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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
48 articles
Newest firstBACKGROUND: Laparoscopic cholecystectomy is associated with the risk of iatrogenic biliary structure injury. Therefore, indocyanine green fluorescence dye is used to provide better visualization of the different biliary structures to avoid this type of injury. However, there is still a debate regarding the best route of ICG administration—either intrabiliary or intravenous. This meta-analysis aims to compare the t…
Open article record in new tab ↗Introduction and importance:Lemmel syndrome (LS) is a rare cause of obstructive jaundice resulting from compression of the distal common bile duct (CBD) by a periampullary duodenal diverticulum. The diagnosis is frequently missed due to nonspecific clinical features and subtle radiologic findings.Case presentation:A 39-year-old woman presented with recurrent epigastric pain, fever, and jaundice. Laboratory results…
Gallbladder anatomical variations are common, but positional anomalies such as subhepatic gallbladder are exceedingly rare. Recognition of these variants is crucial for preventing iatrogenic bile duct injury during laparoscopic cholecystectomy. A 35-year-old medically free male presented with a 3-day history of epigastric pain associated with nausea, vomiting, and dark urine. Laboratory investigations revealed ele…
Open article record in new tab ↗Suprahepatic gallbladder is a rare anatomical variant in which the gallbladder body and fundus are displaced superiorly along the common hepatic duct, often associated with hypoplasia of the medial segment of the left hepatic lobe. Surgical treatment of cholecystitis in such cases presents significant technical challenges due to the aberrant position of the gallbladder and its proximity to the major bile ducts. Th…
Background Cholecystocholedocholithiasis (CCL) presents significant management challenges. The optimal sequencing of laparoscopic cholecystectomy (LC) and endoscopic retrograde cholangiopancreatography (ERCP) when performed during the same operative session remains controversial. This study compared the efficacy, safety, and clinical outcomes of two same-session approaches: LC-first versus ERCP-first. Patients and…
Background Laparoscopic cholecystectomy (LC) is the gold standard treatment for symptomatic gallstone disease. However, a subset of cases requires conversion to open cholecystectomy (OC) due to anatomical challenges or intraoperative complications. Objective To identify the preoperative and intraoperative risk factors associated with conversion of LC to OC and propose a simple scoring system to predict high-risk c…
Open article record in new tab ↗Background Fluorescence cholangiography (FC) with indocyanine green (ICG) enables real-time intraoperative visualization of extrahepatic biliary anatomy during laparoscopic cholecystectomy (LC). There is no consensus on the optimal ICG dose or timing of administration for LC. The goal of this study was to implement a simple intraoperative low-dose ("microdose") ICG protocol that facilitates non-inferior biliary vi…
Objective 2-15% of laparoscopic cholecystectomy gets converted to an open procedure due to various factors. The aim of this study was to identify pre-operative risk factors that could predict the conversion of laparoscopic cholecystectomy to open surgery. Pre-operative prediction would help in reducing the morbidity. Material and methods Adult patients undergoing elective laparoscopic cholecystectomy at a tertiary…
Open article record in new tab ↗Background Although a 5 mm diameter metal clip is commonly employed for cystic duct (CD) closure, it may sometimes be inadequate due to CD dilation. Various widely used preoperative scoring systems can predict the difficulty of intraoperative manipulations, but these systems do not mention CD closure methods. In this study, we identified several preoperative factors related to these instances. Methodology We selec…
Objectives To find out the management outcomes of iatrogenic bile duct injuries following laparoscopic cholecystectomy. Methodology In this descriptive case series study total of 90 patients of both gender and who sustained extra hepatic biliary injuries, were included. Patients managed through ERCP and stenting and those with hepatobiliary malignancy were excluded. These 90 cases included those patients who susta…
Open article record in new tab ↗Background Laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE) are widely used in gallbladder and biliary tract diseases. During these procedures, vessels or tissues are commonly ligated using clips. However, postoperative migration of clips to the common bile duct (CBD) or T-tube sinus tract is an overlooked complication of laparoscopic biliary surgery. Previously, most reporte…
Introduction and importance Situs Inversus Totalis (SIT) is a rare condition characterized by the transposition of internal organs. Given the anatomical variations in SIT, surgeons must exercise extreme caution when performing laparoscopic cholecystectomy to avoid iatrogenic bile duct injury. Despite the high difficulty index associated with laparoscopic cholecystectomy in SIT, there is only one case report of com…
Backgrounds/aims Routine execution of intraoperative cholangiography (IOC) in laparoscopic cholecystectomy (LC) is considered a good practice to help early identification of biliary duct injuries (BDIs) or common bile duct (CBD) stones. This study aimed to determine the impact of IOC during LC. Methods This is a retrospective, monocentric study, including patients with a LC performed from January 2020 to December…
Background Complications following laparoscopic cholecystectomy (LC) and common bile duct exploration (CBDE) for the management of gallstones or choledocholithiasis impact negatively on patients' quality of life and may lead to reinterventions. This study aims to evaluate the causes and types of reintervention following index admission LC with or without CBDE. Methods A prospectively maintained database of LC and…
Open article record in new tab ↗The coronavirus disease 2019 (COVID-19) pandemic had a significant impact on elective surgery for benign disease. We examined the effects of COVID-19 related delays on the outcomes of patients undergoing elective laparoscopic cholecystectomy (LC) in an upper gastrointestinal surgery unit in the UK. We have analysed data retrospectively of patients undergoing elective LC between 01/03/2019 to 01/05/2019 and 01/04/2…
Open article record in new tab ↗Background Laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE) has been widely used for management of gallbladder and common bile duct (CBD) stones. Post-operative clip migration is a rare complication of laparoscopic biliary surgery, which can serve as a nidus for stone formation and cause recurrent cholangitis. Case summary A 59-year-old female was admitted to hospital because…
Open article record in new tab ↗At present, the optimal treatment for common bile duct (CBD) stones combined with gallstones is still controversial. The two most widely accepted techniques are one-stage laparoscopic CBD exploration plus laparoscopic cholecystectomy (LC) and two-stage preoperative endoscopic sphincterotomy plus LC. Considering that all current evidence comes from nonrandomized controlled trials, multicenter randomized controlled…
Open article record in new tab ↗Purpose This study was performed to compare the safety and efficacy of one-stage laparoscopic common bile duct exploration (LCBDE) plus laparoscopic cholecystectomy (LC) with those of endoscopic sphincterotomy (EST) plus LC for concomitant gallbladder (GB) and common bile duct (CBD) stones in elderly patients. Methods This single-center retrospective study reviewed the medical records of patients aged >80 years wh…
Open article record in new tab ↗Background The incidence of common bile duct (CBD) stones accounts for approximately 10%-15% of all CBD diseases. Approximately 8%-20% of these patients also have gallstones with heterogenous signs and symptoms. Aim To investigate the clinical effects of laparoscopic cholecystectomy (LC) combined with endoscopic retrograde cholangiopancreatography (ERCP) and LC with CBD excision and stone extraction in one-stage s…
Open article record in new tab ↗Background Endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC) is a common strategy for treatment of patients with gallstones with co-existing stones in the common bile duct (CBD). We conducted this study to compare the effect of different time intervals between ERCP and LC. Methods A total of 214 patients who underwent elective LC after ERCP for gallstones and CBD s…
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