Cholecystectomy Procedures News

All Recent Cholecystectomy Procedures News

Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool
Conclusions  Using both an integrated OR and Pro/cheQ has a stronger reducing effect on the number of RSE than using an integrated OR alone. The Pro/cheQ tool supported the optimal workflow in a natural way and raised the general safety awareness amongst all members of the surgical team. For tools such as integrated OR systems and checklists to succeed it is pivotal not to underestimate the value of the implementation process. To further improve safety and quality of surgery, a multifaceted approach should be followed, focusing on the performance and competence of the surgical team as a whole. Content Type Journal ArticleDOI 10.1007/s00464-010-0892-6Authors Sonja N. Buzink, Delft University of Technology Faculty of Industrial Design Engineering Landbergstraat 15 2628...... MORE...
POSTED 02/05/2010 at 02:43 AM --


Technique of open laparoscopy for supramesocolic surgery in obese patients
Conclusions  We present a technique of open laparoscopy in obese patients, systematically used, for supramesocolic surgery. This technique is safe, reproducible, and permits an efficient closure of the abdominal wall. Content Type Journal ArticleCategory TechniqueDOI 10.1007/s00464-009-0872-xAuthors Jean Baptiste Deguines, Université de Picardie Jules Verne Federation of Digestive Surgery, North Hospital Place Victor Pauchet 80054 Amiens Cedex 01 FranceQuentin Qassemyar, Université de Picardie Jules Verne Federation of Digestive Surgery, North Hospital Place Victor Pauchet 80054 Amiens Cedex 01 FranceAbdennaceur Dhahri, Université de Picardie Jules Verne Federation of Digestive Surgery, North Hospital Place Victor Pauchet 80054 Amiens Cedex 01 FranceOlivier Brehant, ...... MORE...
POSTED 02/05/2010 at 02:43 AM --


A prospective randomized trial comparing two-stage versus single-stage management of patients with gallstone disease and common bile duct stones
Conclusions  The results showed equivalent success rate in terms of morbidity and hospital stay. Laparoscopic approach seems to be favorable because of the smaller number of procedures and hospital visits. Content Type Journal ArticleDOI 10.1007/s00464-010-0891-7Authors Virinder K. Bansal, All India Institute of Medical Sciences Department of Surgical Disciplines Room No. 5045, 5th Floor, Teaching Block New Delhi IndiaMahesh C. Misra, All India Institute of Medical Sciences Department of Surgical Disciplines Room No. 5045, 5th Floor, Teaching Block New Delhi IndiaPramod Garg, All India Institute of Medical Sciences Department of Gastroenterology New Delhi IndiaManik Prabhu, All India Institute of Medical Sciences Department of Surgical Disciplines Room No. 5045, 5th Flo...... MORE...
POSTED 02/05/2010 at 02:43 AM --


Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases
Conclusions  The findings demonstrate that SPA surgery is an alternative to multiport laparoscopy with fewer scars and better cosmesis. One factor affecting the rate for adoption of SPA surgery among other surgeons is the reproducibility of this new procedure. Although this study had insufficient data to determine fully the benefits of SPA surgery, the feasibility of this procedure with safe, acceptable results was demonstrated in this initial large series across multinational institutions. Content Type Journal ArticleDOI 10.1007/s00464-009-0856-xAuthors Paul G. Curcillo, Drexel University College of Medicine Department of Surgery 219 North Broad Street Philadelphia PA 19107 USAAndrew S. Wu, Drexel University College of Medicine Department of Surgery 219 North Broad S...... MORE...
POSTED 02/05/2010 at 02:43 AM --


Prompt Cholecystectomy for Mild Pancreatitis Safely Cuts Hospital Stay
Prompt cholecystectomy in patients with mild pancreatitis is as safe as waiting for symptoms to subside, and it cuts the average hospital stay by roughly 2 days, a new study has shown. Reuters Health Information (Source: Medscape Medical News Headlines)... MORE...
POSTED 02/04/2010 at 11:32 AM --


Laparoscopic cholecystectomy for cholelithiasis in children
Conclusion:</b> Laparoscopic chloecystectomy is a safe and efficacious treatment for pediatric cholelithiasis. The cause for increased incidence of pediatric gallstones and their natural history needs to be further evaluated. (Source: Journal of Indian Association of Pediatric Surgeons)... MORE...
POSTED 02/04/2010 at 09:42 AM --


Prophylactic Cholecystectomy in Midgut Carcinoid Patients
Conclusions  In our study the incidence of gallstone-related complications seems to be higher than in the general population. We recommend that prophylactic cholecystectomy is liberally performed during laparotomy for MGC if patients are planned to undergo treatment with somatostatin analogs. Content Type Journal ArticleDOI 10.1007/s00268-010-0428-1Authors Olov Norlén, Uppsala University Department of Surgery SE-751 85 Uppsala SwedenOla Hessman, Uppsala University Department of Surgery SE-751 85 Uppsala SwedenPeter Stålberg, Uppsala University Department of Surgery SE-751 85 Uppsala SwedenGöran Åkerström, Uppsala University Department of Surgery SE-751 85 Uppsala SwedenPer Hellman, Uppsala University Department of Surgery SE-751 85 Uppsala Sweden Journal Wo...... MORE...
POSTED 02/04/2010 at 12:44 AM --


Robot-Assisted Pediatric Surgery: How Far Can We Go?
Conclusions  Robot-assisted surgery appears to be safe and feasible for a number of pediatric surgical procedures. Further system improvement and randomized studies are required to evaluate the benefits, if any, and the long-term outcomes of robotic surgery. Content Type Journal ArticleDOI 10.1007/s00268-010-0431-6Authors Aayed Alqahtani, King Saud University Division of Pediatric Surgery, College of Medicine P.O. Box 84147 Riyadh 11671 Saudi ArabiaAbdullrahman Albassam, King Saud University Division of Pediatric Surgery, College of Medicine P.O. Box 84147 Riyadh 11671 Saudi ArabiaMohammed Zamakhshary, King Saud bin Abdulaziz University for Health Sciences Division of Pediatric Surgery Riyadh Saudi ArabiaMohammed Shoukri, King Saud University Division of Pediatric Surge...... MORE...
POSTED 02/03/2010 at 12:47 AM --


Preliminary Surgical Results of Single-Incision Transumbilical Laparoscopic Bariatric Surgery
Conclusion  Our technique can be safely and effectively used for SITU laparoscopic bariatric surgery. This technique will soon be used for advanced abdominal surgeries besides bariatric ones. Content Type Journal ArticleCategory Clinical ReportDOI 10.1007/s11695-009-0071-9Authors Chih-Kun Huang, E-Da Hospital Department of General Surgery 1 E-Da Road, Jiau-shu Tseun, Yan-chau Shiang Kaohsiung County 824 TaiwanJui-Chi Tsai, E-Da Hospital Bariatric & Metabolic International Surgery Center Kaohsiung TaiwanChi-Hsien Lo, E-Da Hospital Bariatric & Metabolic International Surgery Center Kaohsiung TaiwanJer-Yiing Houng, I-Shou University Department of Chemical Engineering and Institute of Biotechnology and Chemical Engineering Kaohsiung County TaiwanYaw-Sen Chen, E-Da Hospital ...... MORE...
POSTED 01/30/2010 at 12:16 PM --


Single Laparoscopic Approach Favored for Common Bile Duct Stones
For common bile duct stones, a single laparoscopic procedure combining cholecystectomy with bile duct exploration (LCBDE) is best, new research suggests. Reuters Health Information (Source: Medscape Gastroenterology Headlines)... MORE...
POSTED 01/29/2010 at 01:23 PM --


Single-incision laparoscopic cholecystectomy: the first 100 outpatients
Conclusions  The findings show SIMPL cholecystectomy to be safe in the outpatient setting. It is an excellent alternative to traditional three- or four-port cholecystectomy for the ideal candidate with a lower body mass index (BMI), early disease, and no previous abdominal surgery. The authors’ initial outpatient experience shows that it can be performed using existing instrumentation without increasing costs by a reproducible technique that can be adopted by any practicing general surgeon. Content Type Journal ArticleDOI 10.1007/s00464-010-0886-4Authors Jose Erbella, Manatee Memorial Hospital Department of Surgery 206 Second Street East Bradenton FL 34208 USAGary M. Bunch, Manatee Memorial Hospital Department of Surgery 206 Second Street East Bradenton FL 34208 USA...... MORE...
POSTED 01/29/2010 at 06:15 AM --


Evaluation of Operative Notes Concerning Laparoscopic Cholecystectomy: Are Standards Being Met?
Conclusions  Operative notes do not always fully comply with the standards set forth in the guidelines published in the Netherlands. This could influence adjuvant treatment and future patient treatment, and it may make operative notes less suitable background for other purposes. Therefore operative note writing should be taught as part of surgical training, definitions should be provided, and procedure-specific guidelines should be established to improve the quality of the operative notes and their use to improve patient safety. Content Type Journal ArticleDOI 10.1007/s00268-010-0422-7Authors Linda S. G. L. Wauben, Delft University of Technology Faculty of Industrial Design Engineering Landbergstraat 15 2628 CE Delft The NetherlandsRichard H. M. Goossens, Delft Unive...... MORE...
POSTED 01/29/2010 at 06:14 AM --


Bupivacaine use in the Insuflow® device during laparoscopic cholecystectomy: results of a prospective randomized double-blind controlled trial
Conclusions  Bupivacaine use in the Insuflow device is safe. No significant differences in postoperative pain were noted in this study compared to using water. Content Type Journal ArticleDOI 10.1007/s00464-009-0804-9Authors Peter W. Zimmer, Penrose-St. Francis Health Services Department of Surgery 2222 North Nevada Avenue Colorado Springs CO 80907 USAMichael J. McCann, Penrose-St. Francis Health Services Department of Surgery 2222 North Nevada Avenue Colorado Springs CO 80907 USAMaureen M. O’Brien, University of Colorado Denver School of Medicine Campus Box C290, 13001 E 17th Place, Building 500, 1st Floor East Aurora CO 80045 USA Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794 (Source: Surgical Endoscopy)... MORE...
POSTED 01/28/2010 at 01:01 AM --


Use of Rigid Nephroscope for Laparoscopic Common Bile Duct Exploration—A Single-Center Experience
Conclusions  A rigid nephroscope can be used for managing all types of common bile duct calculi irrespective of site, size, composition, or degree of impaction. Its use can be expected to become the standard for laparoscopic common bile duct exploration, especially for removing large calculi from a dilated common bile duct. Content Type Journal ArticleDOI 10.1007/s00268-010-0397-4Authors Muneer Khan, Government Medical College Srinagar Department of Surgery Karan Nagar Srinagar 190010 Jammu and Kashmir IndiaSyed Javid Farooq Qadri, Government Medical College Srinagar Department of Surgery Karan Nagar Srinagar 190010 Jammu and Kashmir IndiaSyed Sajad Nazir, Government Medical College Srinagar Department of Surgery Karan Nagar Srinagar 190010 Jammu and Kashmir India ...... MORE...
POSTED 01/27/2010 at 02:24 PM --


Multiple abdominal granuloma caused by spilled gallstones with imaging findings that mimic malignancy
Abstract: Multiple abdominal granulomas caused by spilled gallstones during a laparoscopic cholecystectomy are a rare complication. The images of the granuloma mimicked malignancy. (Source: American Journal of Surgery)... MORE...
POSTED 01/27/2010 at 09:28 AM --


Identification of Helicobacter spp. in bile and gallbladder tissue of patients with symptomatic gallbladder disease
Discussion: Helicobacter spp. can be detected in bile and gallbladder tissue of patients with benign gallbladder disease. The contribution of these bacteria to the pathophysiology of gallbladder disease and gallstone formation requires further study. (Source: HPB: official journal of the International Hepato Pancreat Biliary Association)... MORE...
POSTED 01/26/2010 at 06:00 PM --


Transcylindrical cholecystectomy under local anesthesia plus sedation. A pilot study
EndoscopyDOI: 10.1055/s-0029-1243860 The practice of laparoscopic cholecystectomy under local anesthesia is almost anecdotal. For 15 years we have been using a “transcylindrical cholecystectomy” technique for the treatment of cholelithiasis, cholecystitis, and choledocholithiasis. The present study was undertaken to assess the feasibility of transcylindrical cholecystectomy under local anesthesia through a prospective and longitudinal efficacy study.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: Endoscopy)... MORE...
POSTED 01/26/2010 at 08:23 AM --


Open, small-incision, or laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis. An overview of Cochrane Hepato-Biliary Group reviews
Background Patients with symptomatic cholecystolithiasis are treated by three different techniques of cholecystectomy: open, small-incision, or laparoscopic. There is no overview on Cochrane systematic reviews on these three interventions. Objectives To summarise Cochrane reviews that assess the effects of different techniques of cholecystectomy for patients with symptomatic cholecystolithiasis. Methods The Cochrane Database of Systematic Reviews (CDSR) was searched for all systematic reviews evaluating any interventions for the treatment of symptomatic cholecystolithiasis (Issue 4 2008). Main results Three systematic reviews that included a total of 56 randomised trials with 5246 patients are included in this overview of reviews. All three reviews used identical inclusion criteria for tr...... MORE...
POSTED 01/26/2010 at 08:13 AM --


Liver Resection Is Associated with Prolonged Survival for Non-Metastatic Gallbladder Cancer: A 10 Year Review
Introduction: Gallbladder cancer is a relatively rare cancer in the United States and is often associated with poor prognosis. We reviewed our experience with treating gallbladder cancer and attempted to identify if demographic, tumor, or surgical factors affected survival in our patient population. Methods: We performed a chart review of the cancer registry of 2 large academic hospitals to identify patients with gallbladder cancer between 1999 and 2007. Demographic information, patient and tumor factors, and survival outcomes were collected. We analyzed the patient population for the impact of patient factors and surgical therapy on survival outcome. Results: Our patient database consisted of 68 patients, 52 of which were women (76%). The ethnic distribution was 37% Hispanic, 34% Caucasia...... MORE...
POSTED 01/25/2010 at 10:42 AM --


Contributing Factors to Postoperative Length of Stay in Patients Undergoing Laparoscopic Cholecystectomy
This study evaluates the major factors that contribute to postoperative length of stay (LOS) for patients undergoing laparoscopic cholecystectomy. Methods: We analyzed demographic, clinical, and utilization data in patients undergoing laparoscopic cholecystectomy in a five-hospital community health system from 1 December 2008 to 31 January 2009. Multiple linear regression analysis was used to evaluate significance and estimate the association between significant factors and LOS. Results: 191 patients met the inclusion criteria for analysis. Demographically, patient age was a significant contributing factor (0.04 days to LOS/year, p=0.004) while gender, diabetes, hypertension, and BMI were not significant. None of the clinical factors (emergency status, use of ERCP, biliary pancreatitis, to...... MORE...
POSTED 01/25/2010 at 10:42 AM --


 

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