Excision of the gallbladder through an abdominal incision using a laparoscope.
Surgical removal of the GALLBLADDER.
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.
Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS).
Diseases of the GALLBLADDER. They generally involve the impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, neoplasms, or other diseases.
Inflammation of the GALLBLADDER; generally caused by impairment of BILE flow, GALLSTONES in the BILIARY TRACT, infections, or other diseases.
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.
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.
Presence or formation of GALLSTONES in the GALLBLADDER.
ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.
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.
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.
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.
Deliberate introduction of air into the peritoneal cavity.
The duct that is connected to the GALLBLADDER and allows the emptying of bile into the COMMON BILE DUCT.
The pit in the center of the ABDOMINAL WALL marking the point where the UMBILICAL CORD entered in the FETUS.
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.
The largest bile duct. It is formed by the junction of the CYSTIC DUCT and the COMMON HEPATIC DUCT.
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.
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.
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.
The period of confinement of a patient to a hospital or other health facility.
Surgical removal of the vermiform appendix. (Dorland, 28th ed)
Tumors or cancer of the gallbladder.
Incision into the side of the abdomen between the ribs and pelvis.
Presence or formation of GALLSTONES in the COMMON BILE DUCT.
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.
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.
The duration of a surgical procedure in hours and minutes.
Radiography of the gallbladder after ingestion of a contrast medium.
Changing an operative procedure from an endoscopic surgical procedure to an open approach during the INTRAOPERATIVE PERIOD.
Hand-held tools or implements used by health professionals for the performance of surgical tasks.
Pain during the period after surgery.
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)
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.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
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.
Diseases in any part of the ductal system of the BILIARY TRACT from the smallest BILE CANALICULI to the largest COMMON BILE DUCT.
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.
Diseases in any part of the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
Surgery performed on the female genitalia.
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.
Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)
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.
Excision of kidney.
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.
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.
Excision of the uterus.
The course of learning of an individual or a group. It is a measure of performance plotted over time.
The period during a surgical operation.
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.
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.
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.
Loss of blood during a surgical procedure.
Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).
A congenital abnormality in which organs in the THORAX and the ABDOMEN are opposite to their normal positions (situs solitus) due to lateral transposition. Normally the STOMACH and SPLEEN are on the left, LIVER on the right, the three-lobed right lung is on the right, and the two-lobed left lung on the left. Situs inversus has a familial pattern and has been associated with a number of genes related to microtubule-associated proteins.
Surgical procedures 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.
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.
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.
Acute inflammation of the APPENDIX. Acute appendicitis is classified as simple, gangrenous, or perforated.
Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.
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.
Hemorrhage in or through the BILIARY TRACT due to trauma, inflammation, CHOLELITHIASIS, vascular disease, or neoplasms.
Diseases of the COMMON BILE DUCT including the AMPULLA OF VATER and the SPHINCTER OF ODDI.
A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
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.
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.
Surgical procedures undertaken to repair abnormal openings through which tissue or parts of organs can protrude or are already protruding.
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.
Placement of one of the surgeon's gloved hands into the ABDOMINAL CAVITY to perform manual manipulations that facilitate the laparoscopic procedures.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
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.
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.
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).
Elements of limited time intervals, contributing to particular results or situations.
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.
Surgery performed on the digestive system or its parts.
Unanticipated information discovered in the course of testing or medical care. Used in discussions of information that may have social or psychological consequences, such as when it is learned that a child's biological father is someone other than the putative father, or that a person tested for one disease or disorder has, or is at risk for, something else.
Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation.
A Y-shaped surgical anastomosis of any part of the digestive system which includes the small intestine as the eventual drainage site.
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.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
An abscess located in the abdominal cavity, i.e., the cavity between the diaphragm above and the pelvis below. (From Dorland, 27th ed)
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)
Surgical procedure involving either partial or entire removal of the spleen.
The separation and isolation of tissues for surgical purposes, or for the analysis or study of their structures.
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.
Emesis and queasiness occurring after anesthesia.
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.
The sphincter of the hepatopancreatic ampulla within the duodenal papilla. The COMMON BILE DUCT and main pancreatic duct pass through this sphincter.
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.
The period following a surgical operation.
Removal of the uterus through the vagina.
Inflammation of the biliary ductal system (BILE DUCTS); intrahepatic, extrahepatic, or both.
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)
A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.
STOMACH herniation located at or near the diaphragmatic opening for the ESOPHAGUS, the esophageal hiatus.
Methods of creating machines and devices.
Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed)
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.
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.
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.
Accumulation of purulent EXUDATES beneath the DIAPHRAGM, also known as upper abdominal abscess. It is usually associated with PERITONITIS or postoperative infections.
Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).
Pathological processes consisting of the union of the opposing surfaces of a wound.
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.
Any surgical procedure performed on the biliary tract.
The capability to perform acceptably those duties directly related to patient care.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
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.
Inflammation of the GALLBLADDER wall in the absence of GALLSTONES.
An abnormal twisting or rotation of a bodily part or member on its axis.
Passages external to the liver for the conveyance of bile. These include the COMMON BILE DUCT and the common hepatic duct (HEPATIC DUCT, COMMON).
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.
One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER.
Disease having a short and relatively severe course.
Migration of a foreign body from its original location to some other location in the body.
The act of blowing a powder, vapor, or gas into any body cavity for experimental, diagnostic, or therapeutic purposes.
Infection occurring at the site of a surgical incision.
The flattened, funnel-shaped expansion connecting the URETER to the KIDNEY CALICES.
That portion of the body that lies between the THORAX and the PELVIS.
A nontoxic radiopharmaceutical that is used in RADIONUCLIDE IMAGING for the clinical evaluation of hepatobiliary disorders in humans.
Excision of one or both adrenal glands. (From Dorland, 28th ed)
General term for CYSTS and cystic diseases of the OVARY.
Drugs used to prevent NAUSEA or VOMITING.
A surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the COLON; RECTUM; and ANAL CANAL.
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.
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).
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
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).
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.
Pathological processes involving the URETERS.
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.
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.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
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.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.
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.
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.
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.
Excision of all or part of the liver. (Dorland, 28th ed)
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.
The return of a sign, symptom, or disease after a remission.
Apparatus, devices, or supplies intended for one-time or temporary use.
Tumors or cancer of the ADRENAL GLANDS.
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).
A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.
Sensation of discomfort, distress, or agony in the abdominal region.
Pathological processes involving any part of the UTERUS.
Subsequent admissions of a patient to a hospital or other health care institution for treatment.
Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).
Inflammation of a DIVERTICULUM or diverticula.
Pathological conditions in the DUODENUM region of the small intestine (INTESTINE, SMALL).
Impairment of bile flow in the large BILE DUCTS by mechanical obstruction or stricture due to benign or malignant processes.
Retrograde flow of duodenal contents (BILE ACIDS; PANCREATIC JUICE) into the STOMACH.
A double-layered fold of peritoneum that attaches the STOMACH to other organs in the ABDOMINAL CAVITY.
Cystic mass containing lymph from diseased lymphatic channels or following surgical trauma or other injury.
The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).
Any impairment, arrest, or reversal of the normal flow of INTESTINAL CONTENTS toward the ANAL CANAL.
A type of shock that occurs as a result of a surgical procedure.
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.
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.
Any fluid-filled closed cavity or sac that is lined by an EPITHELIUM. Cysts can be of normal, abnormal, non-neoplastic, or neoplastic tissues.
A radiopharmaceutical used extensively in cholescintigraphy for the evaluation of hepatobiliary diseases. (From Int Jrnl Rad Appl Inst 1992;43(9):1061-4)
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.
The interval of time between onset of symptoms and receiving therapy.
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.
Tumors or cancer of the RECTUM.
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.
Moving a patient into a specific position or POSTURE to facilitate examination, surgery, or for therapeutic purposes.
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.
Pathological developments in the RECTUM region of the large intestine (INTESTINE, LARGE).
A mass of histologically normal tissue present in an abnormal location.
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.
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.
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.
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.
Tumors or cancer of the UTERUS.
Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)
The procedure of removing TISSUES, organs, or specimens from DONORS for reuse, such as TRANSPLANTATION.
Twisting of the STOMACH that may result in gastric ISCHEMIA and GASTRIC OUTLET OBSTRUCTION. It is often associated with DIAPHRAGMATIC HERNIA.
Death and putrefaction of tissue usually due to a loss of blood supply.
Penetration of a PEPTIC ULCER through the wall of DUODENUM or STOMACH allowing the leakage of luminal contents into the PERITONEAL CAVITY.
Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.
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)
Surgical excision of one or more lymph nodes. Its most common use is in cancer surgery. (From Dorland, 28th ed, p966)
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.
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.
Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.
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).
Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.
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).
Muscles forming the ABDOMINAL WALL including RECTUS ABDOMINIS, external and internal oblique muscles, transversus abdominis, and quadratus abdominis. (from Stedman, 25th ed)
Surgical removal of the pancreas. (Dorland, 28th ed)
Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.
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.
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.
Non-cadaveric providers of organs for transplant to related or non-related recipients.

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)

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. ...
Nihat Yavuz, MD1, Serkan Teksoz, MD2, Engin Hatipoglu, MD2, Sabri Erguney, MD2, Tuna Yildirim, MD1, Sirri Ozkan, MD1. 1Acibadem Kadikoy Hospital,General Surgery Department, 2Istanbul University,Cerrahpasa Medical School,General Surgery Department. Introduction: Thanks to technological advances, laparoscopic surgery continues to evolve . One recent advance in this field is laparoscopy performed through a single incision. In this study we present our experiences concerning cholecystectomy through a single incision. Materials and Methods: Between November 2009 and September 2015 we performed single incision laparoscopic cholecystectomy in 505 patients.335 of the patients were female, 170 were male.The mean age was 44 years (range:7-79 years). 44 patients presented with acute cholecystitis,others with cholelithiasis. In 12 cases an ERCP had been performed preoperatively. The procedures were realized using a SILS portTM (COVIDIEN®) , flexible and articulated instruments (COVIDIEN®) and 5 mm ...
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 ...
Background: Laparoscopic Cholecystectomy (LC) has become the gold standard for treatment of benign Gall Bladder disease. Laparoscopy provides many benefits over conventional open procedures including faster recovery time, shorter hospital stay, less pain, and in some cases, fewer complications. Post Operative pain management has an important role in preventing the postoperative morbidity and its consequences. This study is designed to evaluate the effect of intraperitoneal instillation of bupivacaine with hydrocortisone in comparison to bupivacaine alone for pain relief following laparoscopic Cholecystectomy. Aim and Objectives: To compare the effect of intraperitoneal instillation of bupivacaine with Hydrocortisone versus Bupivacaine alone for post-operative analgesia in laparoscopic Cholecystectomy. Methods: This study includes Laparoscopic Cholecystectomy conducted in the department of General Surgery at the Sir Sayajirao General Hospital & Medical College Baroda during a period of 12 months ...
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
Background: The morbidity associated with cholecystectomy is attributable to injury to the abdominal wall in the process of gaining access to the gallbladder (i.e., the incision in the abdominal wall and its closure) or to inadvertent injury to surrounding structures during dissection of the gallbladder. Efforts to diminish the morbidity of open cholecystectomy have led to the development of laparoscopic cholecystectomy, made possible by modern optics and video technology.. Objective: To study the complications that occur at port site insertion and to minimize complications that occur after laparoscopic cholecystectomy.. Methods: Between May 2017 and June 2018, 200 patients with symptomatic gall stone disease were admitted to Al-Mosul general hospital and Mosul private hospitals. They were subjected to laparoscopic cholecystectomies. Using antibiotics preoperatively, povidine iodine 10% and left it to dry and fascial repair under vision decrease the complications.. Results: Intra-operative and ...
Aim: This study aims to determine the advantages and the disadvantages of single-incision laparoscopic surgery (SILS) and standard laparoscopic cholecystectomy by comparing the cases of these two techniques. Material and Method: Between September 2010 and June 2013, the datas of 80 patients with laparoscopic cholecystectomy were studied retrospectively. Operations were seperated into 2 groups that were SILS and standard laparoscopic surgery. Each group consisted of 40 randomly chosen patients. The age, sex, weight, height, body mass index, American Society of Anesthesiologists score (ASA), duration of operation, postoperative duration of hospital stay, need for surgical drain, infection injury, and postoperative need for analgesic of the patients were recorded. SPSS 21 was used analyzing these datas. Results: Operation period was signaficiantly short in SLK technic (p=0,001). Duration of staying hospital was statisticaly short in SLK technic (p=0,001). There was no complication except for wound ...
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TY - JOUR. T1 - Learning curve of single port laparoscopic cholecystectomy determined using the non-linear ordinary least squares method based on a non-linear regression model. T2 - An analysis of 150 consecutive patients. AU - Han, Hyung Joon. AU - Choi, Sae Byeol. AU - Park, Man Sik. AU - Lee, Jin Suk. AU - Kim, Wan Bae. AU - Song, Tae Jin. AU - Choi, Sang Yong. PY - 2011/7. Y1 - 2011/7. N2 - Introduction Single port laparoscopic surgery has come to the forefront of minimally invasive surgery. For those familiar with conventional techniques, however, this type of operation demands a different type of eye/hand coordination and involves unfamiliar working instruments. Herein, the authors describe the learning curve and the clinical outcomes of single port laparoscopic cholecystectomy for 150 consecutive patients with benign gallbladder disease. Method All patients underwent single port laparoscopic cholecystectomy using a homemade glove port by one of five operators with different levels of ...
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
TY - JOUR. T1 - Continuous transesophageal echo-Doppler assessment of hemodynamic function during laparoscopic cholecystectomy. AU - Joshi, Girish P.. AU - Hein, H. A Tillmann. AU - Mascarenhas, Winston L.. AU - Ramsay, Michael A E. AU - Bayer, Ole. AU - Klotz, Patricia. PY - 2005/3. Y1 - 2005/3. N2 - Study Objective: The objective of this study was to examine the utility of the transesophageal echo-Doppler device in evaluating hemodynamic changes during laparoscopic cholecystectomy. Design: This was a prospective, controlled, observational open study. Setting: The study took place in a university hospital. Patients: Twenty patients with ASA physical statuses II and III undergoing laparoscopic cholecystectomy were enrolled into the study. Interventions and Measurements: A standardized general anesthetic and surgical technique was used for all patients. Similar depth of hypnosis (using bispectral index monitoring) was maintained in all patients. Hemodynamic parameters including mean arterial ...
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You have had a procedure known as a laparoscopic cholecystectomy. A laparoscopic cholecystectomy is a procedure to remove your gallbladder. People who have this procedure usually recover more quickly and have less pain than with open gallbladder surgery (called open cholecystectomy). Many surgeons recommend a low-fat diet, avoiding fried food in particular, for the first month after surgery. You can live a full and healthy life without your gallbladder. This includes eating the foods and doing the things you enjoyed before your gallbladder problems started. ...
This meta-analysis reviewing 44 publications dealing with over 1.5 million patients undergoing LC identified that, on average one in thirty patients are readmitted within 30 days. This reflects the findings of Tang et al. [75], in their meta-analysis comparing day case and inpatient LC, which reported a mean post discharge readmission rate of 2.4%, and an in-patient admission rate of 13.1%. Readmission rates were not found to be statistically significantly different between large studies and small studies (Figures 3 and 4), nor whether the surgery was undertaken in Europe [31, 50] or North America [8, 33]. Readmission has become a quality indicator in the delivery of medical care [70, 75]. This relates to both the inconvenience to patients, the cost, resource utilisation and the associated morbidity and potential mortality. Cholecystectomy itself is one of the commonest procedures undertaken with over one million cholecystectomys performed in the US annually [1, 2]. A readmission rate of 3% ...
TY - JOUR. T1 - Subclinical hepatic dysfunction in laparoscopic cholecystectomy and laparoscopic colectomy. AU - Kotake, Y.. AU - Takeda, J.. AU - Matsumoto, M.. AU - Tagawa, M.. AU - Kikuchi, H.. PY - 2001/1/1. Y1 - 2001/1/1. N2 - Laparoscopic surgery causes a reduction in hepatic blood flow due to a number of factors, including raised intra-abdominal pressure, the neurohumoral response to surgical stress and the effect of patient position. The clinical significance of the phenomenon is not fully understood. Plasma concentrations of alcohol dehydrogenase (AD) and glutathione S-transferase (GST), which are concentrated in the centrilobular acinus of the liver, sensitively reflect hepatic hypoperfusion, and can be used to monitor reductions in hepatic blood flow. We compared perioperative AD, GST, aspartate aminotransferase (AST, normal range 14-32 IU litre-1) and alanine aminotransferase (ALT, normal range 8-41 U litre-1) concentrations in patients undergoing laparoscopic cholecystectomy or ...
Background: Laparoscopic surgery has various advantages like minimal invasiveness and quick recovery. However carbon dioxide used for pneumoperitoneum during laparoscopic surgery causes increase in heart rate, blood pressure and systemic vascular resistance. The present study compared the efficacy of Dexmedetomidine and Esmolol on hemodynamic responses during laparoscopic cholecystectomy.. Material and Methods: A total of 100 patients scheduled for laparoscopic cholecystectomy were randomly allocated in two groups, 50 in each group. Esmolol group received bolus dose of 1 mg/kg intravenous Esmolol just before pneumoperitoneum followed by an infusion of 200 mcg/kg/minand Dexmeditomidine group received bolus dose of 1 mcg/kg iv Dexmedetomidine over 10 minutes before pneumoperitoneum followed by 0.6 mcg/kg/hr in infusion. Hemodynamic parameters like Heart rate, Mean arterial pressure, Systolic blood pressure, Diastolic blood pressure were recorded at different time intervals.. Results: It was found ...
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 ...
Laparoscopic Cholecystectomy is Gold standerd for gallstone disease and for a decade it started slowly replacing the open cholecystectomy. 97 percent of the cholecystectomy now in Europe and ...
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
Introduction. The aim of this study was to compare the results of classic laparoscopic, three-port and SILS cholecystectomy. Materials and methods. We conducted a retrospective study of data collected between January 2010 and December 2012 pertaining to 159 selected patients with symptomatic gallstones. 57 underwent laparoscopic cholecystectomy, 51 three-port cholecystectomy and 48 SILS cholecystectomy. We then compared the groups with respect to mean operating time, intraoperative complications, postoperative pain, duration of hospitalization and final aesthetic result. Results. The mean operating time was significantly higher in the SILS cholecystectomy group (93 minutes) than in the other two groups. There were no intraoperative complications. There were no significant differences in the duration of hospitalization among the three groups. Patients in the SILS cholecystectomy group reported significantly less pain 3, 6 and 12 hours after surgery. The aesthetic results at 1 and 6 months ...
Laparoscopic cholecystectomy has been recognized since 1992 as the gold standard procedure for gallbladder surgery. The authors propose a …
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 ...
Atıf İçin Kopyala ALİMOĞLU O. , Ozkan O. , Sahin M., Akcakaya A., Eryilmaz R., Akdağ M. 11th World Congress of the International Association of Surgeons & Gastroenterologists, Yunanistan, 01 Kasım 2001 ...
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 ...
Laparoscopic management of Gall Bladder Disorders. Laparoscopic Cholecystectomy is the gold standard of treatment nowadays for removing the diseased gall bladder. Laparoscopic Cholecystectomy is performed under general anaesthesia by giving several small incisions in the abdomen. A laparoscope is inserted through one of the incisions that is attached to the camera through which internal images can be seen on the monitor. After thorough inspection of gall bladder and other internal organs, various other instruments are inserted through other incisions. The diseases gall bladder is retracted and dissected from its place. Usually laparoscopic Cholecystectomy requires four incisions but the new technology has enabled this surgery by single incision. It is called Single Port Laparoscopy (SPL) or SILS (Single Incision Laparoscopic Surgery). Unlike a traditional multi-port laparoscopic approach, SILS is a minimally invasive laparoscopic procedure that is performed almost exclusively through a single ...
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
Professor Puchkov K.V. is performing an operation (2016).. In this film the technique of classical laparoscopic cholecystectomy in case of calculous cholecystitis, using 4 ports, is presented. The author is demonstrating the virtuosity when showing the technique of working with a 5 mm monopolar electrode in the area of Calots triangle. Dissection of the cystic duct and artery is performed without blood loss. The duration of cholecystectomy stage is 6 minutes. Then, using these ports, and a 5 mm Ligasure MEDTRONIC COVIDIEN instrument, resection of the cyst of the right lobe of liver (8 cm) is done. The cyst is opened by a monopolar electrode, and its contents (350 mL) is evacuated with the help of electroejection. Then, on the boundary with the hepatic tissue resection of walls of the cyst is done by means of a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. Destruction of the cystic wall near its bed is done with the help of a 5 mm monopolar instrument in the mode of non-contact coagulation ...
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 | Laparoscopic cholecystectomy. Surgery: Treatment in Hildesheim, Germany ✈. Prices on BookingHealth.com - booking treatment online!
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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Gallstones have been found in 3500 years old Egyptian mummies during the autopsies. In 1420, Antonio Benivieni was the first to describe gallstones. Carl Langenbuch performed the first cholecystectomy of a 43-year-old man who had suffered from biliary colic for sixteen years. Historically, open cholecystectomy was the treatment employed for chronic cholecystitis. Laparoscopic cholecystectomy was developed to treat chronic cholecystitis and the shift from open to laparoscopic cholecystectomy occurred in the late 1980s. ...
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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Since the first laparoscopic cholecystectomy on a pregnant lady in 1991, a plethora of articles and case studies have been published addressing laparoscopy and their role in pregnancy. The Royal College of Obstetricians and Gynecologists Green-top Guidelines recommends laparoscopic surgery as the preferred approach in early ectopic tubal pregnancies. Laparoscopic versus laparotomy management of abdominal ectopic is a traumatic experience both on physical and emotional levels. The case study was a 36-year-old gravida 2 para 0 patient, previously normal pregnant lady, in which the follow-up ultrasound revealed moderate hemoperitoneum at 14-16 weeks of gestation. Upon urgent diagnostic laparoscopy, massive hemoperitoneum was detected despite no clinical signs of hemodynamic instability. Uterus was found to be within the normal measurements consistent with the nonpregnant state. Multiple myomas were clearly seen in the uterine wall. A fetus of 14-16 weeks was detected attached to the colon during formal
TY - JOUR. T1 - Role of cholecystectomy and lymph node dissection in patients with T2 gallbladder cancer. AU - Kim, Dong Hyun. AU - Kim, Sung Hoon. AU - Choi, Gi Hong. AU - Kang, Chang Moo. AU - Kim, Kyung Sik. AU - Choi, Jin Sub. AU - Lee, Woo Jung. PY - 2013/11. Y1 - 2013/11. N2 - Background: Incidental findings of gallbladder cancer (GBCA) have dramatically increased as an initial presentation of the disease because of the expansion of laparoscopic cholecystectomy. However, the optimal management of T2 GBCA remains at issue. Methods: We compared our 10-year experience with the consensus surgical strategy for T2 GBCA. Between January 2000 and December 2009, 70 patients at Severance Hospital, Yonsei University Health System, Seoul, Korea, underwent surgical treatment for GBCA stage T2. The medical records of 70 patients with T2 GBCA were retrospectively reviewed. Results: Radical cholecystectomy was performed on only 32 (45.8 %) patients. In patients with T2 GBCA and positive lymph nodes (LN), ...
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.
BACKGROUND: The cystic duct has been included in the staging classification scheme for gallbladder cancer since the 2010 publication of the AJCC Cancer Staging Manual (7th edition). To our knowledge, only seven other cases of adenocarcinoma arising in the remnant cystic duct following cholecystectomy have been reported in the English-language literature, and none has been reported as primary early-stage T1b remnant cystic duct cancer (CDC). We report, herein, a case of primary adenocarcinoma arising in the remnant cystic duct in a patient with history of laparoscopic cholecystectomy for gallstone disease. CASE PRESENTATION: An 81-year-old female presented with abdominal pain. Her medical history included a laparoscopic cholecystectomy for cholecystolithiasis two years prior. Jaundice was observed; imaging studies suggested that this was caused by choledocholithiasis. Blood chemistry findings showed severe liver dysfunction. Endoscopic retrograde cholangiography revealed haemobilia from the ...
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... ...
Early diagnosis and curative resection are significant predictors of survival in patients with pancreatic cancer. We hypothesize that cholecystectomy within 12 months of pancreatic cancer affects 1-year survival. The Surveillance Epidemiology and End Result (SEER) database linked to Medicare data was used to identify patients diagnosed with pancreatic cancer who underwent cholecystectomy 1 to 12 months prior to cancer diagnosis. The SEER database identified 32,569 patients from 1995 to 2002; 415 (1.3%) underwent cholecystectomy prior to cancer diagnosis. Patients who underwent cholecystectomy had a higher proportion of diabetes (40.2% vs 20.5%; P < 0.01), obesity (8.9% vs 3.1%; P < 0.01), jaundice (17.3% vs 0.7%; P < 0.01), cholelithiasis (70.4% vs 4.2%; P < 0.01), choledocholithiasis (0.7% vs 0.0%; P < 0.01), weight loss (17.3% vs 4.7%; P < 0.01), abdominal pain (79.5% vs 22.5%), steatorrhea (0.7% vs 0.0%; P < 0.01), and cholecystitis (32.3% vs 1.7% ; P < 0.0001). After controlling for tumor ...
About … Postprocedural abdominal pain led to a computed tomography (CT)3 scan which confirmed ascites. Dropped gallstones leading to abscess formation can occur after a period of months to years after the laparoscopic cholecystectomy, which can make diagnosis challenging . RJJackson After laparoscopic gallbladder removal, 53 patients were randomized to have a suction drain positioned in the subhepatic space and 53 patients to have a sham drain. Biliary LeakBiliary Leak Leaks from the cystic duct stumpLeaks from the cystic duct stump unrecognized duct of Luschkaunrecognized duct of Luschka.. Bile leaks commonly present shortly after cholecystectomyBile leaks commonly present shortly after cholecystectomy ((within 1 weekwithin 1 week)) with right upper quadrant pain, fever, chills, and hyperbilirubinemiawith right upper quadrant … The following factors correlated with a worse outcome: length of time bile was left in the abdomen and the development of superinfection. Surgeons must watch for the ...
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.. ...
International Scholarly Research Notices is a peer-reviewed, Open Access journal covering a wide range of subjects in science, technology, and medicine. The journals Editorial Board as well as its Table of Contents are divided into 108 subject areas that are covered within the journals scope.
Methodology: This observational prospective study was carried out at Department of Surgery, Rehman Medical Institute, Peshawar, Pakistan from January 2017 to December 2017. Surgical notes for all laparoscopic cholecystectomies undertaken were documented using a standard proforma immediately after surgery and analyzed using the latest version of SPSS. All patients having symptomatic gall stones disease, subjected to laparoscopic cholecystectomy were included in the study. Patients who were lost to follow up and those with incomplete laboratory and histopathology records were excluded from study ...
Pharmacokinetic alterations of medications administered during surgeries involving cardiopulmonary bypass (CPB) and extracorporeal membrane oxygenation (ECMO) have been reported. The impact of CPB on the cytochrome P450 (CYP) enzymes’ activity is the key factor. The metabolic rates of caffeine, dextromethorphan, midazolam, omeprazole, and Losartan to the CYP-specific metabolites are validated measures of in vivo CYP 1A2, 2D6, 3A4, 2C19, and 2C9 activities, respectively. The study aim is to assess the activities of major CYPs in patients on extracorporeal circulation (EC). This is a pilot, prospective, open-label, observational study in patients undergoing surgery using EC and patients undergoing laparoscopic cholecystectomy as a control group. CYP activities will be measured on the day, and 1–2 days pre-surgery/3–4 days post-surgery (cardiac surgery and Laparoscopic cholecystectomy) and 1–2 days after starting ECMO, 1–2 weeks after starting ECMO, and 1–2 days after
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The surgical method used for removal of gallbladder is termed as cholecystectomy. Gallbladder is a small organ but has a vital role in the digestive function of the body. It is located really close to the liver in the upper part of the right abdominal cavity and the bile juice released by the liver is stored inside the gallbladder. Bile is an important gastrointestinal juice used during digestion for breaking down fatty food substances. Cholecystectomy is carried out when gallstones are formed inside the gallbladder and prevent proper bile flow from it. Post cholecystectomy syndrome or PCS, in other words, refers to the complications that arise after the gallbladder is surgically eliminated ...
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Cholecystectomy What is a cholecystectomy? A cholecystectomy is surgery to remove your gallbladder. The gallbladder is a small organ under your liver. It is on the upper right side of your belly or abdomen. The gallbladder stores a digestive juice called bile which is made in the liver. There are 2 types of surgery to remove the gallbladder: Open (traditional) method. In this method, 1 cut (incision) about 4 to 6 inches long is made in the upper right-hand side of your belly. The surgeon finds the gallb...
Laparoscopic Exploratory Surgery. Exploratory laparoscopy has often been used for diagnostic purposes to view the abdomen after abdominal trauma and in cases of abdominal illness.. Laparoscopy is a term given to a group of operations that are performed with the aid of a camera placed in the abdomen. Originally, the laparoscope was used during surgical removal of the gallbladder (laparoscopic cholecystectomy) and appendix (laparoscopic appendectomy).. Now the laparoscope also allows physicians to perform minimally invasive surgery with just a small incision in the abdomen. This technology, known as laparoscopic assisted surgery, enables the minimally invasive removal of the colon, and the weight reducing procedure gastric bypass.. The procedure is usually done in the hospital, under general anesthesia, and after informed consent has been obtained. A catheter (a small flexible tube) is inserted through the urethra into the bladder. An additional tube may be passed through the nostril and into the ...
The hepatic duct is part of the biliary tract that transports secretions from the liver into the intestines. It carries more volume in people who have had their gallbladder removed. It is an important anatomic landmark during surgeries such as gall bladder removal. It forms one edge of Calots triangle, along with the cystic duct and the cystic artery. All constituents of this triangle must be identified to avoid cutting or clipping the wrong structure. There is some normal anatomic variation of the diameter. The common hepatic duct is about 6mm in diameter in adults, with some variation.[2] A diameter of more than 8 mm is regarded as abnormal dilatation, and is a sign of cholestasis.[3]. ...
The px started out as a laparoscopic cholecystectomy but the converted to an open. The colon was punctured by the trocar. The colon was repaired then they...
Written by experts recognized in their fields A comprehensive, state-of-the art review of this field Richly illustrated with photographs, line drawings
Viewed posteriorly the right kidney has its upper edge opposite the 11th dorsal spine and the lower edge of the 11th rib. Its lower edge is ...
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'?". ... "Open versus laparoscopic cholecystectomy in acute cholecystitis. Systematic review and meta-analysis". International Journal of ... Persisting controversies with the gold standard of laparoscopic cholecystectomy". Journal of Minimal Access Surgery. 2 (2): 49- ...
Wills, VL; Hunt DR (2000). "Pain after laparoscopic cholecystectomy". Br J Surg. 87 (3): 539-546. doi:10.1046/j.1365-2168.2000. ... During laparoscopy (laparoscopic surgery or minimally invasive surgery), it is necessary to insufflate the abdominal cavity (i. ... Bessel, J; Karatassas A; Patterson J; Jamieson G; Maddern G (1995). "Hypothermia induced by laparoscopic insufflation. A ... Bessel, J; Maddern G (1998). "Influence of gas temperatures during laparoscopic procedures". The Pathophysiology of ...
2001). "The First Laparoscopic Cholecystectomy". Journal of the Society of Laparoendoscopic Surgeons. 5 (1): 89-94. PMC 3015420 ... 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 ...
The risk of biliary injury is more during laparoscopic cholecystectomy than during open cholecystectomy. Biliary injury may ... The first laparoscopic cholecystectomy performed by Erich Mühe of Germany in 1985, although French surgeons Phillipe Mouret and ... It happens when there is a bile leak, for example after surgery for removing the gallbladder (laparoscopic cholecystectomy), ... Reynolds, Walker (January-March 2001). "The First Laparoscopic Cholecystectomy". Journal of the Society of Laparoendoscopic ...
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 ... Laparoscopic cholecystectomy--accessory bile ducts]". Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti ( ... www.uptodate.com/contents/complications-of-laparoscopic-cholecystectomy?detectedLanguage=en&source=search_result&search=luschka ...
Reynolds, Walker (2001). "The First Laparoscopic Cholecystectomy". Journal of the Society of Laparoendoscopic Surgeons. 5 (1): ... "Antegrade dissection in laparoscopic cholecystectomy". Journal of the Society of Laparoendoscopic Surgeons. 11 (2): 225-8. PMC ... The rate of cholecystectomies being performed on patients with cholecystitis has increased markedly since the first ... Extirpation of the gallbladder, known as a cholecystectomy, may be used as a treatment for recurrent gallstones or ...
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- ...
Bisgaard T, Kehlet H, Rosenberg J (February 2001). "Pain and convalescence after laparoscopic cholecystectomy". The European ...
"Early experiences of laparoscopic cholecystectomy in five Irish hospitals. Irish Laparoscopic Group". Irish Journal of Medical ... Kiely JM, Brannigan AE, Foley E, Cheema S, O'Brien W, Delaney PV (April 2001). "Day case laparoscopic cholecystectomy is ...
The first laparoscopic cholecystectomy.. *1985. Positron emission tomography was invented.. *1987. The first successful heart- ... 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. ...
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)" (PDF). World J. Surg. 33 (5): 1015-9. doi:10.1007/s00268- ... Elective Transumbilical Compared with Standard Laparoscopic Cholecystectomy. European J of Surg. 1999 Feb; 165(1): 29-34(6) ...
Piskun, Gregory; Rajpal, Sanjeev (1999). "Transumbilical Laparoscopic Cholecystectomy Utilizes No Incisions Outside the ...
... 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 ... Chen L, Tao SF, Xu Y, Fang F, Peng SY (2005). "Patients' quality of life after laparoscopic or open cholecystectomy". Journal ...
Best paper award for the paper "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 ...
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 ...
"Early versus delayed laparoscopic cholecystectomy for uncomplicated biliary colic". Cochrane Database Syst Rev. 6 (6): CD007196 ... 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 ...
In different studies, it has been pointed out that for different laparoscopic surgery applications (such as cholecystectomy, ... "Direct trocar insertion versus veress needle insertion in laparoscopic cholecystectomy". The American Journal of Surgery. 177 ( ... "Direct trocar insertion without pneumoperitoneum and the Veress needle in laparoscopic cholecystectomy: a comparative study". ... Vascular injury Laparoscopic surgery Trocar Baskett, Thomas F. (2019). Eponyms and Names in Obstetrics and Gynaecology. ...
"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. ... Singla A, Simons JP, Carroll JE, Li YF, Ng SC, Tseng JF, Shah SA (Mar 2010). "Hospital Volume as a Surrogate for Laparoscopic- ... Csikesz NG, Singla A, Murphy MM, Tseng JF, Shah SA (Aug 2010). "Surgeon volume metrics in laparoscopic cholesystectomy". Dig ...
A case study of willingness to pay for laparoscopic cholecystectomy". Social Science and Medicine. 44: 699-707. Donaldson, C ( ...
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 ...
"Effect of acupressure on postoperative nausea and vomiting in laparoscopic cholecystectomy". Archived from the original on 2012 ... laparoscopic and ENT procedures, and strabismus procedures in children. Anesthetic risk factors include the use of volatile ...
September 12 - German surgeon Erich Mühe performs the first laparoscopic cholecystectomy. October 17 - The British House of ...
"Neuroticism in relation to recovery and persisting pain after laparoscopic cholecystectomy". Scandinavian Journal of ...
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 ...
In another randomised controlled trial of skills transfer from Touch Surgery to laparoscopic cholecystectomy, the Touch Surgery ... From Touch Surgery to Laparoscopic Cholecystectomy". Journal of Surgical Research. 234: 217-223. doi:10.1016/j.jss.2018.09.042 ... for cognitive training and assessment of laparoscopic cholecystectomy". Surgical Endoscopy. 31 (10): 4058-4066. doi:10.1007/ ... app has proved effective for providing cognitive training in laparoscopic cholecystectomies to medical students. In October ...
The cystic artery lies within the hepatobiliary triangle, which is used to locate it during a laparoscopic cholecystectomy. The ... cholecystectomy). The cystic artery lies within the hepatobiliary triangle, which is used to locate it during a laparoscopic ... "Using a standardized method for laparoscopic cholecystectomy to create a concept operation-specific checklist". HPB. 16 (5): ... cholecystectomy. It may also contain an accessory right hepatic artery or an anomalous sectoral bile ducts. As a result, ...
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 the gallbladder, but can also be caused ...
S. Uranüs, Z. Peng, L. Kronberger, J. Pfeifer, B. Salehi: Laparoscopic cholecystectomy using 2-mm instruments. In: J ... S. Uranues: Laparoscopic Techniques in the Repair of Large Defects. In: R. Latifi (Hrsg.): Surgery of Complex Abdominal Wall ... S. Uranues, O. Alimoglu: Laparoscopic surgery of the spleen. In: SURG CLIN N AMER. 2005; 85(1)S. 75-90. S. Uranues: Natural ... S. Uranues: Laparoscopic surgery in upper gastrintestinal tract. Progress in surgical techniques in digestive system neoplasms ...
... 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 ...
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 ...
... is a common medical procedure in which an instrument called a proctoscope (also known as a rectoscope, although the latter may be a bit longer) is used to examine the anal cavity, rectum, or sigmoid colon. A proctoscope is a short, straight, rigid, hollow metal tube, and usually has a small light bulb mounted at the end. It is approximately 5 inches or 15 cm long, while a rectoscope is approximately 10 inches or 25 cm long.[1] During proctoscopy, the proctoscope is lubricated and inserted into the rectum, and then the obturator is removed, allowing an unobstructed view of the interior of the rectal cavity. This procedure is normally done to inspect for hemorrhoids or rectal polyps and might be mildly uncomfortable as the proctoscope is inserted further into the rectum. Modern fibre-optic proctoscopes allow more extensive observation with less discomfort. ...
... cholecystectomy), especially if the polyps are several or appear malignant. Laparoscopic surgery is an option for small or ...
Laparoscopic bariatric surgery requires a hospital stay of only one or two days. Short-term complications from laparoscopic ... "Risk of Biliary Events After Selective Cholecystectomy During Biliopancreatic Diversion with Duodenal Switch". Obesity Surgery ... The study describes gastric sleeve plication (also referred to as gastric imbrication or laparoscopic greater curvature ... and complications from laparoscopic Roux-en-Y surgery are lower than conventional (open) Roux-en-Y surgery.[2][14][15] ...
J. Hofland, I. Gültuna ja R. Tenbrinck, Xenon anaesthesia for laparoscopic cholecystectomy in a patient with Eisenmenger's ...
Laparoscopic cholecystectomy is the most common laparoscopic procedure performed. In this procedure, 5-10 mm diameter ... In 1985, Erich Mühe performed the first laparoscopic cholecystectomy. Afterward, laparoscopy gained rapid acceptance for non- ... Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. The first laparoscopic procedure was performed ... "Single-incision laparoscopic cholecystectomy: How I do it?". Journal of Minimal Access Surgery. 7 (1): 17-23. doi:10.4103/0972- ...
Laparoscopic bariatric surgery requires a hospital stay of only one or two days. Short-term complications from laparoscopic ... The study describes gastric sleeve plication (also referred to as gastric imbrication or laparoscopic greater curvature ... and complications from laparoscopic Roux-en-Y surgery are lower than conventional (open) Roux-en-Y surgery.[1][13][14] ... Standard of care in the United States and most of the industrialized world in 2009 is for laparoscopic as opposed to open ...
For example, to estimate how much time a cholecystectomy will require, the management determines how long previous ... Alarcon A, Berguer R. A comparison of operating room crowding between open and laparoscopic operations. Surgical Endoscopy 1996 ... cholecystectomy operations took the participating surgeon. Limiting this approach is the number of prior recorded cases and the ...
Piskun, Gregory; Rajpal, Sanjeev (1999). "Transumbilical Laparoscopic Cholecystectomy Utilizes No Incisions Outside the ... The navel of an adult male a few days after a laparoscopic procedure to remove the appendix. ...
... as in laparoscopic surgery or angioplasty. By contrast, an open surgical procedure such as a laparotomy requires a large ...
Cholecystectomy[edit]. Not all gallstones implicated in ascending cholangitis actually originate from the gallbladder, but ... Karaliotas C, Sgourakis G, Goumas C, Papaioannou N, Lilis C, Leandros E (December 2007). "Laparoscopic common bile duct ... Those who do not undergo cholecystectomy have an increased risk of recurrent biliary pain, jaundice, further episodes of ... "Cholecystectomy deferral in patients with endoscopic sphincterotomy". Cochrane Database Syst Rev (4): CD006233. doi:10.1002/ ...
"Open Versus Laparoscopic Versus Robot-Assisted Laparoscopic Prostatectomy: The European and US Experience". Reviews in Urology ... Cost disadvantages are applied with procedures such as a cholecystectomy and fundoplication, but are suitable opportunities for ... "Linbergh Operation - IRCAD/EITS Laparoscopic Center". Retrieved 19 January 2011.. *^ Boyd WD, Rayman R, Desai ND, Menkis AH, ... standard laparoscopic antireflux surgery". Journal of Gastrointestinal Surgery. 6 (1): 11-5, discussion 15-6. doi:10.1016/S1091 ...
"Chemical composition of surgical smoke formed in the abdominal cavity during laparoscopic cholecystectomy - Assessment of the ...
Laparoscopic cholecystectomy is the most common laparoscopic procedure performed. In this procedure, 5-10 mm diameter ... "Single-incision laparoscopic cholecystectomy: How I do it?". Journal of Minimal Access Surgery. 7 (1): 17-23. doi:10.4103/0972- ... Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgical ... Redirected from Laparoscopic surgery). Laparoscopy (from Ancient Greek λαπάρα (lapara), meaning 'flank, side', and σκοπέω ( ...
Callery M, Strasberg S, Doherty G, Soper N, Norton J. Staging laparoscopy with laparoscopic ultrasonography: optimizing ... cholecystectomy)或部分肝臟移除,能進行手術的肝門型膽管癌患
The field of minimally invasive surgery has spawned another set of words, such as arthroscopic or laparoscopic surgery. These ... Cholecystectomy · Pancreatectomy/Pancreaticoduodenectomy Gastrostomy (Percutaneous endoscopic gastrostomy) · Gastroduodenostomy ...
During the procedure the patient is often given sedation intravenously, employing agents such as fentanyl or midazolam. Although meperidine (Demerol) may be used as an alternative to fentanyl, the concern of seizures has relegated this agent to second choice for sedation behind the combination of fentanyl and midazolam. The average person will receive a combination of these two drugs, usually between 25 and 100 µg IV fentanyl and 1-4 mg IV midazolam. Sedation practices vary between practitioners and nations; in some clinics in Norway, sedation is rarely administered.[41][42] Some endoscopists are experimenting with, or routinely use, alternative or additional methods such as nitrous oxide[43][44] and propofol,[45] which have advantages and disadvantages relating to recovery time (particularly the duration of amnesia after the procedure is complete), patient experience, and the degree of supervision needed for safe administration. This sedation is called "twilight anesthesia". For some patients ...
However, if the surgeon is experienced in general laparoscopic surgery but not in the specific subject of laparoscopic hernia ... "Hernia - laparoscopic surgery (review)". National Institute for Health and Clinical Excellence. 2004. Retrieved 2007-03-26.. ... "Laparoscopic surgery for inguinal hernia repair , Guidance and guidelines , NICE". www.nice.org.uk. Retrieved 2017-12-05.. ... "Laparoscopic surgery for inguinal hernia repair , Guidance and guidelines , NICE". www.nice.org.uk. Retrieved 2017-12-05.. ...
2003). "Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive ... it remains an important landmark for surgeons performing cholecystectomy to avoid damaging the common bile duct. Calot's node ...
He is the author of several publications including "Laparoscopic cholecystectomy in a Rural Family Practice: The Vivian, LA ... CS1 maint: discouraged parameter (link) Haynes, John H.; Guha, Somes C.; Taylor, Steven G. (1 March 2004). "Laparoscopic ...
... such as Laparoscopic Cholecystectomy. The Hippocrates Project also created early versions of the electronic medical record. As ...
Laparoscopic cholecystectomy.. BMJ 1992; 304 doi: https://doi.org/10.1136/bmj.304.6829.777-a (Published 21 March 1992) Cite ...
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 ...
Splenic rupture is an unusual but life-threatening complication of laparoscopic cholecystectomy. What went wrong for this ... Background Laparoscopic cholecystectomy (LC) is generally safe and well-accepted. In rare cases, it is associated with ... A Case of Splenic Rupture: A Rare Event After Laparoscopic Cholecystectomy. Girolamo Geraci; Antonino Picciurro; Andrea Attard ... laparoscopic exploration + Midline laparotomy with splenectomy. Discharged home one week following splenectomy. ...
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. ...
... , SAGES Manual. Image Tags. cholangiograms, common duct, cystic duct, posterior. ...
Drawing of laparoscopic cholecystectomy to remove the gallbladder. A surgeon and assistants are shown holding the laparoscope ... Laparoscopic cholecystectomy to remove the gallbladder. View full-sized image Download Media Please credit each image as: ... Drawing of laparoscopic cholecystectomy to remove the gallbladder. A surgeon and assistants are shown holding the laparoscope ... Drawing of laparoscopic cholecystectomy to remove the gallbladder. A surgeon and assistants are shown holding the laparoscope ...
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 ...
Antibiotic Prophylaxis in Laparoscopic Cholecystectomy. The safety and scientific validity of this study is the responsibility ... Antibiotic Prophylaxis in Laparoscopic Cholecystectomy Official Title ICMJE Ciprofloxacin, Ampicillin-sulbactam and Placebo ... All patients enrolled will be submitted to laparoscopic cholecystectomy. The primary aim of the trial will be to assess the ... elective laparoscopic cholecystectomy;. *patients suffering from gallbladder stones,chronic cholecystitis, cholesterolosis, or ...
Single Incision Laparoscopic Cholecystectomy. Nihat Yavuz, MD1, Serkan Teksoz, MD2, Engin Hatipoglu, MD2, Sabri Erguney, MD2, ... Conclusion: With its superiority of scarlessness, single port laparoscopic cholecystectomy may be admitted as an alternative ... Materials and Methods: Between November 2009 and September 2015 we performed single incision laparoscopic cholecystectomy in ... An abdominal drain was used in 24 cases,which had been removed the following day.No conversation to laparoscopic or ...
... 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. ...
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 ...
... treated by removing the gallbladder with a minimally invasive surgical procedure called a laparoscopic cholecystectomy. ... In a laparoscopic cholecystectomy, the surgeon makes several small incisions in your childs abdomen. In one incision, a small ... Laparoscopic cholecystectomy. Laparoscopy, a minimally invasive surgical technique, may be used to remove your childs ... Compared to the laparoscopic cholecystectomy, open gallbladder surgery will require a slightly longer hospital stay. During ...
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: ...
Laparoscopic cholecystectomy was safely performed with mirror image of standard 4 ports. Callots triangle dissection was done ... Laparoscopic surgeon should be careful for view of reversed relationships and also for existence of other anomalies. ... "Alternate Technique for Doing Laparoscopic Cholecystectomy in Situs Inversus" written by Vikrant Singh, Zahur Hussain, Shadilal ... A Systematic Review of Laparoscopic Cholecystectomy in Situs Inversus. Journal of Investigative Surgery, 2019. DOI:10.1080/ ...
... 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 ...
Gallbladder removal surgery (laparoscopic cholecystectomy). Gallbladder removal surgery (laparoscopic cholecystectomy). ... What is a cholecystectomy?. A laparoscopic cholecystectomy involves the surgical removal of the gall bladder. This is usually ... Specialists Offering Gallbladder removal surgery (laparoscopic cholecystectomy). Miss Rina George. Consultant Colorectal and ... Laparoscopic cholecystectomy summary. Gallstones are a common problem. An operation to remove your gallbladder should result in ...
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 ...
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. ...
... 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 ...
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 ...
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 ...
... Elbert Khiangte,1 Iheule Newme, ... Elbert Khiangte, Iheule Newme, Karabi Patowary, and Hitesh Kalita, "Single-Port Laparoscopic Cholecystectomy Using the ...
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 ...
Laparoscopic Cholecystectomy for Chronic Cholecystitis in Jamaican Patients with Sickle Cell Disease: Preliminary Experience ... An Economic Evaluation of Laparoscopic Cholecystectomy for Public Hospitals in Trinidad and Tobago Issue: Vol 54, Issues 2 ( ... Laparoscopic cholecystectomy is compared to the Open and Minilap approaches in a cost minimization analysis for public ... Read more about A Comparison of Open and Laparoscopic Cholecystectomy done by a Surgeon in Training ...
Because evidence suggested that early laparoscopic cholecystectomy reduced the total length of hospital stay and the risk of ... The safety and efficacy of early and delayed-interval laparoscopic cholecystectomy for acute cholecystitis were comparable. ... Early versus delayed-interval laparoscopic cholecystectomy for acute cholecystitis: a metaanalysis Surg Endosc. 2006 Jan;20(1): ... Background: Early laparoscopic cholecystectomy has been advocated for the management of acute cholecystitis, but little ...
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 ...
Bumrungrad hospital offers Laparoscopic Cholecystectomy which is a minimally invasive surgical procedure for the removal of the ... Laparoscopic Cholecystectomy is generally performed using a general anesthesia. During the procedure the abdomen is inflated ... Laparoscopic Cholecystectomy is a minimally invasive surgical procedure for the removal of the gallbladder. ... Laparoscopic surgery is associated with less postoperative pain, a shorter hospital stay, and better cosmetic results than the ...
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- ...
Historically the presence of liver cirrhosis has been an absolute or relative contraindication to laparoscopic cholecystectomy ...
... You have had a procedure known as a laparoscopic cholecystectomy. A ... laparoscopic cholecystectomy is a procedure to remove your gallbladder. People who have this procedure usually recover more ... quickly and have less pain than with open gallbladder surgery (called open cholecystectomy). Many surgeons recommend a low-fat ...
  • Early laparoscopic cholecystectomy has been advocated for the management of acute cholecystitis, but little evidence exists to support the superiority of this approach over delayed-interval operation. (nih.gov)
  • The current systematic review was undertaken to compare the outcomes and efficacy between early and delayed-interval laparoscopic cholecystectomy for acute cholecystitis in an evidence-based approach using metaanalytical techniques. (nih.gov)
  • Only randomized or quasi-randomized prospective clinical trials in the English language comparing the outcomes of early and delayed-interval laparoscopic cholecystectomy for acute cholecystitis were recruited. (nih.gov)
  • The safety and efficacy of early and delayed-interval laparoscopic cholecystectomy for acute cholecystitis were comparable. (nih.gov)
  • Because evidence suggested that early laparoscopic cholecystectomy reduced the total length of hospital stay and the risk of readmissions attributable to recurrent acute cholecystitis, it is therefore a more cost-effective approach for the management of acute cholecystitis. (nih.gov)
  • All major complications were cholecystectomy-related, and only one of the seven occurred in cases of acute cholecystitis. (biomedsearch.com)
  • Meta-analysis of randomized controlled trials and population based studies in acute cholecystitis are in favor for early laparoscopic surgery versus a delayed operation several weeks later. (bioportfolio.com)
  • The benefit from antibiotic prophylaxis in patients undergoing laparoscopic cholecystectomy for acute cholecystitis is insufficiently known. (bioportfolio.com)
  • Laparoscopic cholecystectomy is considered the gold standard for the management of acute cholecystitis but controversy surrounds the timings of the surgery. (bioportfolio.com)
  • Laparoscopic cholecystectomy for acute cholecystitis: are intended operative approach, timing and outcome affected by BMI? (bioportfolio.com)
  • Laparoscopy is the gold-standard for cholecystectomy after acute cholecystitis, but the issue is controversial in obese subjects. (bioportfolio.com)
  • Acute cholecystitis: comparing clinical outcomes with TG13 severity and intended laparoscopic versus open cholecystectomy in difficult operative cases. (bioportfolio.com)
  • Delayed Cholecystectomy for Acute Cholecystitis in Elderly Patients Treated Primarily with Antibiotics or Percutaneous Drainage of the Gallbladder. (bioportfolio.com)
  • In high-risk patients with acute cholecystitis, antibiotics with or without percutaneous drainage of the gallbladder followed by delayed cholecystectomy (DC) can be performed. (bioportfolio.com)
  • It was concluded that laparoscopic surgery brings economic and health benefits in relation with conventional surgery in cases of acute cholecystitis. (medigraphic.com)
  • Evaluation of Early Cholecystectomy versus Delayed Cholecystectomy in the Treatment of Acute Cholecystitis. (medigraphic.com)
  • It was interesting to read the results of the CHOCOLATE trial by Loozen et al(1) where they report their experience of comparing laparoscopic cholecystectomy with percutaneous catheter drainage as treatment for acute cholecystitis. (bmj.com)
  • Percutaneous drainage is not the gold standard treatment of acute cholecystitis and is usually only employed when a cholecystectomy is not considered appropriate or possible be it for delayed presentation, extensive co morbidities, frailty or severe systemic illness. (bmj.com)
  • Letter in Response to: Laparoscopic cholecystectomy versus percutaneous catheter drainage for acute cholecystitis In high risk patients (CHOCOLTATE): Multicenter randomised clinical trial by Loozen and colleagues. (bmj.com)
  • We read with interest the manuscript by Loozen et al [1] which sought to answer the dilemma of managing high risk patient with acute cholecystitis with percutaneous cholecystostomy or emergent laparoscopic cholecystostomy. (bmj.com)
  • Patients with acute cholecystitis, irrespective of duration of symptoms were managed by intravenous antibiotics and had a cholecystectomy on the next available operating list, which ranged from 24 hours to 96 hours post admission. (scielo.org.za)
  • In the past 30 years, urgent surgery for acute cholecystitis has been shown to be as safe as elective cholecystectomy. (acpjc.org)
  • The results show that laparoscopic cholecystectomy for acute cholecystitis is technically feasible and safe as long as a high conversion rate to open cholecystectomy is accepted. (acpjc.org)
  • We present the case of a 71-year-old patient who underwent delayed laparoscopic cholecystectomy for acute cholecystitis. (archbronconeumol.org)
  • To conduct a Randomized Controlled Trial (RCT) meta-analysis to assess the effectiveness of drains in reducing complications after Laparoscopic Cholecystectomy (LC) for acute cholecystitis. (alliedacademies.org)
  • Acute cholecystitis, Cholecystectomy, Drain. (alliedacademies.org)
  • The claimed benefits of this procedure over standard laparoscopic cholecystectomy include less pain, shorter recovery time, fewer wound complications and improved cosmesis. (nice.org.uk)
  • A typical laparoscopic gall bladder removal procedure requires placement of a rigid laparoscope through a 1.5-2.5 cm incision in the umbilicus and then 2-3 additional 0.5 cm incisions for additional instrumentation. (clinicaltrials.gov)
  • Laparoscopic (keyhole) cholecystectomy is a surgical procedure used to remove the gallbladder, offering a shorter recovery time than standard surgery. (nuffieldhealth.com)
  • A cholecystectomy is a surgical procedure used to remove the gallbladder. (chop.edu)
  • Laparoscopic cholecystectomy (LC) is taking the place of an effective and tested procedure in surgery, therefore it must not be inferior to the standard modality in any aspect. (hindawi.com)
  • Laparoscopic Cholecystectomy is a minimally invasive surgical procedure for the removal of the gallbladder. (bumrungrad.com)
  • Laparoscopic surgery is associated with less postoperative pain, a shorter hospital stay, and better cosmetic results than the open surgical procedure. (bumrungrad.com)
  • You have had a procedure known as a laparoscopic cholecystectomy. (baycare.org)
  • People who have this procedure usually recover more quickly and have less pain than with open gallbladder surgery (called open cholecystectomy). (baycare.org)
  • Laparoscopic cholecystectomy procedure can be associated with spillage of gall stones in 5%-40% of procedures but complications occur very rarely. (laparoscopyhospital.com)
  • Today, the performed procedure in most cases for cholecystectomy in the western world is laparoscopic cholecystectomy. (bioportfolio.com)
  • The study, by the Department of Biosurgery and Surgical Technology at St. Mary's Campus at Imperial College of London, defined, tested and validated a whole-procedure virtual reality training curriculum for laparoscopic cholecystectomy on the Simbionix LAP Mentor™ using structured scientific methodology. (simbionix.com)
  • To master and reach confidence in a complete cholecystectomy procedure by hands-on practice of a virtual patient case. (simbionix.com)
  • To demonstrate the validated level of skill required for the full cholecystectomy procedure while performing a simulated case. (simbionix.com)
  • In 1988, a less invasive, low-cost procedure, laparoscopic cholecystectomy (LC), was introduced and became the standard of care for management of gallstones. (nih.gov)
  • The removal of the gallbladder is a common procedure that is best performed through laparoscopic surgery. (manipalhospitals.com)
  • Thus, the human assistant acts as the 'surgeons' eyes' during the laparoscopic procedure. (cochrane.org)
  • Of the remaining 431 patients in the remaining five trials, 212 patients underwent laparoscopic cholecystectomy with the help of robot assistant and 219 patients underwent the same procedure with the help of a human assistant. (cochrane.org)
  • Assessment of level of ease of laparoscopic cholecystectomy procedure was done on the basis of above criteria. (thefreedictionary.com)
  • The two basic types of this procedure are open cholecystectomy and the laparoscopic approach. (thefreedictionary.com)
  • It is estimated that the laparoscopic procedure is currently used for approximately 80% of cases. (thefreedictionary.com)
  • Although the laparoscopic procedure requires general anesthesia for about the same length of time as the open procedure, laparoscopy generally produces less postoperative pain, and a shorter recovery period. (thefreedictionary.com)
  • The laparoscopic procedure would not be preferred in cases where the gallbladder is so inflamed that it could rupture, or when adhesions (additional fibrous bands of tissue) are present. (thefreedictionary.com)
  • A laser may be used for the incision and cautery (burning unwanted tissue to stop bleeding), in which case the procedure may be called laser laparoscopic cholecystectomy. (thefreedictionary.com)
  • Closure of the appendiceal stump in laparoscopic appendectomy is the most crucial part of the procedure. (ebscohost.com)
  • We investigated this question in patients undergoing laparoscopic cholecystectomy, hypothesizing that cardiorespiratory changes during this procedure would reduce cerebral perfusion.Methods In a nonrandomized, observational study of 16 patients (American Society of Anesthesiologists physical status I or II) undergoing laparoscopic cholecystectomy, internal carotid artery blood velocity was measured by Doppler ultrasound at four time points: awake, after anesthesia induction, after induction of pneumoperitoneum, and after head-up tilt. (medworm.com)
  • Laparoscopic D3 lymphadenectomy is a challenging surgical procedure and has not been reported before. (ebscohost.com)
  • Laparoscopic Surgical Technique CD-ROM detailing each step of the procedure for practitioners. (textbookx.com)
  • In patients undergoing laparoscopic cholecystectomy, the combined use of ramosetron and dexamethasone was more effective than ramosetron alone for reducing the need for rescue antiemetics and pain control following the procedure. (sigmaaldrich.com)
  • Laparoscopic cholecystectomy has been recognized since 1992 as the gold standard procedure for gallbladder surgery. (springermedizin.de)
  • This report is significant as it presents a previously unreported finding that may confront a surgeon during the common surgical procedure of laparoscopic cholecystectomy. (bmj.com)
  • A preoperative ultrasonographic evaluation for symptomatic cholelithiasis, which shows a thick gallbladder wall (≥3 mm) with calculi, is a sign of caution clinically for likely a difficult laparoscopic cholecystectomy procedure which may require conversion to an open cholecystectomy procedure. (alliedacademies.org)
  • cholecystectomy (LC) is the standard procedure for the treatment of symptomatic gallbladder stones. (alliedacademies.org)
  • Conclusions: Left hepatic lobectomy for localized intrahepatic cholangiocarcinoma and associated cholecystectomy can be safely performed with a periumbilical SP procedure, with macro- and microscopically neoplasia-free margins. (websurg.com)
  • Indeed, the morbidity rate was substantially lower in patients who had laparoscopic cholecystectomy than in those who had the open procedure. (acpjc.org)
  • Since the first laparoscopic cholecystectomy was reported, the four-trocar laparoscope has become the golden standard procedure. (springermedizin.de)
  • CONCLUSIONS: Pneumoperitoneum with an intraabdominal pressure of 12 mmHg produces significant increases in IJV and SCV CSAs during laparoscopic cholecystectomy procedure. (ivteam.com)
  • Although our findings suggest that the use of 3D imaging during laparoscopic cholecystectomy may be associated with significantly shorter procedure time, Calot's triangle dissection time and gallbladder injury compared to the 2D imaging, the differences seem to be clinically insignificant. (springer.com)
  • Single port incision surgery for laparoscopic cholecystectomy is coded in the same way as multiple port incision laparoscopic cholecystectomy. (nice.org.uk)
  • An abdominal drain was used in 24 cases,which had been removed the following day.No conversation to laparoscopic or conventional surgery. (sages.org)
  • In most cases the gallbladder surgery is performed by a minimally invasive method known as laparoscopic cholecystectomy. (chop.edu)
  • Compared to the laparoscopic cholecystectomy, open gallbladder surgery will require a slightly longer hospital stay. (chop.edu)
  • Laparoscopic cholecystectomy is surgery to remove your child's gallbladder. (drugs.com)
  • Laparoscopic surgery has become the gold standard for the surgical treatment of benign disorders of bile ducts, for example, symptomatic cholelithiasis. (nih.gov)
  • Nowadays, laparoscopic surgery is becoming less invasive by means of the advanced technologic capabilities. (nih.gov)
  • In the present article, the authors described how easily the single incision laparoscopic cholecystectomy could resolve the technical difficulties encountered in the patients with situs inversus totalis during the conventional laparoscopic surgery. (nih.gov)
  • In a randomized, clinical trial, we wanted to test the hypothesis that perioperative and post-operative soft music reduces pain, nausea, fatigue and surgical stress in patients undergoing laparoscopic cholecystectomy as day surgery. (nih.gov)
  • The introduction of advanced laparoscopic surgery at the University Hospital of the West Indies will enhance surgical care throughout the region. (uwi.edu)
  • A review of all the cases of bile duct injuries seen at the University Hospital of the West Indies since the introduction of laparoscopic cholecystectomy reveals that 60% of all cases resulted from open cholecystectomy and Roux en Y hepaticojejunostomy was the most common surgery offered for major bile duct injury. (uwi.edu)
  • A comparative review of the first 52 cholecystectomies performed by surgery residents reveals that this operation is performed with acceptable complication rates, testifying to the efficacy of the training programme at the University Hospital of the West Indies. (uwi.edu)
  • These could have been avoided if we had had a thorough knowledge of the potential complications and had strictly followed the principles of laparoscopic surgery. (biomedsearch.com)
  • Laparoscopic is one method for this surgery. (lahey.org)
  • Laparoscopic cholecystectomy is the norm these days as compared to open surgery due to lesser duration of hospital stay and more ease associated with it. (laparoscopyhospital.com)
  • The investigators postulated that the use of hyperventilation after induction of anesthesia before CO2 insufflation for laparoscopic surgery in Trendelenburg position would maintain normocapnia and reduce the hemodynamic percussion response of CO2 insufflation. (clinicaltrials.gov)
  • Since laparoscopy surgery results in less pain and a speedy recovery, more and more patients without symptoms are advised to have a cholecystectomy to prevent possible later complications. (cantonrep.com)
  • In one study of 613,706 cholecystectomy patients whose surgery was done by laparoscopy, 2380 suffered injury to the CBD (0.39 percent). (cantonrep.com)
  • patient , immediate surgery or initial conservative therapy using antibiotics and symptomatic therapy with cholecystectomy later on. (bioportfolio.com)
  • Laparoscopic surgery is useful to deal with surgical diseases which in the past need open surgery, yet tying sutures within the abdominal or thoracic cavity is really a challenge for a minimal access surgeon. (laparoscopyhospital.com)
  • Intracorporeal and extracorporeal knot tying enhances the technical capabilities from the laparoscopic access, thus extending the spectrum of laparoscopic surgical and gynecological minimal access surgical procedures to that particular comparison of open surgery. (laparoscopyhospital.com)
  • Each knot type was tied five times, and each type was tied in random order by the same primary and assisting surgeons using a laparoscopic pelvic surgery training model. (laparoscopyhospital.com)
  • The Mishra's knot is the strongest laparoscopic slip knots and are the only slip knots similar in strength to multiple-throw square or surgeons knots which is used in open surgery. (laparoscopyhospital.com)
  • There are still many confounding findings offering either early laparoscopic cholecystectomy within 72 hours following endoscopic sphincterotomy or delayed surgery after 6 weeks. (clinicaltrials.gov)
  • Kartal K, Uludag M. Can 4-port laparoscopic cholecystectomy remain the gold standard for gallbladder surgery? (medigraphic.com)
  • This is generally performed by key-hole surgery (laparoscopic cholecystectomy). (cochrane.org)
  • In our Table 3, the odds ratio of adverse clinical outcomes for laparoscopic cholecystectomy patients with and without COPD was adjusted by all variables listed in Table 1, including age at surgery, gender, income, hospital level, and comorbidities. (dovepress.com)
  • The persistence or onset of symptoms after surgery is called post-cholecystectomy syndrome 2 . (scielo.br)
  • However, many consider a measure of caution to limit the consumption of lipids in the first weeks after surgery, believing that this would reduce the chance of developing symptoms typical of post-cholecystectomy syndrome 5 . (scielo.br)
  • We conducted a randomized clinical trial in which we selected 97 patients with cholelithiasis who were to undergo laparoscopic cholecystectomy, treated at the clinics of General Surgery, Gastroenterology and Emergency Room of the Arthur Ramos Memorial Hospital, in Maceió - AL. (scielo.br)
  • Lap chole Surgery The laparoscopic removal of a gallbladder though a small abdominal wall incision. (thefreedictionary.com)
  • Post-operative care for the patient who has had an open cholecystectomy, as with those who have had any major surgery, involves monitoring of blood pressure, pulse, respiration and temperature. (thefreedictionary.com)
  • Laparoscopic cholecystectomy in patients with previous abdominal surgery. (harvard.edu)
  • In an effort to reduce morbidity and improve the cosmesis single-port laparoscopic cholecystectomy has recently emerged, where the surgery is done through a single port, typically the patient's navel. (ebscohost.com)
  • Since 2008 we have noticed the rapid development of a new surgical method - single incision laparoscopic surgery (SILS). (ebscohost.com)
  • Single-incision laparoscopic surgery (SILS) vs. conventional multiport cholecystectomy: systematic review and meta-analysis. (ebscohost.com)
  • Background: Single-incision laparoscopic surgery (SILS) has gained increasing attention due to the potential to maximize the benefits of laparoscopic surgery. (ebscohost.com)
  • AU - Fujii,Y, AU - Tanaka,H, AU - Kawasaki,T, PY - 2000/3/16/pubmed PY - 2000/3/16/medline PY - 2000/3/16/entrez SP - 285 EP - 8 JF - The British journal of surgery JO - Br J Surg VL - 87 IS - 3 N2 - BACKGROUND: Patients undergoing laparoscopic cholecystectomy (LC) may be especially at risk of experiencing postoperative nausea and vomiting (PONV). (unboundmedicine.com)
  • Methods: All cholecystectomies registered in the Swedish Register of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) between 2005 and 2010 were reviewed. (diva-portal.org)
  • However, in a subgroup analysis the risk was increased in laparoscopic surgery only. (diva-portal.org)
  • Advances in technology and instrumentation for laparoscopic surgery has ensured that laparoscopic cholecystectomy (LC) is presently regarded as the "gold standard" treatment for the management of symptomatic cholelithiasis and other complications of gallstone disease. (scielo.org.za)
  • Zurück zum Zitat Marescaux J, Dallemagne B, Perretta S, Wattiez A, Mutter D, Coumaros D (2007) Surgery without scars: report of transluminal cholecystectomy in a human being. (springermedizin.de)
  • Hand-assisted laparoscopic surgery. (semanticscholar.org)
  • Postlaparoscopic shoulder pain (PLSP) frequently follows laparoscopic surgery. (druglib.com)
  • Mouret [ 1 ] introduced laparoscopic cholecystectomy in 1987, since then minimal invasive surgery still evolving. (alliedacademies.org)
  • Laparoscopic surgery has various advantages like minimal invasiveness and quick recovery. (nepjol.info)
  • However carbon dioxide used for pneumoperitoneum during laparoscopic surgery causes increase in heart rate, blood pressure and systemic vascular resistance. (nepjol.info)
  • Single-incision laparoscopic surgery is an attractive approach for cholecystectomy. (sciencedomain.org)
  • BACKGROUND: Increased central venous pressure secondary to an increase in intraabdominal pressure has been reported during laparoscopic surgery. (ivteam.com)
  • METHODS: This study included 60 ASA I-II patients scheduled for laparoscopic cholecystectomy surgery under general anesthesia. (ivteam.com)
  • If the diagnosis is established during intraoperative cholangiography, the surgeon is confronted with a therapeutic dilemma, namely the choice between laparoscopic common bile duct (CBD) exploration, conversion to open surgery, or postoperative endoscopic sphincterotomy. (websurg.com)
  • This medical illustration series shows the normal anatomy of the gallbladder and surrounding structures prior to a laparoscopic cholecystectomy surgery. (doereport.com)
  • In the 1960s Semm started to use laparoscopy - he named it ''pelviscopy'' - for gynecologic indications, initially as a diagnostic tool, but soon realizing that the laparoscopic approach had potential for interventive surgery. (wikipedia.org)
  • On 13 September 1980 Semm performed the first laparoscopic appendectomy opening up the path for a much wider application of minimally invasive surgery. (wikipedia.org)
  • During laparoscopy (laparoscopic surgery or minimally invasive surgery), it is necessary to insufflate the abdominal cavity (i.e. inflate the abdomen like a balloon) with medical-grade carbon dioxide (CO2) to create a viewing and working space for the surgery. (wikipedia.org)
  • The National Institute for Health and Care Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Single incision laparoscopic cholecystectomy, in December 2014. (nice.org.uk)
  • Single-incision laparoscopic cholecystectomy (SILC) aims to remove the gallbladder through a single incision, which is usually made near the umbilicus. (nice.org.uk)
  • In this study we present our experiences concerning cholecystectomy through a single incision. (sages.org)
  • Between November 2009 and September 2015 we performed single incision laparoscopic cholecystectomy in 505 patients.335 of the patients were female, 170 were male.The mean age was 44 years (range:7-79 years). (sages.org)
  • Single incision laparoscopic cholecystectomy (SILS) for a patient with situs inversus totalis. (nih.gov)
  • The patient was performed single incision laparoscopic cholecystectomy. (nih.gov)
  • Igami T, Aoba T, Ebata T, Yokayama Y, Sugawara G, Nagino N. Single-incision laparoscopic cholecystectomy for cholecystitis requiring perctaneous transhepatic gallbladder drainage. (medigraphic.com)
  • Yamazaki M, Yasuda H, Koda K. Single-incision laparoscopic cholecystectomy: a systematic review of methodology and outcomes. (medigraphic.com)
  • The laparoscopic apparatus then allows the surgeon to drain the gallbladder and extracting it through the small incision. (manipalhospitals.com)
  • The laparoscopic cholecystectomy involves the insertion of a long narrow cylindrical tube with a camera on the end, through an approximately 1 cm incision in the abdomen, which allows visualization of the internal organs and projection of this image onto a video monitor. (thefreedictionary.com)
  • In a conventional or open cholecystectomy, the gallbladder is removed through a surgical incision high in the right abdomen, just beneath the ribs. (thefreedictionary.com)
  • Initial Experience with Single-Incision Laparoscopic Cholecystectomy. (ebscohost.com)
  • Single-incision laparoscopic surgical procedures are being developed with the goal of improving cosmesis, reducing postoperative pain, and increasing patient satisfaction. (ebscohost.com)
  • We performed this study to evaluate our initial experience with single-incision laparoscopic cholecystectomy. (ebscohost.com)
  • Transumbilical single incision laparoscopic cholecystectomy with conventional instruments: A continuing study. (ebscohost.com)
  • Using advanced laparoscopic technology, it is now possible to remove the gallbladder through a tiny incision at the navel. (surgicalservicesinternational.com)
  • Sunamak O, Donmez T, Ferahman S, Uludag S, Avaroglu H. A promising technique for easier single incision laparoscopic cholecystectomy: needle grasper traction of gallbladder. (termedia.pl)
  • Many studies all over the world have been conducted since the first single incision laparoscopic cholecystectomy (SILC) was reported in 1997 [2]. (termedia.pl)
  • The authors propose a single-incision laparoscopic (SILS) cholecystectomy as a step toward less invasive surgical procedures. (springermedizin.de)
  • Hand-assisted laparoscopy takes technical advantage of the cesarean abdominal incision to facilitate laparoscopic maneuvers with retention of pneumoperitoneum. (semanticscholar.org)
  • Yilmaz H, Alptekin H, Ece I, Calisir A, Sahin M (2014) Closure of the Cystic Duct: Comparison to Harmonic Scalpel Versus Clip Application in Single Incision Laparoscopic Cholecystectomy. (omicsonline.org)
  • Single incision laparoscopic cholecystectomy [SILC] is usually performed using titanium clips [TC] for occlusion of the cystic duct and cystic artery. (omicsonline.org)
  • 37 patients underwent single incision laparoscopic cholecystectomy with titanium clips [TC-SILC] and 33 patients underwent single incision laparoscopic cholecystectomy with hormonic scalpel [HS-SILC]. (omicsonline.org)
  • Single-incision laparoscopic operations have recently emerged as used in minimal invasive alternative to conventional laparoscopy. (omicsonline.org)
  • HS is used to the single incision laparoscopic cholecystectomy [SILC] for laparoscopic removal of the gallbladder safely, short surgical time and a shorter length of hospital stay [ 3 ]. (omicsonline.org)
  • Patients were allocated to 4-port laparoscopic cholecystectomy with the blunt technique and electrocautery ( n = 32) or open cholecystectomy ( n = 31) with a subcostal ( n = 9) or upper midline ( n = 22) incision. (acpjc.org)
  • To assess the feasibility and effectiveness of the glove port technique of trans-umbilical single incision laparoscopic cholecystectomy (SILC) performed by a single surgeon using the conventional laparoscopic instruments. (sciencedomain.org)
  • Laparoscopic cholecystectomy is the only curative treatment for gallstone disease of acute calculous cholecystitis.The purpose of this study is to find the most effective treatment (laparo. (bioportfolio.com)
  • This study was aimed to assess the outcome of laparoscopic cholecystectomy in acute calculous cholecystitis in terms of conversion rates, postoperative complications and length of hospital. (bioportfolio.com)
  • A cholecystectomy is performed to treat cholelithiasis and cholecystitis . (thefreedictionary.com)
  • A cholecystectomy may be performed if the gallbladder contains gallstones (cholelithiasis), is inflamed or infected (cholecystitis), or is cancerous. (surgicalservicesinternational.com)
  • In patients who have acute or gangrenous cholecystitis, is laparoscopic cholecystectomy as safe and effective as open cholecystectomy? (acpjc.org)
  • The authors report a 27-year-old woman with mitochondrial myopathy and respiratory failure requiring nasal-CPAP administration who successfully underwent laparoscopic cholecystectomy for chronic cholecystitis. (minervamedica.it)
  • Laparoscopic cholecystectomy: treatment of choice for symptomatic cholelithiasis. (springer.com)
  • Laparoscopic cholecystectomy (LC) has rapidly substituted traditional cholecystectomy, and represents the gold standard for surgical treatment of cholelithiasis. (medindia.net)
  • Laparoscopic cholecystectomy is the method of choice in the treatment of cholelithiasis 1,2 . (scielo.br)
  • Background: Laparoscopic cholecystectomy gained wide acceptance as treatment of choice for cholelithiasis. (ebscohost.com)
  • Laparoscopic cholecystectomy has become the standard treatment for symptomatic cholelithiasis in patients with situs inversus totalis (SIT). (ebscohost.com)
  • With a few exceptions, laparoscopic cholecystectomy has rapidly supplanted open cholecystectomy as the operation of choice for symptomatic cholelithiasis. (jaoa.org)
  • Laparoscopic cholecystectomy (LC) is the gold standard for the management of symptomatic cholelithiasis and complications of gallstone disease. (scielo.org.za)
  • MOC is a safe and feasible operation for symptomatic cholelithiasis when cholecystectomy is indicated. (scielo.org.za)
  • Abstract After laparoscopic cholecystectomy, residual gas is inevitably retained in the peritoneal cavity. (omicsonline.org)
  • The surgical treatment of gallbladder disease remained largely unchanged until the introduction of laparoscopic techniques for cholecystectomy. (springer.com)
  • A less invasive surgical technique that reduces the size or number of laparoscopic incisions offers the potential clinical benefits of eliminating wound infections, hernias and decreasing post-operative pain following laparoscopic gall bladder removal. (clinicaltrials.gov)
  • A laparoscopic cholecystectomy involves the surgical removal of the gall bladder. (bmihealthcare.co.uk)
  • Cholecystectomy is the surgical removal of the gallbladder. (medicalcityhospital.com)
  • The security of several kinds of laparoscopic and open surgical knots and varying suture materials was tested in laparoscopic laboratory environment in an attempt to improve suture and knot selection for advanced laparoscopic procedures. (laparoscopyhospital.com)
  • We chose Laparoscopic cholecystectomy because it is one of the most frequent procedures done and there is minimal variability in the surgical approach between surgeons. (thefreedictionary.com)
  • Today laparoscopic cholecystectomy [LC] is accepted as the ''gold standard'' surgical treatment of gallbladder benign diseases due to its optimal postoperative results and enhanced quality of the life [ 1 , 2 ]. (omicsonline.org)
  • and a laparoscopic cholecystectomy, where the surgeon uses a laparoscope and surgical instruments to conduct a minimally invasive removal of the gallbladder. (doereport.com)
  • METHODS: A prospective case-matched study was conducted on 50 consecutive patients, who underwent robotic-assisted cholecystectomy (Da Vinci Robot, Intuitive Surgical) between December 2004 and February 2006. (uzh.ch)
  • These patients were matched 1:1 to 50 patients with conventional laparoscopic cholecystectomy, according to age, gender, American Society of Anesthesiologists score, histology, and surgical experience. (uzh.ch)
  • Laparoscopic Cholecystectomy is generally performed using a general anesthesia. (bumrungrad.com)
  • To identify the risk factors associated with POV we retrospectively reviewed 553 adult patients who underwent scheduled simple laparoscopic cholecystectomy under sevoflurane-based general anesthesia between January and December 2018. (mdpi.com)
  • Removal of the gallbladder (cholecystectomy) is currently considered the best treatment option for patients with symptomatic gallstones. (cochrane.org)
  • Laparoscopic cholecystectomy is the main method of treatment of symptomatic gallstones. (cochrane.org)
  • Patients with symptomatic gallstones generally undergo laparoscopic cholecystectomy (key-hole removal of the gallbladder). (cochrane.org)
  • If you are suffering from pain from gallstones, your doctor may recommend that you have a laparascopic cholecystectomy. (benendenhospital.org.uk)
  • The laparoscopic trainee surgeons of World Laparoscopy Hospital were the subject. (laparoscopyhospital.com)
  • We house top of the line laparoscopy and video guided equipment to help our gastroenterologists with superior medical technology to conduct minimally invasive cholecystectomies with ease, upholding patient comfort at all times. (manipalhospitals.com)
  • Litynski GS (1999) Profiles in laparoscopy: Mouret, Dubois, and Perissat-the laparoscopic breakthrough in Europe (1987-1988). (springermedizin.de)
  • Common bile duct injury during laparoscopic cholecystectomy in Ontario: Does ICD-9 coding indicate true incidence? (cmaj.ca)
  • Background Laparoscopic cholecystectomy (LC) is generally safe and well-accepted. (medscape.com)
  • Background: Laparoscopic appendectomy is one of the most commonly performed laparoscopic procedures. (ebscohost.com)
  • But those without symptoms should weigh the situation carefully with their family doctor and specialist before agreeing to an elective cholecystectomy. (cantonrep.com)
  • Laparoscopic Cholecystectomy (LC) is widely acknowledged as the definitive management for either elective cholecystectomy or emergent cholecystectomy [ 1 - 3 ]. (alliedacademies.org)
  • Using a double-blind prospective protocol in 40 healthy patients, we evaluated the effect of residual pneumoperitoneum on post-laparoscopic cholecystectomy pain intensity. (omicsonline.org)
  • studies that involved LC which reported readmission rates post-laparoscopic cholecystectomy, and observational studies and randomized control trials whose full text articles were available in the English language. (termedia.pl)
  • This study proposes to evaluate the ability to reduce the size and number of laparoscopic incisions required to perform gall bladder removal by using flexible endoscopic instruments introduced through the mouth, into the stomach and through the stomach wall. (clinicaltrials.gov)
  • Complications which occur from spillage of gall stones during laparoscopic cholecystectomy are very rare. (laparoscopyhospital.com)
  • 70 patients with symptomatic gall bladder stone disease were selected and underwent glove port laparoscopic cholecystectomy (GPLC). (sciencedomain.org)
  • The aim of this systematic review and pooled analysis was to compare clinical outcome following SILS and standard multiport laparoscopic. (ebscohost.com)
  • Bile duct injury (BDI) remains the most serious complication of cholecystectomy. (medindia.net)
  • An emergency cholecystectomy is required when a stone blocks the common bile duct (CBD) resulting in an acute inflammation of the gallbladder. (cantonrep.com)
  • BACKGROUND: Recent reports in the scientific and lay press have suggested that bile duct injuries during laparoscopic cholecystectomy are common in Ontario. (cmaj.ca)
  • METHODS: For the period 1991 to 1995, records of bile duct injuries after laparoscopic cholecystectomy were independently evaluated to clarify the clinical significance of the complications. (cmaj.ca)
  • Some surgeons have routinely drained after laparoscopic cholecystectomy because of the fear of collection of bile or blood requiring re-operation. (cochrane.org)
  • Bile duct injuries during laparoscopic cholecystectomy. (biomedsearch.com)
  • OBJECTIVE: To analyze the treatment of bile duct injuries during laparoscopic cholecystectomy to discern the factors affecting outcome. (biomedsearch.com)
  • DESIGN: An analysis of the treatment of 88 patients with laparoscopic bile duct injuries. (biomedsearch.com)
  • PATIENTS: Eighty-eight patients with major bile duct injuries following laparoscopic cholecystectomy. (biomedsearch.com)
  • At present, there is no valid reason to restrict the diet of a patient undergoing cholecystectomy in the postoperative period, since the gallbladder is not an organ of bile production, but of storage 5 . (scielo.br)
  • The nature of bile duct injuries following the laparoscopic technique tends to be more serious than those seen following the open prodecure. (jaoa.org)
  • A number of technical steps can be taken to help prevent bile duct injuries when using the laparoscopic technique. (jaoa.org)
  • This article reports two such cases to alert the surgeon that a high index of suspicion must always be maintained concerning the possibility of bile duct injury following laparoscopic cholecystectomy. (jaoa.org)
  • When bile duct stones were suspected, intraoperative cholangiography (open cholecystectomy group) or preoperative endoscopic retrograde cholangiography followed by papillotomy and stone extraction (laparoscopic cholecystectomy group) was used. (acpjc.org)
  • Common bile duct stones are found in approximately 16% of patients undergoing laparoscopic cholecystectomy. (websurg.com)
  • Laparoscopic CBD exploration can be performed through the cystic duct or through a choledochotomy, the choice being mainly guided by the size of the CBD stone and the size of the cystic duct and common bile duct. (websurg.com)
  • In a laparoscopic cholecystectomy, the surgeon makes several small incisions in your child's abdomen. (chop.edu)
  • Thorough knowledge of laparoscopic suturing by Mishra's Knot is of great importance towards the laparoscopic surgeon and gynecologists, especially throughout the performance of advanced laparoscopic procedures. (laparoscopyhospital.com)
  • 01). Only 17% of primary repair attempts and no secondary repair attempts performed by the laparoscopic surgeon were successful. (biomedsearch.com)
  • Mr. King's (not real name) surgeon went to a weekend course and learned how to do a laparoscopic cholecystectomy on a pig. (medleague.com)
  • Curro G, La Malfa G, Lazzara S (2015) Three-dimensional versus two-dimensional laparoscopic cholecystectomy: is surgeon experience relevant? (springer.com)
  • 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. (cantonrep.com)
  • These experiments showed laparoscopic Mishra's knots to be as secure as open surgeons or square knots. (laparoscopyhospital.com)
  • Rapidly escalating patient demand and the initial limited availability of instrumentation and appropriately trained surgeons combined to create an aura of uniqueness for laparoscopic cholecystectomy. (annals.org)
  • Recently, robots have been used to assist the surgeons in performing laparoscopic cholecystectomy. (cochrane.org)
  • Hospitals and surgeons need to consider the improved outcomes but also the monetary and time investments required for robotic cholecystectomy, the authors note. (ormanager.com)
  • However, many surgeons have been concerned about the safety of laparoscopic cholecystectomy in the presence of acute inflammation. (acpjc.org)
  • In contrast, the open cholecystectomies were done by staff surgeons and senior residents. (acpjc.org)
  • The skill mix may have differed substantially among the operating surgeons, and this may have biased the results in favor of the laparoscopic group. (acpjc.org)
  • Many surgeons habitually placed an abdominal drain after emergent cholecystectomy, without any doubt regarding the actual effectiveness of drainage [ 8 ]. (alliedacademies.org)
  • A pneumoperitoneum is established and the gallbladder is retracted with a laparoscopic instrument ('grasper') or by a transabdominal suture. (nice.org.uk)
  • However, others advocated that hyperventilation and the head-up position before CO2 insufflation are not sufficient to prevent the CO2-mediated cerebral hemodynamic effects of low-pressure pneumoperitoneum (5-8 mmHg) in children, underwent laparoscopic fundoplication. (clinicaltrials.gov)
  • Residual pneumoperitoneum: a cause of postoperative pain after laparoscopic cholecystectomy. (omicsonline.org)
  • We conclude that residual pneumoperitoneum is a contributing factor in the etiology of postoperative pain after laparoscopic cholecystectomy. (omicsonline.org)
  • 1 ] This report is a useful adjunct to our knowledge on pneumoperitoneum-induced hemodynamic changes because previous series have reported that cholecystectomy is well tolerated in these patients, but they did not offer any detailed hemodynamic information. (asahq.org)
  • 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. (bmj.com)
  • Dexmedetomidine was found to be more effective than Esmolol in attenuating the hemodynamic responses following pneumoperitoneum during laparoscopic cholecystectomy. (nepjol.info)
  • However, no study has yet determined the effect of pneumoperitoneum on cross-sectional area (CSA) of central veins by ultrasonography during laparoscopic cholecystectomy" Pınar et al (2016). (ivteam.com)
  • 2016) The effect of pneumoperitoneum on the cross-sectional areas of internal jugular vein and subclavian vein in laparoscopic cholecystectomy operation. (ivteam.com)
  • Laparoscopic cholecystectomy was also associated with a significantly lower incidence (28.6% vs 62.5%) and less severe atelectasis, better oxygenation and reduced postoperative pain and analgesia use compared with open cholecystectomy. (ovid.com)
  • Postoperative pain after laparoscopic cholecystectomy is not reduced by intraoperative analgesia guided by analgesia nociception index (ANIA(r)) monitoring: a randomized clinical trial. (thefreedictionary.com)
  • found that donors who underwent laparoscopic donor nephrectomy (LDN) had less postoperative pain and. (ebscohost.com)
  • Placement of drain is not beneficial for the prevention or reduction of postoperative morbidities after emergent laparoscopic cholecystectomy and can even increase postoperative pain. (alliedacademies.org)
  • Maria 2018-02-01 00:00:00 AbstractBackground:This meta-analysis aimed to assess the efficiency and safety of intravenous infusion of lidocaine for pain management after laparoscopic cholecystectomy (LC).Methods:A systematic search was performed in PubMed (August 1966-2017), Medline (August 1966-2017), Embase (August 1980-2017), ScienceDirect (August 1985-2017), and the Cochrane Library. (deepdyve.com)
  • Drains are used after laparoscopic cholecystectomy to prevent abdominal collections. (cochrane.org)
  • The aim is to assess the benefits and harms of routine abdominal drainage in uncomplicated laparoscopic cholecystectomy. (cochrane.org)
  • Cases of intra-abdominal actinomycosis have been described years after cholecystectomy, although it is a rare complication. (archbronconeumol.org)
  • This prospective study aims to establish the safety of conducting laparoscopic cholecystectomy without transfusion in sickle cell disease patients. (pubmedcentralcanada.ca)
  • We report a case of successful single-port laparoscopic cholecystectomy for a patient with SIT, and describe its technical advantages and review of literature. (ebscohost.com)
  • Comparison of transumbilical single-port laparoscopic cholecystectomy and fourth-port laparoscopic cholecystectomy. (ebscohost.com)
  • This work aims to compare the curative effect of transumbilical single-port laparoscopic cholecystectomy (TUSPLC) and four-port laparoscopic cholecystectomy (FPLC). (ebscohost.com)
  • To the Editor:-We have been very interested by the recent report of 11 cardiac transplantation recipients who underwent elective laparoscopic cholecystectomy. (asahq.org)
  • This was a prospective study conducted from June 2008 to july 2011 that included 298 patients who underwent elective laparoscopic cholecystectomy for uncomplicated gallstone disease. (alliedacademies.org)
  • Methods: We studied all elderly (≥75 years) patients (n = 80) who underwent laparoscopic. (ebscohost.com)
  • Methods 191 patients were operated by elective four-port laparoscopic cholecystectomy. (bmj.com)
  • The most common cause of post-cholecystectomy syndrome are the extra-biliary disorders such as peptic ulcer disease, gastroesophageal reflux disease and irritable bowel syndrome. (scielo.br)
  • Study Of Non-Biliary Complications Of Laparoscopic Cholecystectomy. (ebscohost.com)
  • The most important complications of laparoscopic cholecystectomy are biliary tract injuries. (ebscohost.com)
  • A 26-yr-old man was scheduled for a laparoscopic cholecystectomy due to recurrent episodes of biliary colic. (asahq.org)
  • Complications of the initial 200 cases of laparoscopic cholecystectomy (LC) at the Cathay General Hospital within a period of 11 months were reviewed from video documents of the operations and clinical records. (biomedsearch.com)
  • The use of laparoscopic techniques has become common in clinical practice. (clinicaltrials.gov)
  • In this retrospective clinical study, we describe a technique for laparoscopic appendectomy, in which the appendiceal stump is secured by metal endoclips. (ebscohost.com)
  • Laparoscopic Surgeryâ€"15 Years After Clinical Introduction. (ebscohost.com)
  • Kumar M, Agrawal CS, Gupta RK (2007) Three-port versus standard four-port laparoscopic cholecystectomy: a randomized controlled clinical trial in a community-based teaching hospital in eastern Nepal. (springermedizin.de)
  • While minimally invasive laparoscopic cholecystectomy (LC) has afforded great advantages over open cholecystectomy, reducing variability and improving outcomes remains a challenge [4, 5]. (termedia.pl)
  • Both ramosetron, a serotonin subtype 3 (5-HT3) antagonist, and dexamethasone are effective for PONV prophylaxis following laparoscopic cholecystectomy but their combined effect has not been investigated. (sigmaaldrich.com)
  • Complications of laparoscopic cholecystectomy. (springer.com)
  • Complications of laparoscopic cholecystectomy: an analysis of 200 cases. (biomedsearch.com)
  • Nathanson LK, Shimi S, Cushchieri A (1991) Laparoscopic cholecystectomy: the Dundee technique. (springermedizin.de)
  • Olsen DO (1991) Laparoscopic cholecystectomy. (springermedizin.de)
  • Gadacz T, Talamini M (1991) Traditional versus laparoscopic cholecystectomy. (springer.com)
  • The search terms 'readmission', 'laparoscopic cholecystectomy', 'outcome', 'return', 'readmitted' 'rates', not 'open laparoscopic cholecystectomy' and not 'conversion to open' were used in combination with Boolean operators AND or OR. (termedia.pl)
  • Mini laparotomy cholecystectomy (MOC) may be a more appropriate option in the resource constrained rural setting due to its widespread applicability and comparable outcome with LC. (scielo.org.za)
  • So far, no convincing data are available comparing outcome or costs between computer assisted and conventional laparoscopic cholecystectomy. (uzh.ch)
  • If both a laparoscopic cholecystectomy and an operative cholangiography are performed at the same time, then both procedures need to be coded. (nice.org.uk)
  • The authors used different procedures in the 2 groups (endoscopic retrograde cholangiography with or without papillotomy in the laparoscopic group and operative cholangiography with or without formal stone extraction in the open cholecystectomy group). (acpjc.org)
  • However, in about 10% to 50% of patients undergoing cholecystectomy, symptoms persist or new ones develop 1,3 . (scielo.br)
  • 12 Furthermore, a large United States observational study 10 demonstrated a similar rate of complications in both transfused and nontransfused patients undergoing cholecystectomy, and nonrandomized studies 11 have shown lower complication rates in nontransfused SCD patients undergoing minor procedures. (pubmedcentralcanada.ca)
  • A retrospective chart analysis of 248 patients undergoing cholecystectomy in a rural regional referral hospital in KwaZulu-Natal from January 2009 to December 2013 was undertaken. (scielo.org.za)
  • This video demonstrates a standard laparoscopic cholecystectomy, which demonstrates some vascular variation with presence of an anterior and a posterior branch of the cystic artery. (websurg.com)
  • Predicting difficult laparoscopic cholecystectomy based on clinicoradiological assessment. (thefreedictionary.com)
  • Novitsky YW, Kercher KW, Czerniach DR et al (2005) Advantages of mini-laparoscopic vs conventional laparoscopic cholecystectomy: results of a prospective randomized trial. (springermedizin.de)
  • Depending on the nature of the case and laparoscopic equipment, up to 4 incisions of between 0.5-1 cm are made to perform a Cholecystectomy. (manipalhospitals.com)
  • Sampling of peritoneum around the gallbladder during laparoscopic cholecystectomy in patients after endoscopic retrograde cholangiography is performed. (clinicaltrials.gov)
  • Cuschieri A , Shimi S , Banting S , Nathanson LK , Pietrabissa A . Intraoperative cholangiography during laparoscopic cholecystectomy. (mdedge.com)
  • 10 patients in the laparoscopic cholecystectomy group had preoperative endoscopic retrograde cholangiography, and 1 patient had endoscopic papillotomy and stone extraction. (acpjc.org)
  • 19 patients in the open cholecystectomy group had intraoperative cholangiography, and 1 patient had stones removed. (acpjc.org)
  • Laparoscopic Gallbladder Removal (Patient Information from SAGES Accessed 7/8/2016. (clevelandclinic.org)
  • A comparison of laparoscopic cholecystectomy versus conventional cholecystectomy with the objective of comparing costs, morbidity and mortality between the two declared procedures, level I of evidence studies were taken as reference. (medigraphic.com)
  • There are several definitive advantages of laparoscopic cholecystectomy includes reduced hospitalization, decreased morbidity, short recovery time, and better cosmesis [ 1 - 6 ]. (alliedacademies.org)
  • The review authors set out to determine whether it is preferable to use routine drainage after laparoscopic cholecystectomy. (cochrane.org)
  • In conclusion, percutaneous drainage is not expected to cure stone disease and hence is not comparable to laparoscopic cholecystectomy, it may still have a limited but useful role as a bridging technique. (bmj.com)
  • Laparoscopic cholecystectomy (LC) has largely replaced conventional cholecystectomy in the past decade and is the gold standard now.12,13 However, there are still limited data about the value of prophylactic sub-hepatic drainage for elective uncomplicated LC. (thefreedictionary.com)
  • If nausea or vomiting are present, a suction tube to empty the stomach may be used, and for laparoscopic procedures, a urinary drainage catheter will also be used to decrease the risk of accidental puncture of the stomach or bladder with insertion of the trocar (a sharp-pointed instrument). (thefreedictionary.com)
  • Forty cases (16.1%) were converted to open cholecystectomy (OC). (scielo.org.za)
  • Our entire series consisted of 298 patients, in whom 270 patients were operated laparoscopically, with 28 patients converted to open cholecystectomy. (alliedacademies.org)
  • There was no significant difference in the proportion of patients who underwent conversion to open cholecystectomy or in the operating time between the two groups. (cochrane.org)
  • Patient data were analysed by univariate and multivariate analysis, using conversion to open cholecystectomy (OC) as a dependent variable. (alliedacademies.org)
  • These results revealed that conversion to open cholecystectomy can be predicted preoperatively. (alliedacademies.org)
  • Although few requires conversion to open cholecystectomy [ 7 - 10 ]. (alliedacademies.org)