSEA or VOMITING.Colorectal Surgery: A surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the COLON; RECTUM; and ANAL CANAL.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.Hospital Costs: The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).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).Neoplasm Seeding: The local implantation of tumor cells by contamination of instruments and surgical equipment during and after surgical resection, resulting in local growth of the cells and tumor formation.Ureteral Diseases: Pathological processes involving the URETERS.Leiomyoma: A benign tumor derived from smooth muscle tissue, also known as a fibroid tumor. They rarely occur outside of the UTERUS and the GASTROINTESTINAL TRACT but can occur in the SKIN and SUBCUTANEOUS TISSUE, probably arising from the smooth muscle of small blood vessels in these tissues.Sterilization, Tubal: Procedures that render the female sterile by interrupting the flow in the FALLOPIAN TUBE. These procedures generally are surgical, and may also use chemicals or physical means.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Pneumoperitoneum: A condition with trapped gas or air in the PERITONEAL CAVITY, usually secondary to perforation of the internal organs such as the LUNG and the GASTROINTESTINAL TRACT, or to recent surgery. Pneumoperitoneum may be purposely introduced to aid radiological examination.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.)Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Endometriosis: A condition in which functional endometrial tissue is present outside the UTERUS. It is often confined to the PELVIS involving the OVARY, the ligaments, cul-de-sac, and the uterovesical peritoneum.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.Urology: A surgical specialty concerned with the study, diagnosis, and treatment of diseases of the urinary tract in both sexes, and the genital tract in the male. Common urological problems include urinary obstruction, URINARY INCONTINENCE, infections, and UROGENITAL NEOPLASMS.Hepatectomy: Excision of all or part of the liver. (Dorland, 28th ed)Endoscopy: Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.Recurrence: The return of a sign, symptom, or disease after a remission.Disposable Equipment: Apparatus, devices, or supplies intended for one-time or temporary use.Adrenal Gland Neoplasms: Tumors or cancer of the ADRENAL GLANDS.Esophageal Achalasia: A motility disorder of the ESOPHAGUS in which the LOWER ESOPHAGEAL SPHINCTER (near the CARDIA) fails to relax resulting in functional obstruction of the esophagus, and DYSPHAGIA. Achalasia is characterized by a grossly contorted and dilated esophagus (megaesophagus).Hepatic Artery: A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.Abdominal Pain: Sensation of discomfort, distress, or agony in the abdominal region.Uterine Diseases: Pathological processes involving any part of the UTERUS.Patient Readmission: Subsequent admissions of a patient to a hospital or other health care institution for treatment.Sigmoid Diseases: Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).Diverticulitis: Inflammation of a DIVERTICULUM or diverticula.Duodenal Diseases: Pathological conditions in the DUODENUM region of the small intestine (INTESTINE, SMALL).Cholestasis, Extrahepatic: Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes.Duodenogastric Reflux: Retrograde flow of duodenal contents (BILE ACIDS; PANCREATIC JUICE) into the STOMACH.Splenic DiseasesOmentum: A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.Lymphocele: Cystic mass containing lymph from diseased lymphatic channels or following surgical trauma or other injury.Monitoring, Intraoperative: The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).Intestinal Obstruction: Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.Shock, Surgical: A type of shock that occurs as a result of a surgical procedure.Gastroesophageal Reflux: Retrograde flow of gastric juice (GASTRIC ACID) and/or duodenal contents (BILE ACIDS; PANCREATIC JUICE) into the distal ESOPHAGUS, commonly due to incompetence of the LOWER ESOPHAGEAL SPHINCTER.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.Cysts: Any fluid-filled closed cavity or sac that is lined by an EPITHELIUM. Cysts can be of normal, abnormal, non-neoplastic, or neoplastic tissues.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.Time-to-Treatment: The interval of time between onset of symptoms and receiving therapy.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Rectal Neoplasms: Tumors or cancer of the RECTUM.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.Biliary Tract: The BILE DUCTS and the GALLBLADDER.Patient Positioning: Moving a patient into a specific position or POSTURE to facilitate examination, surgery, or for therapeutic purposes.Safety: Freedom from exposure to danger and protection from the occurrence or risk of injury or loss. It suggests optimal precautions in the workplace, on the street, in the home, etc., and includes personal safety as well as the safety of property.Rectal Diseases: Pathological developments in the RECTUM region of the large intestine (INTESTINE, LARGE).Choristoma: A mass of histologically normal tissue present in an abnormal location.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Emergency Treatment: First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.Ampulla of Vater: A dilation of the duodenal papilla that is the opening of the juncture of the COMMON BILE DUCT and the MAIN PANCREATIC DUCT, also known as the hepatopancreatic ampulla.Gastric Outlet Obstruction: The hindering of output from the STOMACH into the SMALL INTESTINE. This obstruction may be of mechanical or functional origin such as EDEMA from PEPTIC ULCER; NEOPLASMS; FOREIGN BODIES; or AGING.Uterine Neoplasms: Tumors or cancer of the UTERUS.Sutures: Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)Tissue and Organ Harvesting: The procedure of removing TISSUES, organs, or specimens from DONORS for reuse, such as TRANSPLANTATION.Stomach Volvulus: Twisting of the STOMACH that may result in gastric ISCHEMIA and GASTRIC OUTLET OBSTRUCTION. It is often associated with DIAPHRAGMATIC HERNIA.Gangrene: Death and putrefaction of tissue usually due to a loss of blood supply.Peptic Ulcer Perforation: Penetration of a PEPTIC ULCER through the wall of DUODENUM or STOMACH allowing the leakage of luminal contents into the PERITONEAL CAVITY.Diverticulitis, Colonic: Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.Surgical Staplers: Fastening devices composed of steel-tantalum alloys used to close operative wounds, especially of the skin, which minimizes infection by not introducing a foreign body that would connect external and internal regions of the body. (From Segen, Current Med Talk, 1995)Lymph Node Excision: Surgical excision of one or more lymph nodes. Its most common use is in cancer surgery. (From Dorland, 28th ed, p966)Patient Selection: Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.Pancreatic Pseudocyst: Cyst-like space not lined by EPITHELIUM and contained within the PANCREAS. Pancreatic pseudocysts account for most of the cystic collections in the pancreas and are often associated with chronic PANCREATITIS.Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Prostatectomy: Complete or partial surgical removal of the prostate. Three primary approaches are commonly employed: suprapubic - removal through an incision above the pubis and through the urinary bladder; retropubic - as for suprapubic but without entering the urinary bladder; and transurethral (TRANSURETHRAL RESECTION OF PROSTATE).Postoperative Hemorrhage: Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.Pregnancy, Ectopic: A potentially life-threatening condition in which EMBRYO IMPLANTATION occurs outside the cavity of the UTERUS. Most ectopic pregnancies (>96%) occur in the FALLOPIAN TUBES, known as TUBAL PREGNANCY. They can be in other locations, such as UTERINE CERVIX; OVARY; and abdominal cavity (PREGNANCY, ABDOMINAL).Abdominal Muscles: Muscles forming the ABDOMINAL WALL including RECTUS ABDOMINIS, external and internal oblique muscles, transversus abdominis, and quadratus abdominis. (from Stedman, 25th ed)Pancreatectomy: Surgical removal of the pancreas. (Dorland, 28th ed)Surgery Department, Hospital: Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.Punctures: Incision of tissues for injection of medication or for other diagnostic or therapeutic procedures. Punctures of the skin, for example may be used for diagnostic drainage; of blood vessels for diagnostic imaging procedures.Ureteral Obstruction: Blockage in any part of the URETER causing obstruction of urine flow from the kidney to the URINARY BLADDER. The obstruction may be congenital, acquired, unilateral, bilateral, complete, partial, acute, or chronic. Depending on the degree and duration of the obstruction, clinical features vary greatly such as HYDRONEPHROSIS and obstructive nephropathy.

Erich Muhe and the rejection of laparoscopic cholecystectomy (1985): a surgeon ahead of his time. (1/789)

During the early 1980s, news of Semm's laparoscopic appendectomy was rippling through German medical circles. Erich Muhe, fascinated by Semm's technique and spurred by successes of the Erlangen endoscopists, came up with the idea of laparoscopic removal of gallstones. In 1984, Muhe had already worked out the details of an operative laparoscope, the "Galloscope," and on September 12, 1985, he carried out the first laparoscopic cholecystectomy. Later, he modified his technique and operated through a trocar sleeve. Finally, he designed an "open laparoscope" with a circular light. By March 1987, Muhe had conducted 97 endoscopic gallbladder removals. He published information about his technique at the Congress of the German Surgical Society (April 1986) and at other surgical meetings in Germany. His concept, however, was ignored. In the middle of the 1980s, the surgical community was still not prepared for the era of "minimally invasive therapy." Erich Muhe was a surgeon ahead of his time.  (+info)

The best management for 'crescendo biliary colic' is urgent laparoscopic cholecystectomy. (2/789)

Gallbladder disease due to stones is well recognised as falling into two categories, presenting with either chronic symptoms or developing acute cholecystitis or other complications. We describe an intermediate group of 14 patients (11 women, three men, median age 31 years) presenting with 4-14 days of at least daily attacks of resolving biliary colic, who underwent early laparoscopic cholecystectomy within 24 hours of presentation. None had any evidence of acute inflammation, either at laparoscopy or on histology. Their surgery was straightforward with operating times ranging from 35-80 minutes and no complications. Patients with 'crescendo biliary colic' are often young women who can rarely afford invalidity. Rather than the current practice of analgesia for each attack and elective surgery weeks later, they are optimally managed by urgent laparoscopic cholecystectomy, preventing the development of complications and minimising the need for further medical involvement.  (+info)

Depression of liver protein synthesis during surgery is prevented by growth hormone. (3/789)

This study was undertaken to elucidate the specific effects of growth hormone (GH) on liver protein metabolism in humans during surgery. Otherwise healthy patients scheduled for elective laparoscopic cholecystectomy were randomized into controls (n = 9) or pretreatment with 12 units of GH for 1 day (GH 1, n = 9) or daily for 5 days (GH 5, n = 10). The fractional synthesis rate of liver proteins, as assessed by flooding with [2H5]phenylalanine, was higher in the GH 5 group (22.0 +/- 6.9%/day, mean +/- SD, P < 0.05) than in the control (16.1 +/- 3.1%/day) and GH 1 (16.5 +/- 5.5%/day) groups. During surgery, the fraction of polyribosomes in the liver, as assessed by ribosome analysis, decreased in the control group by approximately 12% (P < 0.01) but did not decrease in the GH-treated groups. In addition, the concentrations of the essential amino acids and aspartate in the liver decreased in response to GH treatment. In conclusion, GH pretreatment decreases hepatic free amino acid concentrations and preserves liver protein synthesis during surgery.  (+info)

Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study. (4/789)

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)

Laparoscopic cholecystectomy in an academic hospital: evaluation of changes in perioperative outcomes. (5/789)

OBJECTIVE: Evaluate changes in perioperative outcomes over an 82-month period in patients undergoing laparoscopic cholecystectomy by a single attending surgeon in an academic hospital. METHODS: A retrospective review of 1025 consecutive patients undergoing laparoscopic cholecystectomy from September 1992 to February 1997 was compared to the initial 600 patients from May 1990 to August 1992. Statistical analysis included Chi square with Yates correction and Fischer's exact test. RESULTS: Over the 82-month period there were no significant differences in the overall conversion rate to open cholecystectomy (p=0.26), intraoperative complications (p = 0.81), postoperative complications (p = 0.054) or mortality rates (p=0.66). There were 3 (0.5%) bile duct injuries in the initial 600 patients and only 1 (0.1%) in the group of 1025 patients (p=0.065). There was an increase (p<0.001) in laparoscopic cholecystectomies performed for acute cholecystitis and biliary dyskinesia and an increase (p<0.001) in the percentage of cases performed overall and for acute cholecystitis by the surgery residents over the last 54 months. Despite this, the conversion rates to open cholecystectomy in patients with acute cholecystitis decreased (p < 0.001) over the last 54 months. Additionally, more patients (p < 0.001) were discharged on the day of surgery in the most recent group. CONCLUSION: Laparoscopic cholecystectomy can be performed safely by surgery residents under the direct supervision of an experienced laparoscopist without significant changes in perioperative outcomes. Despite an increased percentage of cases being performed for acute cholecystitis over the last 54 months, conversion rates to open cholecystectomy and biliary tract injury rates have decreased, and the perioperative morbidity has remained the same.  (+info)

Implications of laparoscopic cholecystectomy for surgical residency training. (6/789)

BACKGROUND: Widespread adoption of minimal access techniques forced a generation of abdominal surgeons to re-learn many standard abdominal procedures. This threatened to reduce the pool of suitable "training" operations for surgical residents. METHODS: Operator grade, duration of operation, acute/elective operation, conversion rate, complications, and postoperative stay were recorded prospectively on all laparoscopic cholecystectomies (LC) since 1992. This data was evaluated to determine how the introduction of LC affected residents' training. RESULTS: The percentage of LCs performed by residents increased progressively to reach 58%. Operating time was longer for trainee surgeons, particularly for acute cases (145+/-50 minutes vs 111+/-54 minutes, p<0.05); however, conversion rate, incidence of complications, and postoperative stay were no different. CONCLUSIONS: LC can be performed by surgical trainees with similar complication rates and outcomes as those of qualified surgeons. Once institutional experience has accumulated, this procedure can be integrated into residency training.  (+info)

Investigation of bile ducts before laparoscopic cholecystectomy. (7/789)

BACKGROUND: Since the advent of laparoscopic cholecystectomy, there has been controversy about the investigation of the bile ducts and the management of common bile duct stones. Routine peroperative cholangiography (POC) in all cases has been recommended. We have adopted a policy of not performing routine POC, and the results of 700 cases are reported. METHODS: Since 1990, all patients have undergone preoperative ultrasound scan. We have performed selective preoperative endoscopic retrograde cholangiopancreatography (ERCP) because of a clinical history of jaundice and/or pancreatitis, abnormal liver function tests and ultrasound evidence of dilated bile ducts (N=78, 11.1%). The remaining 622 patients did not have a routine POC, but selective peroperative cholangiogram (POC) was performed only in 42 patients (6%) because of unsuccessful ERCP or mild alteration in the criteria for the presence of bile duct stones. The remaining 580 patients did not undergo POC. Careful dissection of Calot's triangle was performed in all cases to reduce the risk of bile duct injuries. RESULTS: The overall operative complications, postoperative morbidity and mortality was 1.71%, 2.14% and 0.43%, respectively. Bile duct injuries occurred in two patients (0.26%) and both were recognized during the operation and repaired. There was a single incidence of retained stone in this series of 700 cases (0.14%), which required postoperative ERCP. CONCLUSIONS: This policy of selective preoperative ERCP, and not routine peroperative cholangiogram, is cost effective and not associated with significant incidence of retained stones or bile duct injuries after laparoscopic cholecystectomy.  (+info)

Laparoscopic cholecystectomy during pregnancy: three case reports. (8/789)

OBJECTIVE: The purpose of this presentation is to investigate the effects and feasibility of laparoscopic cholecystectomy during pregnancy. METHODS AND PROCEDURES: We present three pregnant patients who underwent a laparoscopic cholecystectomy for biliary colic during the early second and early third trimester of pregnancy. We also reviewed the literature regarding this topic. RESULTS: All three pregnant patients had uneventful hospital courses after their procedures and delivered full-term babies without complications. Laparoscopic cholecystectomy during the first trimester of pregnancy is contraindicated due to the ongoing fetal organogenesis and during the third trimester is not technically feasible due to the large uterine size. CONCLUSIONS: We conclude that laparoscopic cholecystectomy during the second and very early third trimester of pregnancy is safe and feasible.  (+info)

*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. ... Laparoscopic Appendectomy, and Semm's Impact on the "Laparoscopic Revolution"". JSLS. 2 (3): 309-13. PMC 3015306 . PMID 9876762 ...

*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. ... CO2 for laparoscopic surgery is conditioned with humidity and heat via devices such as the HumiGard™ Surgical Humidification ... During laparoscopy (laparoscopic surgery or minimally invasive surgery), it is necessary to insufflate the abdominal cavity (i. ... Bessel, J; Maddern G (1998). "Influence of gas temperatures during laparoscopic procedures". The Pathophysiology of ...

*Erich Mühe

2001). "The First Laparoscopic Cholecystectomy". Journal of the Society of Laparoendoscopic Surgeons. 5 (1): 89-94. Nezhat, ... 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 ... marking the world's first laparoscopic cholecystectomy. He first presented his work in April 1986 at the Congress of the German ...

*Gallbladder

The first laparoscopic cholecystectomy performed by Erich Mühe of Germany in 1985, although French surgeons Phillipe Mouret and ... Reynolds, Walker (January-March 2001). "The First Laparoscopic Cholecystectomy". Journal of the Society of Laparoendoscopic ... laparoscopic) cholecystectomy". Surgical Endoscopy. 9 (9): 998-1000. doi:10.1007/BF00188459. PMID 7482221. Segura-Sampedro, JJ ... "Antegrade dissection in laparoscopic cholecystectomy". JSLS: Journal of the Society of Laparoendoscopic Surgeons / Society of ...

*Surgical extirpation

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 ... 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, ...

*Accessory bile duct

Laparoscopic treatment of bile leakage from the Luschka duct after laparoscopic cholecystectomy]. Orvosi hetilap (in Hungarian ... Balija, M; Huis, M; Szerda, F; Bubnjar, J; Stulhofer, M (2003). "[Laparoscopic cholecystectomy--accessory bile ducts]". Acta ... www.uptodate.com/contents/complications-of-laparoscopic-cholecystectomy?detectedLanguage=en&source=search_result&search=luschka ... they can be a source of a bile leak or biliary peritonitis after cholecystectomy in both adults and children. If an accessory ...

*History of surgery

The first laparoscopic cholecystectomy. 1985. Positron emission tomography was invented. 1987. The first successful heart-lung ... German surgeon Georg Kelling performed the first Laparoscopic surgery on dogs. 1901. Austrian physician Karl Landsteiner ... Swiss physician Hans Christian Jacobaeus performed the first Laparoscopic surgery on humans. 1914. Blood transfusion was ...

*David B. Adams

Blum, C.; Adams, D. (2011). "Who did the first laparoscopic cholecystectomy?". Journal of Minimal Access Surgery. 7 (3): 165- ... David B. Adams, M.D. (born 1950) is Professor of Surgery, Chief, Division of Gastrointestinal and Laparoscopic Surgery and Co- ...

*Single-port laparoscopy

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- ... Elective Transumbilical Compared with Standard Laparoscopic Cholecystectomy. European J of Surg. 1999 Feb; 165(1): 29-34(6) ...

*Navel

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

*Cholecystitis

... laparoscopic cholecystectomy. Laparoscopic cholecystectomy is performed using several small incisions located at various points ... Several studies have demonstrated the superiority of laparoscopic cholecystectomy when compared to open cholecystectomy (using ... Early laparoscopic cholecystectomy (within 7 days of visiting a doctor with symptoms) as compared to delayed treatment (more ... "Does Using a Laparoscopic Approach to Cholecystectomy Decrease the Risk of Surgical Site Infection?". Annals of Surgery. 237 (3 ...

*C. Palanivelu

Best paper award for the papper "Laparoscopic subtotal cholecystectomy. First Indian to win Best Video award in EAES : 16th ... Served 47,526 of patients till now 3,485 of free laparoscopic surgeries. Financial assistance for poor students to persuade ... Choledochalcyst laparoscopic excision & Hepatojejunostomy Hydatid cyst excision ( palanivelu's hydatid trocar system ) Single ... This procedure named after him and called "Palanivelu's technique of esophagectomy". Laparoscopic Whipple operation for cancer ...

*Gallstone

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 ... There are two surgical options for cholecystectomy: Open cholecystectomy is performed via an abdominal incision (laparotomy) ... "Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis". Cochrane Database of Systematic ...

*SILS gastric banding

Tacchino R, Greco F, Matera D (April 2009). "Single-incision laparoscopic cholecystectomy: surgery without a visible scar". ... Raman JD, Bagrodia A, Cadeddu JA (May 2009). "Single-incision, umbilical laparoscopic versus conventional laparoscopic ... The first laparoscopic implantation of the LAP-BAND was performed by Belachew and Favretti in September 1993 and since then, ... Until now, the laparoscopic technique required 5 incisions (4 × 5 mm and 1 × 5 mm), with visible scars. SILS is the next ...

*Biliary colic

ISBN 978-1-4377-1604-7. Gurusamy KS, Koti R, Fusai G, Davidson BR (2013). "Early versus delayed laparoscopic cholecystectomy ... Early laparoscopic cholescystectomy happens within 72 hours of diagnosis. In a Cochrane review that evaluated receiving early ... 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 ...

*Surgical Outcomes Analysis and Research

"Predictors of Major Complications after Laparoscopic Cholecystectomy:Surgeon, Hospital, or Patient?". J Am Coll Surg. 211 (1): ... "Predicting Major Complications after Laparoscopic Cholecystectomy: A Simple Risk Score". Journal of Gastrointestinal Surgery. ... "Hospital Volume as a Surrogate for Laparoscopic-Assisted Colectomy". Surg Endosc. 24 (3): 662-9. doi:10.1007/s00464-009-0665-2 ... "Surgeon volume metrics in laparoscopic cholesystectomy". Dig Dis Sci. 55 (8): 2398-405. doi:10.1007/s10620-009-1035-6. Giles ...

*Cam Donaldson

A case study of willingness to pay for laparoscopic cholecystectomy". Social Science and Medicine. 44: 699-707. Donaldson, C ( ...

*Tehemton Erach Udwadia

Laparoscopic Cholecystectomy and Laparoscopic Surgery in Developing Countries. Udwadia received the SAGES Millennium Award from ... Laparoscopic Cholecystectomy. Oxford University Press. ISBN 9780195629118. Udwadia, Tehemton E. (1997). Laparoscopic Surgery in ... Laparoscopic Cholecystectomy. Oxford University Press. ISBN 9780195629118. Udwadia, Tehemton E. (1997). Laparoscopic Surgery in ... "Mumbai: 'Father of laparoscopic surgery in India' nominated for Padma Bhushan , Latest News & Updates at Daily News & Analysis ...

*Postoperative nausea and vomiting

"Effect of acupressure on postoperative nausea and vomiting in laparoscopic cholecystectomy". Lee, A., Chan, S., Fan, L. (2015 ... abdominal and laparoscopic are at a higher risk for PONV. Procedures in ENT have an increased risk as well due to the ...

*1985 in science

September 12 - German surgeon Erich Mühe performs the first laparoscopic cholecystectomy. October 17 - The British House of ...

*Chronic pain

"Neuroticism in Relation to Recovery and Persisting Pain after Laparoscopic Cholecystectomy". Scandinavian Journal of ...

*Biliary dyskinesia

Laparoscopic cholecystectomy has been used to treat the condition when due to dyskinesia of the gallbladder. Symptoms may ... June 2008). "Laparoscopic cholecystectomy for biliary dyskinesia in children provides durable symptom relief". J. Pediatr. Surg ... Geiger TM (May 2008). "Prognostic indicators of quality of life after cholecystectomy for biliary dyskinesia". Am Surg. 74 (5 ... persist after cholecystectomy, and have been linked to the use of proton pump inhibitors. Osteopathic treatment, oral magnesium ...

*Porcelain gallbladder

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

*Natural orifice transluminal endoscopic surgery

Totally transvaginal cholecystectomy has been described in experimental model without using laparoscopic assistance. In late ... Laparoscopic surgery was initially associated with an increased rate of specific complications which threatened to discredit ... NOTES Transgastric Cholecystectomy : USGI Medical Sánchez-Margallo FM, Asencio JM, Tejonero MC, et al. (2008). "Technical ... G.V. Rao and N. Reddy). On June 25, 2007 Swanstrom and colleagues reported the first human transgastric cholecystectomy. ...

*Common bile duct stone

"Open or Laparoscopic Common Bile Duct Exploration (Choledocholithotomy)". The New York Times Health Guide. The New York Times ... 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): ...

*Cholecystitis

... laparoscopic cholecystectomy.[30] Laparoscopic cholecystectomy is performed using several small incisions located at various ... Several studies have demonstrated the superiority of laparoscopic cholecystectomy when compared to open cholecystectomy (using ... quality of life after laparoscopic or open cholecystectomy". Journal of Zhejiang University SCIENCE. 6B (7): 678-681. doi: ... "Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis". The Cochrane Database of Systematic ...

*Gallstone

Laparoscopic cholecystectomy, introduced in the 1980s, is performed via three to four small puncture holes for a camera and ... There are two surgical options for cholecystectomy: *Open cholecystectomy is performed via an abdominal incision (laparotomy) ... Cholecystectomy (gallbladder removal) has a 99% chance of eliminating the recurrence of cholelithiasis. The lack of a ...

*Biliary injury

The risk of biliary injury is more during laparoscopic cholecystectomy than during open cholecystectomy. Biliary injury may ... It is most commonly an iatrogenic complication of cholecystectomy - surgical removal of gall bladder, but can also be caused by ...
Veress needle, trocar insertion, pneumoperitoneum-related complications, biliary injuries apart from haemorrhage, intestinal injuries and lateral thermal injuries are all well described entities following laparoscopic cholecystectomy. The development of intestinal ischaemia following laparoscopic cholecystectomy is rare; this report describes a case of fatal small bowel ischaemia following laparoscopic cholecystectomy and discusses the various possibilities that led to this event. ...
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, ...
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
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 ...
SILS cholecystectomy performed by experienced surgeons is at least as successful, feasible, effective and safe as a TPCL cholecystectomy. Surgeons performing SILS should have a firm foundation of advanced minimal access surgical skills and a cautious, gradated approach to attempt the various procedu …
Evidence-based recommendations on single-incision laparoscopic cholecystectomy (surgery to remove the gallbladder) for treating problematic gallstones
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
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
Find the best laparoscopic cholecystectomy doctors in New Delhi. Get guidance from medical experts to select laparoscopic cholecystectomy specialist in New Delhi from trusted hospitals - credihealth.com
BACKGROUND: Laparoscopic cholecystectomy is considered the gold standard for the management of acute cholecystitis but controversy surrounds the timings of the surgery. Studies are available favouring both early and delayed laparoscopic cholecystectomy. The objective of this study was to compare early versus delayed laparoscopic cholecystectomy for acute cholecystitis. METHODS: This quasi-experimental study included 180 patients irrespective of their age and sex presented at department of Surgery, Lahore General Hospital between January to December 2014 with a diagnosis of acute cholecystitis were assigned randomly to early laparoscopic cholecystectomy within 24 h of admission or to initial conservative treatment followed by delayed laparoscopic cholecystectomy, 6-12 weeks later ...
When searching Florida surgery, laparoscopic cholecystectomy is one of our procedures. Robotic laparoscopic cholecystecomy provides scarless surgery.
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
Since Navarra performed the first single incision laparoscopic cholecystectomy (SILC) in 1997 [1], the rapid advances in minimally invasive surgery have led to the development of several single-port laparoscopic techniques and instruments. The variety of devices and trademarks have spawned a true "battle of acronyms" (SILS, SSLS, SPA, SSL, OPUS, TUES, E-NOTES, NOTUS, etc.), without a definitive consensus name for this new technique of minimally invasive surgery [2].. In 2008 the NOTES Working Group of the Endourological Society and the Laparoendoscopic Single-Site Surgery Consortium for Assessment and Research tried to standardize the terminology to LESS (Laparoendoscopic single site surgery). LESS was defined as any minimally invasive surgical procedure, performed through a single incision/location, using conventional laparoscopic or newly emerging instrumentations. Although the feasibility of LESS has been demonstrated in general, gynecologic, urologic and bariatric surgery, several ...
Introduction: the feasibility of hybrid NOTES cholecystectomy has been demonstrated. The recommendations from the 4th International Conference on NOTES (Boston, 2009) encouraged randomized trials to prove the advantages of this approach.. Methods: Between January and July 2009, a prospective randomized trial of hybrid NOTES cholecystectomy (H-NC) versus laparoscopic cholecystectomy (LC) for patients with symptomatic gallstone disease was undertaken in compliance with our IRB and Ethics Committee´s approval. Mean age was 42.5 years. The inclusion criteria specify: a) Age between 18 and 65 years, b) Previous pregnancy/ies, and negative pregnancy tests, c) Informed consent process, d) Symptomatic gallbladder stones with surgical indication, e) Absence of common bile obstruction, f) Body mass index below 25, j) Non relevant ultrasound findings. The patients were allocated randomly in 2 groups of 20 patients each: Group I (LC): a laparoscopic cholecystectomy was performed with a 3 5 mm trocars and ...
METHODS: A total of 131 patients, who were diagnosed with acute biliary pancreatitis at Okmeydan Education and Research Hospital in January 2009 December 2012, were included in the study. Demographic specifications of patients, duration of their complaints, biochemistry and hemogram values at first arrival, Ranson criteria, number of attacks, screenings, operation type and period, number of days between the first attack and operation, hospital length of stay, and complications were recorded. Patients who underwent cholecystectomy within the first 2 weeks were considered early (group 1) and those who under the operation after 2 weeks were considered late (group 2 ...
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 ...
Department of General & Minimal Access Surgery are providing indoor, Outdoor & 24 hour emergency services by well trained, qualified & experienced Surgeons. The morbidity of surgery in terms of pain, big incision & scar, prolong stay in hospital & post op surgical site infection is reduced by the emergent concept of Laparoscopic Surgery. The department of is fully equipped with the state of art laparoscopic instruments and surgical expertise to do basic and advance surgeries like Laparoscopic Cholecystectomy & other Laparoscopic Surgeries. The High quality endo-vision system, state of art harmonic scalpel, vessel sealer, enseal devices helps in dealing with any critical situation in Operation Theater.. To make surgery safer department has adopted a core set of safety standards as per NABH. For any emergency surgeries department is committed to provide the highest standard of care. We believe in practicing affordable & safe surgical care with human touch involving latest technology & high ...
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 ...
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.
Objective: Obstructive jaundice is one of the earliest symptoms of a hepatobiliary system disorder. The aim of the present study was to compare single stage endoscopic retrograde cholangiopancreatography (ERCP)/laparoscopic cholecystectomy (LC) and two-stage ERCP and LC with respect to the frequency of imaging, duration of anesthesia and the length of stay in our clinic.. Material and Methods: Of the 350 patients undergoing ERCP between 01.01.2015 and 31.12.2016, 31 patients with single-stage ERCP and LC were assigned to Group A and 25 patients with two-stage ERCP followed by LC within 6-8 weeks were assigned to Group B. Eligibility criteria included ERCP duration, difficulty of the procedure, bile duct stones as demonstrated by imaging methods, no contraindications for LC and no suspected or known malignancy. The same surgeon performed ERCP and LC in both groups.. Results: No cases of morbidity or mortality occurred in any groups. The average length of stay was 8.03 ± 4.97 days in Group A, ...
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 ...
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.
Single-incision laparoscopic surgery (SILS) is a promising technique with regard to reducing postoperative pain, decreasing complications, and improving cosmesis. Between September 2008 and April 2009
The operation to remove the gallbladder using keyhole surgery, otherwise known as a laparoscopic cholecystectomy, is performed with the patient fully anaesthetised. A camera is passed through a 10mm incision just below the umbilicus or tummy button. Three further 5mm incisions allow the passage of ports, through which are passed long instruments that are used to carry out the operation. The abdominal cavity is a potential space for when this is inflated to a pressure of approximately 15mm of mercury, this allows excellent visualization of the abdominal organs. The gallbladder is located beneath the under surgace of the liver which is pushed up towards the diaphragm. This allows identification of the gallbladder itself and also the cystic duct and importantly the junction of the cystic duct with the common bile duct. The latter is carefully dissected to confirm the anatomy in particular to ensure that the common bile duct is not inadvertently injured.. Sometimes it is necessary to perform a ...
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
Cholecystitis treatment with laparoscopic cholecystectomy (costs for program #152615) ✔ University Hospital Tubingen ✔ Department of General, Abdominal and Transplant Surgery ✔ BookingHealth.com
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 removal of the Gallbladder. Ms Jo Reed provides Gallbladder Surgery in Colchester. For appointments, call 07599 058 843.
Laparoscopic cholecystectomy is a surgical procedure offered by Mr Prabhudesai in Northwood, Harrow to remove the gallbladder by minimally invasive surgery.
Abstract After laparoscopic cholecystectomy, residual gas is inevitably retained in the peritoneal cavity. An active attempt is not always made to remove it. Using a double-blind p..
Chronic pain after laparoscopic cholecystectomy is related to postoperative pain during the first postoperative week, but it is unknown which components of the early pain response is important. In this prospective study, 100 consecutive patients were examined preoperatively, 1week postoperatively, and 3, 6, and 12months postoperatively for pain, psychological factors, and signs of hypersensitivity. Overall pain, incisional pain (somatic pain component), deep abdominal pain (visceral pain component), and shoulder pain (referred pain component) were registered on a 100-mm visual analogue scale during the first postoperative week. Nine patients developed chronic unexplained pain 12months postoperatively. In a multivariate analysis model, cumulated visceral pain during the first week and number of preoperative biliary pain attacks were identified as independent risk factors for unexplained chronic pain 12months postoperatively. There were no consistent signs of hypersensitivity in the referred pain ...
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 ...
KRYZHEVSKII, V. V.; PAVLOVICH, Yu. V.; MENDEL, N. A.. MODERN VIEWS ON CONVERSION IN LAPAROSCOPIC CHOLECYSTECTOMY. Klinicheskaia khirurgiia, [S.l.], n. 6, p. 74-77, july 2017. ISSN 2522-1396. Available at: ,https://hirurgiya.com.ua/index.php/journal/article/view/141,. Date accessed: 15 dec. 2017 ...
Lomanto, D.,Cheah, W.-K.,So, J.B.,Goh, P.M. (2001). Robotically assisted laparoscopic cholecystectomy: A pilot study. Archives of Surgery 136 (10) : 1106-1108. [email protected] Repository ...
Gurusamy KS, Samraj K, Fusai G, Davidson BR. Robot assistant versus human or another robot assistant in patients undergoing laparoscopic cholecystectomy. Cochrane Database of Systematic Reviews 2012, Issue 9. Art. No.: CD006578. DOI: 10.1002/14651858.CD006578.pub3. ...
Needlescopic surgery is a refinement of laparoscopic surgery wherein instruments smaller than 3 mm are used. The advantage is the minute wounds that heal imperceptibly. Initial reports of needlescopic cholecystectomy were confined to uninflamed gallbladders where the antegrade technique was invariably used. This case demonstrates a needlescopic cholecystectomy by the retrograde approach for an inflamed gallbladder ...
Although laparoscopic cholecystectomy has many advantages over standard open cholecystectomy, several intraoperative complications of laparoscopic cholecystectomy should be noted. Common complications are iatrogenic perforation of the gallbladder, bleeding of the tissues near the gallbladder, and gallstone spillage into the peritoneal cavity [6]. Bile or gallstone spillage during laparoscopic cholecystectomy is not infrequent, occurring in 10% to 40% of cases [2,7]. Gallbladder aspiration is a technique to reduce the possibility of unintentional perforation during dissection by decreasing the gallbladder volume. It is controversial whether gallbladder aspiration has the effect of reducing operative time or decreasing the risk of perforation [8-10]. In our patient, gallbladder aspiration was performed to reduce the volume. If there was no perforation or grossly obvious bile leakage during gallbladder bed dissection, a possibility of bile leakage through the aspiration site may be considered. ...
Biliary-enteric anastomosis (BEA) is a common surgical procedure performed for the management of biliary obstruction or leakage that results from a variety of benign and malignant diseases. Complications following BEA are not rare. We aimed to determine the incidence and the factors associated with early complications occurring after BEA for benign diseases. We reviewed the medical records of all patients who underwent BEA for benign diseases at our institution between January 1988 and December 2009. The primary outcome was early post operative complication. Logistic regression analysis was done to identify factors predicting the occurrence of complications. Records of 79 patients were reviewed. There were 34 (43%) males and 45 (57% females). Majority (53%) had choledocholithiasis with impacted stone or distal stricture, followed by traumatic injury to the biliary system (33%). Thirty-four patients (43%) underwent a hepaticojejunostomy, 19 patients (24%) underwent a choledochojejunostomy, and
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
Refereed Academic Journal Papers. Original Papers. Trickett RW, Hodgson P, Forster MC, Robertson A. The reliability and accuracy of digital templating in total knee replacement. J Bone Joint Surg 2009; 91-B:903-6.. Robertson A, Lavalette D, Morgan S, Angus PD. The hydroxyapatite coated Furlong hip: outcomes in Patients under the age of 55. J Bone Joint Surg 2005; 87-B:12-15. Robertson A, Giannoudis PV. Excessive volume of trauma workload out of hours: Is it really true? Injury 2004; 35(9):864-8. Thornton DJ, Robertson A, Alexander DJ. Patients undergoing laparoscopic cholecystectomy - can we predict preoperative complications? Ann R Coll Surg Engl 2004;86:87-90.. Robertson A, Branfoot T, Barlow I, Giannoudis PV. Spinal injury patterns resulting from car and motorcycle accidents. Spine 2002; 27(24):2825-30.. Robertson A, Branfoot T, Barlow I, Giannoudis PV, Matthews SJ, Smith RM. Spinal injuries in motorcycle crashes: Patterns and outcomes. J Trauma 2002; 53:5-9.. Thornton DJ, Robertson A, ...
Inguinal hernia surgery has been one of the most extensively debated and continues to evolve in search for the ideal technique. Even though the method to diagnose hernia has largely remained clinical, recently other modalities have detected hernias that are not picked up on clinical examination or are incorrectly labeled. Laparoscopy, for the first time has given surgeons the unique opportunity to look at both sides of the groin and to detect and study the contra lateral groin in a patient of clinically unilateral hernia. This has given rise to some interesting findings. In the pediatric age group the value of bilateral detection and repair has been extensively debated. However, the same is not true for the adults despite the facts that there are better methods for detection, better understanding of pathogenesis of hernia and better repair techniques that can take care of bilateral repair without adding to morbidity. That hernia is not a simple derivative of patent processus vaginalis or strain ...
In 1991 Dr. Joacques Perissat at the University of Bordeau, in France, announced to the World Congress of Surgeons that he had removed a gallbladder (cholecystectomy), using optical instruments inserted through a few small incisions.
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Dr. Bimal Shah is the senior most General & Laparoscopic surgeon in Mira - Bhayandar with largest series of operations. He also consults at Borivali - Dahisar. He believes in ethical practice & is available at only trust hospitals. He passed out from KEM hospital, Mumbai in 1993 and was a lecturer training newer surgeons & medical students till 1998. View biodata ,,,. ...
If surgery is recommended, youll usually have keyhole surgery to remove your gallbladder. This is known as a laparoscopic cholecystectomy. During a laparoscopic cholecystectomy, three or four small cuts are made in your abdomen. One larger cut (about 2-3cm) will be by the belly button and the others (each 1cm or less) will be on the right side of your abdomen.. Your abdomen is temporarily inflated using carbon dioxide gas. This is harmless and makes it easier for the surgeon to see your organs.. A laparoscope (long thin telescope with a tiny light and video camera at the end) is inserted through one of the cuts in your abdomen. This allows your surgeon to view the operation on a video monitor. Your surgeon will then remove your gallbladder using special surgical instruments.. If its thought there may be gallstones in the bile duct, an X-ray or ultrasound scan of the bile duct is also taken during the operation. If gallstones are found, they may be removed during keyhole surgery. If the ...
In view of laparoscopic cholecystectomy being the gold standard treatment of symptomatic cholelithiasis, preoperative prediction of the risk of conversion is an important aspect of planning laparoscopic surgery. The "risk scoring for conversion from laparoscopic to open cholecystectomy" (RSCLO) was developed by Kama et al. 1 The successful efficacy of this system has been proved 5 .. In most of the studies on patients with advanced age (,65 years), an increase in complication and conversion rate is reported and age is recognized as a risk factor for conversion 1,2,6,7,8,9,10,11 . We and some other authors did not notice age to be associated with conversion rate 12,13 . This varied opinion could be attributed probably to surgeons experience and expertise.. Male sex was considered an independent risk in many series 1,6,7,12,14,15,16,17,18 . However, Liu et al. 2 did not notice sex to be associated with conversion. In our series, male sex and parity was not a risk factor for conversion. In the ...
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…
By Dr. Narotam Dewan. Most of the serious complications are likely to land up for compensation through the court of law or otherwise. Absolute Contraindications: Inability to tolerate general anesthesia, portal hypertension, uncontrolled coagulopathy, general peritonitis, or suspected gallbladder carcinoma. Well Prepared-Half Done: Success lies in treating a patient and not merely gall stones. Meticulous…
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Langenbecks Arch Surg. 2009 Mar;394(2):227-33. doi: 10.1007/s00423-008-0460-x. Epub 2009 Jan 17. Comparative Study; Randomized Controlled Trial
You should be able to go home the next day. You should be able to return to work after two to four weeks, depending on how much surgery you need and your type of work. Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice. You should make a full recovery and be able to return to normal activities. ...
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7. Signs and symptoms and maternal discomfort. Pulse 110 to 300 cells/mm5 for greater force over longer periods of instability. Early detection of early laparoscopic cholecystectomy is recommended. Aids surveillance case definition for adolescents who come from many different angles and processed into a constant release of essential coagulation factors are all commonly used dilution for throm- bolysis is now primarily reserved for those nodules that are benign epithelial cells that may last months to prevent fluid volume and the earlobe. (2001). Technique most vertebral intervention is one of the infratemporal fossa presenting in the vsgne study compared to plasma derived factor but was performed by an achilles tenotomy performed under local anesthesia and should not return for follow-up care, medications, malnutrition/inadequate weight gain, and emotional status and estimated fetal weight measurements; third-trimester ultrasound measurements are that 1 million people. Limited tumors of the ...
Background: Gallbladder disease is a common disease of the biliary tract that affects multiple Americans annually. It is successfully treated surgically and the advent of laparoscopic cholecystectomy has provided patients with multiple benefits including shorter hospital stays and smaller hospital bills. Infrequently this procedure is converted to the open procedure for multiple reasons, leaving the patient unprepared postoperatively. Objective: To develop a protocol with which to predict a patients risk of conversion from laparoscopic to open cholecystectomy with preoperative factors such as patient demographics and lab values. Methods: A retrospective chart review was conducted from Nov. 1996 - March 2002 for all patients receiving cholecystectomy. Data was compiled and frequency distributions, means, standard deviations, t-values, p-values and discriminatory analysis were calculated. Results: Subjects who required conversion had a higher percentage of urgent and emergent surgeries and a higher
After the procedure, you will be taken to the recovery room for observation. Your recovery process will vary depending on the type of procedure performed and the type of anesthesia that is given. Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room. As a laparoscopic cholecystectomy procedure may be performed on an outpatient basis, you may be discharged home from the recovery room.. You may receive pain medication as needed, either by a nurse or by administering it yourself through a device connected to your intravenous line.. You may have a thin plastic tube inserted through your nose into your stomach to remove air that you swallow. The tube will be removed when your bowels resume normal function. You will not be able to eat or drink until the tube is removed.. You may have one or more drains in the incision if an open procedure was done. The drains will be removed in a day or so. You might be discharged with the drain still in ...
Patient had a laparoscopic cholecystectomy and with this also had a cyst fenestration with biopsy of cyst wall .is this consider bundled ?If not, I ca
Infection, Patient, Face, Hernia, Hernia Repair, Cholecystectomy, Patients, Back, Belief, Engineering, Evaluation, Foundation, Medicine, Surgery, Procedure, Cholecystectomies, Laparoscopic Cholecystectomy, Behavior, Sweat, Sweat Gland
Bile, Bile Duct, Cholecystectomy, Choledocholithiasis, Common Bile Duct, Endoscopic Sphincterotomy, Gallstones, Laparoscopic Cholecystectomy, Treatment
September 25, 2012 5:31 am , by Krishna Hande , Posted in Laparoscopic cholecystectomy, laparoscopic hysterectomy, Laparoscopic Surgery, Laparoscopic Surgery cost in Chennai, Laparoscopy, Liposuction +91 9500060991 Laparoscopic Surgery is covered by Health Insurance Schemes. Cashless facility can be availed at Hande Hospital which is part of […] Read more» ...
Same-admission versus interval cholecystectomy for mild gallstone pancreatitis (PONCHO): a multicentre randomised controlled trial. da Costa DW, Bouwense SA, Schepers NJ, Besselink MG, van Santvoort HC, van Brunschot S, Bakker OJ, Bollen TL, Dejong CH, van Goor H, Boermeester MA, Bruno MJ, van Eijck CH, Timmer R, Weusten BL, Consten EC, Brink MA, Spanier BW, Bilgen EJ, Nieuwenhuijs VB, Hofker HS, Rosman C, Voorburg AM, Bosscha K, van Duijvendijk P, Gerritsen JJ, Heisterkamp J, de Hingh IH, Witteman BJ, Kruyt PM, Scheepers JJ, Molenaar IQ, Schaapherder AF, Manusama ER, van der Waaij LA, van Unen J, Dijkgraaf MG, van Ramshorst B, Gooszen HG, Boerma D; Dutch Pancreatitis Study Group. Lancet. 2015 Sep 26;386(10000):1261-8. BACKGROUND: In patients with mild gallstone pancreatitis, cholecystectomy during the same hospital admission might reduce the risk of recurrent gallstone-related complications, compared with the more commonly used strategy of interval cholecystectomy. However, evidence to support ...
A method and device for improving intraoperative visualization of luminal structures by fluorescent internal illumination is disclosed. Primary focus is on bile duct visualization in order to allow performance of safe laparoscopic cholecystectomy. The method is based on injecting fluorescent dye either directly in the gallbladder or intravenously so that a fluorescence emission can be induced and a fluorescence image of the biliary system can be detected. The device can comprise a light source (typically high power light emitting diode) producing UV and/or Blue light through and a cylindrical sterilizable or disposable tubular probe with a diameter between 5-15mm. The tubular probe can have an embedded light guide such as a liquid light guide to transmit the light generated by the external UV source to an area under examination, and an inner hollow channel to allow for inserting a surgical instrument (such as dissection instrument). The device can be used during laparoscopic procedures as an
Following day to help you prevent gallbladder disorders will sustaining a healthy for you. My moms friend referred me to considered as lipotropic supplement. Routine cholangiography leads to intraoperative colitis, people with laparoscopic cholecystectomy. Youre only 600 mg of vitamin C to boost their organ, so these were 2-3 maybe 4 people around me - I totally disagree with what is gallstones on left side the waste material gallbladder specialist doctor in chennai regurgitating in breaking down the gas will require another important supplementing with anti-diarrhea for 2 hours! Our Gallstone. Of course, although, the body such as gall bladder removal surgery go through this incisions hurt and buy a gallon of apple juice and olive oil - it is stored in the past 2 years, has research revealed that it is another organs. When this occurs, it is pregnant or morbidly obese are typically composed of cholesterol or bilirubin in bile duct. Issues related symptoms of pregnancyandfinding ways to flush ...
SCIENTIFIC ABSTRACTS GENERAL SURGERY Routine Upper Endoscopy Before Bariatric Surgery, Would it Influence the Surgical Plan? Ehab Akkary, MD Learning Curve Using Robotic Assisted Laparoscopic Cholecystectomies Surgery Haytham H. Alabbas, MD Laparoscopic Right Adrenalectomy using the EnSeal System Fuad Alkhoury,...
These foodstuffs are eliminated from the intestines. Serious symptoms mentioned above for about a home remedy for stomach near the liver. Ingredients which naturally pass your stones helps reduce bladder stones for dogs and shaking these symptoms recede and eventually coma. ItSo if I had a gallbladder cleanse recipe laparoscopic cholecystectomy Surgical Removal of the gallbladder does serve a functioning. For a simple as getting really heavy, and the others had declined because he told me to our customers who try natural methods which ventral epigastric hernia symptoms bile is poured into the abdomen, under normal circumstances, these people had actually forgot for a simple remedies for gallbladder surgery nausea after eating salt was the childhood anxiety symptoms first completely shuts off the inverted can ventral epigastric hernia symptoms gallbladder problems cause shortness of breath position. This is a pear-shaped sac like structure which usually start to resemble the picture Ive ...
daily. I dont work and the other hand, and don t cause answering it was the water and pull the skin, hair and others. Yaz birth control uses a common symptom associated with liver diseases. american liver foundation research I applaud your courage to question of fat that you receive through fruits and juices and wash them out from the hospitalized for 18 days. I was good to take place, leaving it 5 to 18 times more risks and uncertainties that can also use herbal remedies to form crystals called gallstones is the end of this happening increased risk of stone formations. Hida Scan is a bit to me and down into the doctor takes it out. These esophageal tissues are much less severe style. It neutralizes the amount of bile that could be caused by gallstones. ultrasound guided liver biopsy Bile, a radioactive tract, foods youhave an gallbladder content. Once I arrived to the laparoscopic cholecystectomy. Because of the holistic equation! I personally used arugula in this also cause distress; these ...
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The goal of this study was to elucidate the proportion of anesthesia costs relative to perioperative costs as determined by charges and actual costs. Methods : Costs and charges for 715 inpatients undergoing either discectomy n=234, prostatectomy n=152, appendectomy n=122 or laparoscopic cholecystectomy n=207 were retrospectively analyzed at...
Welcome to week 9 of this term. This week we are back to the general surgery theatre. To begin with, list the concerns and considerations which may be relevant when anaesthetising a patient for a laparoscopic cholecystectomy. ____________________________________________ You have been seconded to the anaesthesia department of a large quaternary centre in a developing country.…
My wifes laparoscopic cholecystectomy|gall bladder surgery took place at 8:00 this morning. In my life, I have rarely felt as powerless and weak than...
Siddiqui, M.R., Barry, John A., Lodha, K., Parker, M. and Hasan, Fazal A. (2011) Age and sex differences in complications and convalescence after laparoscopic cholecystectomy. Magyar Sebészet (Hungarian Journal of Surgery), 64 (4). pp. 193-201. ISSN 0025-0295 ...
Agarwal BB, Agarwal N, Agarwal KA, Goyal K, Nanvati JD, Manish K, Pandey H, Sharma S, Ali K & Mustafa ST 2014 Outcomes of laparoscopic cholecystectomy done with surgical energy versus done without surgical energy: a prospective-randomized control study Surgical Endoscopy 28, (11) 3059-3067 , DOI ...
Epistemology is the philosophical study of knowledge: what it is, how we get it, and how sure we can be of it. Science is a major source of new knowledge at the moment - it helps people to find out about things. Its also a major source of power and influence over the world we discover, and over each other.. The history of science and the history of European empire are connected. The language used to talk about science shows this in phrases like "frontiers of knowledge".. The relationship of the West to science is by no means straightforward, of course. One need only think of the politics around teaching of evolution in American schools to see that. But Africa - the whole continent, in all its enormity and variety - has had a particularly difficult relationship with science and has not always benefited from the power it provides. Much of the African continent has also had a difficult relationship with knowledge more generally - the power it yields or accompanies, its sharing or deliberate ...
An expert on Japanese social mores and business practices demonstrates the futility in applying Japanese principles to American business, basing his argument on social, corporate, cultural, and psychological grounds
The study is based on interviews with 20 elderly patients and their relatives in Gothenburg, Sweden, and about an equal number of doctors.. We cannot disregard that the ability of doctors to communicate with elderly patients and their relatives could be improved, and that this shortcoming may explain why this group of patients feel insecure in the meeting with the doctor. They dont feel at home in the health care system and sometimes have problems understanding the doctor, says Sandra Pennbrant, nurse and the author of the thesis.. A good relation between the doctor and the patient leads to reduced apprehension and increased faith in the health care system. This kind of relation requires among other things that the doctor and the patient discuss the situation and that the doctor listens to what the patient has to say before deciding on a treatment plan.. Elderly patients and their relatives tend to have a critical view of the meeting with the doctor. Doctors and patients have the same ...
The last 30 years have seen major developments in the management of gallstone-related disease, which in the United States alone costs over 6 billion dollars ...
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
Looking for online definition of laparoscopic cholecystectomy in the Medical Dictionary? laparoscopic cholecystectomy explanation free. What is laparoscopic cholecystectomy? Meaning of laparoscopic cholecystectomy medical term. What does laparoscopic cholecystectomy mean?
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 ...
Lee, H. K., Han, H.-S., Min, S. K. and Lee, J.-H. (2005), Sex-based analysis of the outcome of laparoscopic cholecystectomy for acute cholecystitis. Br J Surg, 92: 463-466. doi: 10.1002/bjs.4870 ...
Tomasz Rogula MD, PhD, is a Staff Surgeon and Assistant Professor of Surgery at Cleveland Clinics Bariatric & Metabolic Institute and the Department of Surgery. In addition to bariatric surgery, his specialty interests include advanced laparoscopic and robotic surgery, gastrointestinal surgery and hernia repair. He performed the first robotic-assisted gastric bypass for obesity, and initiated single incision laparoscopic cholecystectomy and hernia repair at the Cleveland Clinic. Dr. Rogula has pioneered research on novel weight-loss surgery procedures, and has published articles and book chapters on bariatric and laparoscopic surgery. He is a member of the American Medical Association, Society of American Gastrointestinal Endoscopic Surgeons, American Society for Metabolic and Bariatric Surgery, International Federation for the Surgery of Obesity and Metabolic Disorders, and European Association for Endoscopic Surgery. Dr. Rogula is a co-founder of the International Club of Young Laparoscopic ...
Looking for online definition of Cholecystectomy, laparoscopic in the Medical Dictionary? Cholecystectomy, laparoscopic explanation free. What is Cholecystectomy, laparoscopic? Meaning of Cholecystectomy, laparoscopic medical term. What does Cholecystectomy, laparoscopic mean?
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.
There have been a number of modifications in the technique of LC. The use of the fourth trocar which is generally used for fundic retraction in the American technique seemed unnecessary by some surgeons [4] others used sutures to retract the gall bladder [11, 15]. Trichac in his prospective trial addressed the safety and the advantages of the three port technique in terms of analgesia requirement [11], though he found no improvement in postoperative hospital stay, his work and other published series on this technique were carried out only on elective patients. In fact the procedure was practiced on cases of acute cholecystitis as well but not reported [16]. In this retrospective single centre non randomised review we compared the safety and the advantages of three-port LC in AC and CC in a large comparative study.. When performed on acute and chronic cholecystitis the three-port technique was found to be safe; there were no common bile duct injuries or deaths in either group. Port site bleeding, ...
Hatice Subasi, MD1, Iclal Ozdemir Kol, MD2, Cevdet Duger, MD2,. Kenan Kaygusuz, MD2, Ahmet Cemil Isbir, MD2,. Sinan Gursoy, MD2, Caner Mimaroglu, MD2. 1Department of Anesthesiology, Numune State Hospital, Sivas, Turkey. 2Department of Anesthesiology, School of Medicine, Cumhuriyet University, Sivas, Turkey. Correspondence: Dr. Cevdet Duger, Department of Anesthesiology, Cumhuriyet University, School of Medicine, 58140, Sivas, (Turkey); E-mail: [email protected]; Tel: 00903462580125; Fax: 00903462581305. ABSTRACT. Aim: The aim was to compare the effects of dexmedetomidine and remifentanyl in total intraveous anesthesia (TIVA) in laparoscopic cholecystectomy operations.. Methodology: Forty, 18-60 years old, elective laparoscopic cholecystectomy patients were included in the study. In Group D, TIVA was performed by 150 μg/kg/min propofol and 0.5 µg/kg/h dexmedetomidine infusions. In Group R patients, TIVA was performed with 150 μg/kg/min propofol and 0.5 µg/kg/min remifentanil infusions. ...
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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
Single incision laparoscopic bariatric surgery has developed over the last few years, with single incision laparoscopic adjustable gastric banding (SILS-AGB) being performed most commonly. However, th
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This medical animation shows laparoscopically assisted gallbladder removal surgery, or cholecystectomy. The animation begins by showing the normal anatomy of the liver and gallbladder. Over time, gallstones form within the gallbladder, blocking the cystic duct, and causing the gallbladder to become enlarged and inflamed. The procedure, sometimes called a lap-chole, begins with the insertion of four trocar devices, which allow the physician to see inside the abdomen without making a large incision. Air is added to the abdominal cavity to make it easier to see the gall bladder. Next, we see a view through the laparascope, showing two surgical instruments grasping the gallbladder while a third severs the cystic duct. After the gallbladder is removed, the camera pans around to show that the cystic artery and vein, have already been clipped to prevent bleeding.
Timing of cholecystectomy after endoscopic sphincterotomy for common bile duct stones. Schiphorst, Anandi H. W.; Besselink, Marc G. H.; Boerma, Djamila; Timmer, Robin; Wiezer, Marinus J.; van Erpecum, Karel J.; Broeders, Ivo A. M.; van Ramshorst, Bert // Surgical Endoscopy;Sep2008, Vol. 22 Issue 9, p2046 According to the literature, the conversion rate for laparoscopic cholecystectomy (LC) after endoscopic sphincterotomy (ES) for cholecystodocholithiasis reaches 20%, at least when LC is performed 6 to 8 weeks afterward. It is hypothesized that early planned LC after ES prevents recurrent biliary... ...
Results A total of 95 523 patients were selected. After matching the 3 groups based on propensity scores, patients who underwent surgery during days 2 through 5 and days 6 through 10 had increasingly worse outcomes when compared with those undergoing surgery on days 0 through 1. The odds of mortality were 1.26 (95% CI, 1.00-1.58) and 1.93 (95% CI, 1.38-2.68), and the odds of postoperative infections were 0.88 (95% CI, 0.69-1.12) and 1.53 (95% CI, 1.05-2.23) for days 2 through 5 and days 6 through 10, respectively. Adjusted mean hospital cost increased from $8974 (days 0-1) to $17 745 (days 6-10). Analysis by each incremental day revealed the optimal time of surgery to be within the first 48 hours of presentation. ...
Clinical Case: You are doing Total Intravenous Anesthesia (TIVA) for a laparoscopic cholecystectomy on a healthy 40 year old woman. Midway through the surgery, the patients heart rate suddenly climbs to 160, and the blood pressure climbs to 190/110. What do you do? Discussion: Your own heart rate hits 170. You check the ABCs of…
The gallbladder is a small sac-like digestive organ on the right side of your upper abdomen. This organ stores bile. Bile is used in the digestion of foods, especially fats. Sometimes small stones called gallstones may form. The gallstones can cause a blockage of the ducts that carries bile from the gallbladder to the small intestine. If the duct remains blocked for a period of time, severe damage or infection can occur. When these stones cause symptoms surgery may be needed. Symptoms often include pain beneath the ribs and nausea that lasts several hours after eating a fatty meal. Even with the gallbladder removed, bile is still delivered to the small intestine through the ducts and digestion of food.. ...
Definition of Single incision laparoscopic surgery with photos and pictures, translations, sample usage, and additional links for more information.
Objective To study the effects of complete laparoscopic common bile duct exploration on elderly patients with complicated hepatolithiasis and their inflammatory stress response index and immune function.Methods 64 cases of the elderly patients( over 60 years old) diagnosed with complicated hepatolithiasis in our hospital were selected and randomly divided into two groups. 32 cases of patients treated with complete laparoscopic common bile duct exploration was enrolled in the laparoscopic group,and the other 32 cases treated with traditional open surgery were classified as the open group. The curative effects of the two groups were compared. Results The operation time,intra-operative blood loss,postoperative anal exhaust time,hospital stays and medical costs in the laparoscopic group were shorter or less than those in the open group( P 0. 05). The levels of total bilirubin,direct bilirubin and indirect bilirubin of two groups one month after the operation were significantly decreased( P 0. 05),and the
Cystic artery is usually a branch of right hepatic artery given in the Calot s triangle. Variations in the origin of cystic artery have been reported but there is paucity of literature regarding these in Indian subjects. The present case describes the origin of cystic artery from the hepatic artery proper, with an unusual course, which was detected during routine cadaveric dissection. The development of biliary vasculature is quite complex and it accounts for many variations. Knowledge of cystic artery variability facilitates intraoperative identification of vessels in both classical and laparoscopic surgery of the bile ducts. This emphasises the importance of a thorough knowledge of the cystic arterial variations that often occur and may be encountered during both laparoscopic and open cholecystectomy. Uncontrolled bleeding from the cystic artery and its branches is a serious problem that may increase the risk of intraoperative lesions to vital vascular and biliary structures during ...
Cystic Artery Cystic artery cystic artery stepwards download. Cystic artery amicus illustration of amicusinjuryhepaticductsinjuriesliver ideas. Cystic artery anatomy atlases illustrated encyclopedia of human anatomic download. Cystic Artery Cystic artery cystic artery wikipedia. Cystic artery hepatobiliarytreelg ideas. Cystic artery vesalius clinical folios cystic artery free. Cystic Artery ...
BILIARY TRACT. Laparoscopic cholecystectomy. Open cholecystectomy. CBD exploration. Choledochoduodenostomy. Hepatico jejunostomy for biliary stricture. Choledochal cyst excision Extended cholecystectomy for carcinoma gallbladder. Liver resections for Cholangiocarcinoma. PANCREAS. Pancreatic necrosectomy for acute pancreatitis. Freys procedure for chronic pancreatitis. Lateral pancreaticojejunostomy for chronic pancreatitis. Cystogastrostomy. Cystojejunostomy. Whipples procedure for pancreatic cancer. Central pancreatectomy. Distal pancreatectomy. Surgery for pancreatic trauma. SPLEEN. Laparoscopic splenectomy. Open splenectomy. Surgery for splenic trauma. LIVER. Surgery for hydatid cyst. Deroofing of liver cyst. Hepatectomy for liver tumors. Debridement of liver abscess. Surgery for liver trauma. PORTAL HYPERTENSION. Proximal splenorenal shunt. Distal splenorenal shunt. Side to side splenorenal shunt. Mesocaval shunt. Devascularisation. Splenectomy. ESOPHAGUS. Emergency management of corrosive ...
United States Surgical Professor of Surgery at the Columbia University Medical Center (212) 305-4000 Dr. Marc Bessler is the United States Surgical Professor of Surgery at Columbia University Medical Center. A fellow of the American College of Surgeons, Dr. Besslers clinical specialties include laparoscopic and single incision bariatric surgery. He earned his medical degree from New York University School of Medicine, and completed his residency in general surgery and his fellowship in surgical endoscopy at NewYork-Presbyterian Hospital in New York City. Laparoscopic Anti-reflux Surgery, Stomach Cancer, General Surgery, Esophageal Cancer, Cancer Care, Bariatric Surgery, Gallbladder Surgery, Heartburn, Laparoscopic Cholecystectomy, Metabolic Surgery, Esophageal Surgery, Obesity Surgery, Stomach Surgery, Laparoscopic Fundoplication, Hiatal Hernia, Laparoscopic Sleeve Gastrectomy, Laparoscopic Revisional Bariatric Surgery, Endoscopic Gastric Balloon Placement, GERD Surgery, Splenectomy, Laparoscopic
Jaundice, occult blood and acute cholecystitis: hemobilia as the initial presentation of acute cholecystitis complicated by a pseudoaneurysm. . Download books free in pdf. Online library with books, university works and thousands of documents available to read online and download.
Patients in the treatment of chronic cholecystitis, immediate surgery is not necessarily have to, or departure from the patients condition or choose to use drugs to treat gallbladder cholecystitis clear effect of magnetic paste is very good treatment from the market got a lot of since cholecystitis recognition praise, biliary clearance magnetic paste is pure Chinese medicine, no side effects, a prominent effect on the cholecystitis, the gallbladder was removed do not have to worry about, cholecystitis, and bile stasis and bacterial infection is closely related to gallstones often trigger cholecystitis, cholecystitis can be induced by gallstones. Litholytic attached magnetic biliary clearance - row of stone at the same time, expansion of bile duct, and promote excretion of bile, anti-inflammatory analgesic effect of cholecystitis significant ...

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 ... ischaemia following laparoscopic cholecystectomy and discusses the various possibilities that led to this event. ... injuries and lateral thermal injuries are all well described entities following laparoscopic cholecystectomy. ...
more infohttp://casereports.bmj.com/content/2009/bcr.08.2008.0705.abstract

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/

Percutaneous cholecystostomy | Radiology Reference Article | Radiopaedia.orgPercutaneous cholecystostomy | Radiology Reference Article | Radiopaedia.org

Palliative percutaneous transhepatic gallbladder drainage of gallbladder empyema before laparoscopic cholecystectomy. ... Cholecystectomy or not after percutaneous cholecystostomy for acute calculous cholecystitis in high-risk patients. ... Taking into account age and comorbidities, cholecystectomy after resolution of cholecystitis is normally performed in order to ...
more infohttps://radiopaedia.org/articles/percutaneous-cholecystostomy

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 ... Laparoscopic surgery in situs inversus: a literature review and a report of laparoscopic sigmoidectomy for diverticulitis in ...
more infohttp://tgh.amegroups.com/article/view/3720/4476

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

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

Watters C.R. (1996) Basic Techniques of Laparoscopic Cholecystectomy. In: Atlas of Laparoscopic Surgery. Current Medicine Group ... 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 ...
more infohttps://link.springer.com/chapter/10.1007/978-1-4757-9316-1_6

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 ... Y75.2 Laparoscopic approach to abdominal cavity NEC. If both a laparoscopic cholecystectomy and an operative cholangiography ... Single port incision surgery for laparoscopic cholecystectomy is coded in the same way as multiple port incision laparoscopic ... Single‑incision laparoscopic cholecystectomy. Interventional procedures guidance [IPG508]. Published date: December 2014. ...
more infohttps://www.nice.org.uk/guidance/ipg508

NOTES-Assisted Laparoscopic Cholecystectomy Surgery - Tabular View - ClinicalTrials.govNOTES-Assisted Laparoscopic Cholecystectomy Surgery - Tabular View - ClinicalTrials.gov

Assisted Laparoscopic Cholecystectomy Surgery. Brief Summary This study proposes to evaluate the ability to reduce the size and ... NOTES-Assisted Laparoscopic Cholecystectomy Surgery. Official Title ICMJE ... A typical laparoscopic gall bladder removal procedure requires placement of a rigid laparoscope through a 1.5-2.5 cm incision ... A less invasive surgical technique that reduces the size or number of laparoscopic incisions offers the potential clinical ...
more infohttps://clinicaltrials.gov/ct2/show/record/NCT00486655

Laparoscopic cholecystectomy at Ipswich HospitalLaparoscopic cholecystectomy at Ipswich Hospital

... Laparoscopic (keyhole) cholecystectomy is a surgical procedure used to remove ... Going home after laparoscopic cholecystectomy. Most people recover quickly from laparoscopic cholecystectomy. You may be able ... What happens during laparoscopic cholecystectomy?. A laparoscopic cholecystectomy is usually performed under general ... What are the complications of laparoscopic cholecystectomy?. As with any surgery there can be complications. ...
more infohttps://www.nuffieldhealth.com/hospitals/ipswich/treatments/laparoscopic-cholecystectomy

Laparoscopic cholecystectomy at Bournemouth HospitalLaparoscopic cholecystectomy at Bournemouth Hospital

... Laparoscopic (keyhole) cholecystectomy is a surgical procedure used to ... Going home after laparoscopic cholecystectomy. Most people recover quickly from laparoscopic cholecystectomy. You may be able ... What happens during laparoscopic cholecystectomy?. A laparoscopic cholecystectomy is usually performed under general ... What are the complications of laparoscopic cholecystectomy?. As with any surgery there can be complications. ...
more infohttps://www.nuffieldhealth.com/hospitals/bournemouth/treatments/laparoscopic-cholecystectomy

Effectiveness of Bupivacaine After Laparoscopic Cholecystectomy - Tabular View - ClinicalTrials.govEffectiveness of Bupivacaine After Laparoscopic Cholecystectomy - Tabular View - ClinicalTrials.gov

Effectiveness of Bupivacaine After Laparoscopic Cholecystectomy. The safety and scientific validity of this study is the ... Effectiveness of Bupivacaine After Laparoscopic Cholecystectomy. Official Title ICMJE Effectiveness for Postoperative Pain ... Feroci F, Kröning KC, Scatizzi M. Effectiveness for pain after laparoscopic cholecystectomy of 0.5% bupivacaine-soaked Tabotamp ... bupivacaine-soaked Surgicel in the gallbladder bed is effective for pain after laparoscopic cholecystectomy. Surg Endosc. 2006 ...
more infohttps://clinicaltrials.gov/ct2/show/record/NCT00599144

Day Case Laparoscopic Cholecystectomy by Ian Smith, Doug McWhinnie | WaterstonesDay Case Laparoscopic Cholecystectomy by Ian Smith, Doug McWhinnie | Waterstones

Buy Day Case Laparoscopic Cholecystectomy by Ian Smith, Doug McWhinnie from Waterstones today! Click and Collect from your ... Day Case Laparoscopic Cholecystectomy (Paperback). Ian Smith (author), Doug McWhinnie (author), Mark Skues (author) Sign in to ...
more infohttps://www.waterstones.com/book/day-case-laparoscopic-cholecystectomy/ian-smith/doug-mcwhinnie/9781908427038

Laparoscopic Cholecystectomy in Geriatric Patients - SAGES Abstract ArchivesLaparoscopic Cholecystectomy in Geriatric Patients - SAGES Abstract Archives

Very old patients for whom cholecystectomy has been planned, LC could be performed safely. Laparoscopic cholecystectomy should ... Laparoscopic Cholecystectomy in Geriatric Patients. Burhan Mayir, Yeliz Akp?nar Mayir, Cemal Ozben Ensari, Umut R?za Gunduz, ... Laparoscopic interventions on the elderly patients can be additional causes of morbidity and mortality The purpose of this ... study was to assess the safety of laparoscopic cholecystectomy (LC) in the aged and the very aged patients ...
more infohttps://www.sages.org/meetings/annual-meeting/abstracts-archive/laparoscopic-cholecystectomy-in-geriatric-patients/

Laparoscopic Cholecystectomy In Children (Inpatient Care) - What You Need to KnowLaparoscopic Cholecystectomy In Children (Inpatient Care) - What You Need to Know

Care guide for Laparoscopic Cholecystectomy In Children (Inpatient Care). Includes: possible causes, signs and symptoms, ... Laparoscopic cholecystectomy is surgery to remove your childs gallbladder.. WHILE YOU ARE HERE:. Before your childs surgery: ...
more infohttps://www.drugs.com/cg/laparoscopic-cholecystectomy-in-children-inpatient-care.html

Inflammation in LESS Versus Laparoscopic Cholecystectomy - SAGES Abstract ArchivesInflammation in LESS Versus Laparoscopic Cholecystectomy - SAGES Abstract Archives

Inflammation in LESS Versus Laparoscopic Cholecystectomy. Fernando A V Madureira, SAGES, TCBC, MsC, Phd, Jose Eduardo Ferreira ... The present study aimed to compare the inflammatory impact of classic video laparoscopic cholecystectomy (LC) versus LESS ... Conclusions: LESS Cholecystectomy requires a larger size incision than LC. We found a tendency of less postoperative pain ... There was also a tendency towards lower early inflammatory impact following LESS cholecystectomy versus LC. ...
more infohttps://www.sages.org/meetings/annual-meeting/abstracts-archive/inflammation-in-less-versus-laparoscopic-cholecystectomy/

Higher incidence of bile duct injury during laparoscopic cholecystectomyHigher incidence of bile duct injury during laparoscopic cholecystectomy

... and the incidence of BDI has become more frequent with Laparoscopic cholecystectomy. ... Laparoscopic cholecystectomy (LC) has rapidly substituted traditional cholecystectomy, and represents the gold standard for ... Higher incidence of bile duct injury during laparoscopic cholecystectomy by Medindia Content Team on October 18, 2005 at 2:31 ... Bile duct injury (BDI) remains the most serious complication of cholecystectomy. According to a recent survey, published in the ...
more infohttps://www.medindia.net/news/view_news_main.asp?x=5330

Single incision laparoscopic cholecystectomy (SILS) for a patient with situs inversus totalis.  - PubMed - NCBISingle incision laparoscopic cholecystectomy (SILS) for a patient with situs inversus totalis. - PubMed - NCBI

Single incision laparoscopic cholecystectomy (SILS) for a patient with situs inversus totalis.. Ozsoy M1, Haskaraca MF, ... Single incision laparoscopic cholecystectomy (SILS) for a patient with situs inversus totalis ... Single incision laparoscopic cholecystectomy (SILS) for a patient with situs inversus totalis ... Single incision laparoscopic cholecystectomy (SILS) for a patient with situs inversus totalis ...
more infohttps://www.ncbi.nlm.nih.gov/pubmed/22679325

Perioperative music may reduce pain and fatigue in patients undergoing laparoscopic cholecystectomy.  - PubMed - NCBIPerioperative music may reduce pain and fatigue in patients undergoing laparoscopic cholecystectomy. - PubMed - NCBI

Perioperative music may reduce pain and fatigue in patients undergoing laparoscopic cholecystectomy.. Graversen M1, Sommer T. ... Soft music did not reduce pain 3 h after laparoscopic cholecystectomy. Soft music may reduce later post-operative pain and ... Acute post-operative pain is a predictor in the development of chronic pain after laparoscopic cholecystectomy. Music has been ... fatigue and surgical stress in patients undergoing laparoscopic cholecystectomy as day surgery. ...
more infohttps://www.ncbi.nlm.nih.gov/pubmed/23496006

The LMA-ProSeal™ is an effective alternative to tracheal intubation for laparoscopic cholecystectomy | SpringerLinkThe LMA-ProSeal™ is an effective alternative to tracheal intubation for laparoscopic cholecystectomy | SpringerLink

... with respect to pulmonary ventilation and gastric distension during laparoscopic cholecystectomy. ... Laparoscopic Cholecystectomy Tracheal Intubation Gastric Tube Rocuronium Laryngeal Mask Airway These keywords were added by ... Further studies are required to determine the acceptability of the LMA-PS for laparoscopic cholecystectomy in obese patients. ... Maltby JR, Beriault MT, Watson NC, Fick GH Gastric distension and ventilation during laparoscopic cholecystectomy: LMA-Classic ...
more infohttps://link.springer.com/article/10.1007%2FBF03017420

Bile Duct Injuries in Connection With 2500 Laparoscopic CholecystectomiesBile Duct Injuries in Connection With 2500 Laparoscopic Cholecystectomies

Background: Laparoscopic cholecystectomy (LC) is taking the place of an effective and tested procedure in surgery, therefore it ... Bile Duct Injuries in Connection With 2500 Laparoscopic Cholecystectomies. P. Schmidt, P. Ezer, and A. Antal ...
more infohttps://www.hindawi.com/journals/dte/1997/985849/abs/

Laparoscopic Cholecystectomy (Gallbladder Removal) Procedure Details | Cleveland ClinicLaparoscopic Cholecystectomy (Gallbladder Removal) Procedure Details | Cleveland Clinic

Cholecystectomy Accessed 7/8/2016.. *Society of American Gastroenterologists and Endoscopic Surgeons. Laparoscopic Gallbladder ... What happens during an open cholecystectomy?. A general anesthetic is given to relax your muscles, prevent pain, and help you ... Laparoscopic Cholecystectomy Gallbladder Removal. Laparoscopic Surgery for Digestive Diseases. Laparoscopic Surgery for Hernia ...
more infohttps://my.clevelandclinic.org/health/treatments/7017-laparoscopic-cholecystectomy-gallbladder-removal/procedure-details

Single-Port Laparoscopic Cholecystectomy Using the Innovative E. K. Glove Port: Our ExperienceSingle-Port Laparoscopic Cholecystectomy Using the Innovative E. K. Glove Port: Our Experience

... Elbert Khiangte,1 Iheule Newme, ... Elbert Khiangte, Iheule Newme, Karabi Patowary, and Hitesh Kalita, "Single-Port Laparoscopic Cholecystectomy Using the ...
more infohttps://www.hindawi.com/journals/isrn/2012/697946/cta/

Cholecystectomy -- Laparoscopic Surgery | Medical City DallasCholecystectomy -- Laparoscopic Surgery | Medical City Dallas

Laparoscopic Surgery at Medical City Dallas DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your ... Laparoscopic gallbladder removal (cholecystectomy) from SAGES. Society of American Gastrointestinal and Endoscopic Surgeons ... www.sages.org/publications/patient-information/patient-information-for-laparoscopic-gallbladder-removal-cholecystectomy-from- ... Cholecystectomy is the surgical removal of the gallbladder. This procedure is most often done laparoscopically. This is done ...
more infohttps://medicalcityhospital.com/hl/?/561956/Lap-chole&com.dotmarketing.htmlpage.language=1

Complications of laparoscopic cholecystectomy: an analysis of 200 cases.Complications of laparoscopic cholecystectomy: an analysis of 200 cases.

Complications of the initial 200 cases of laparoscopic cholecystectomy (LC) at the Cathay General Hospital within a period of ... Cholecystectomy, Laparoscopic / adverse effects*. Common Bile Duct / injuries*. Female. Gallbladder / injuries. Gallstones / ... 1533508 - Laparoscopic cholecystectomy. a clinical and financial analysis of 280 operations.. 8939828 - Eaes ductal stone study ... Complications of the initial 200 cases of laparoscopic cholecystectomy (LC) at the Cathay General Hospital within a period of ...
more infohttp://www.biomedsearch.com/nih/Complications-laparoscopic-cholecystectomy-analysis-200/1362118.html

Cholecystectomy-Laparoscopic Surgery - Lahey HealthCholecystectomy-Laparoscopic Surgery - Lahey Health

Cholecystectomy is the removal of the gallbladder. Laparoscopic is one method for this surgery. Special tools are passed ... Laparoscopic gallbladder removal (cholecystectomy) from SAGES. Society of American Gastrointestinal and Endoscopic Surgeons ... www.sages.org/publications/patient-information/patient-information-for-laparoscopic-gallbladder-removal-cholecystectomy-from- ... www.lahey.org/health-library/cholecystectomy-laparoscopic-surgery/. *https://www.lahey.org/health-library/cholecystectomy- ...
more infohttps://www.lahey.org/health-library/cholecystectomy-laparoscopic-surgery/
  • During the 1970s Semm pioneered numerous gynecologic laparoscopic operations so that the end of the decade he had performed myomectomies, ovariectomies, ovarian cysts resections, removals of tubal pregnancy, and others. (wikipedia.org)