Role of intraoperative cholangiography for detecting residual stones after biliary pancreatitis: still useful? A retrospective study.
Laura Meiler, DO1, Justin Gusching, DO1, Dwayne North, DO1, Courtney Pisano, DO1, Kristen Conrad-Schnetz, DO2, Christian Massier, MD1. 1South Pointe Hospital, 2Metro HealthIntroduction: Intraoperative cholangiography (IOC) may detect residual stones in the common bile duct (CBD) after acute biliary pancreatitis (ABP). The aim of the present study is to analyze the utility of IOC in… Continue Reading
Robotic-Assisted Completion Cholecystectomy: A Safe and Effective Minimally Invasive Approach to a Challenging Surgical Scenario
William B Lyman, MD, Michael Passeri, MD, David A Iannitti, MD, FACS, Dionisios Vrochides, MD, PhD, FACS, FRCSC, Erin H Baker, MD, FACS, John B Martinie, MD, FACS. Carolinas Medical CenterBackground: Housed in a high volume tertiary referral center, our division receives a large amount of transfers and referrals from outside institutions for patients who… Continue Reading
IMPACT OF TIMING OF INTERVAL CHOLECYSTECTOMY, FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY TUBE FOR ACUTE CHOLECYSTITIS, ON OPERATIVE AND PATIENT OUTCOMES
Usman Asad, BS, Amir Aryaie, MD, Eneko Larumbe, PhD, Mark Williams, MD, Edwin Onkendi, MD. Texas Tech University Health Sciences CenterBackground: Percutaneous cholecystostomy tube (PCT) has been used as a bridge treatment for grade II-III moderate to severe acute cholecystitis (AC) to “cool” the gallbladder down over several weeks and allow the inflammation to resolve… Continue Reading
THE EFFECT OF INTRAOPERATIVE BILE SPILLAGE ON OPERATIVE DECISIONS AND SURGICAL OUTCOMES IN LAPAROSCOPIC CHOLECYSTECTOMY
Young Lee, MD, MSc, Arjun Chandrasekaran, MD, MSMPh, Gonzalo Ausqui, MD, Connor McGinley, BS, Pratibha Vemulapalli, MD, FACS, Luca Milone, MD, PhD. The Brooklyn Hospital CenterIntroduction: The effect of intraoperative bile spillage during laparoscopic cholecystectomy (LC) on operative time (OR time), length of stay (LOS), postoperative complication rates, and 30 day readmission rates was analyzed.… Continue Reading
VASCULAR SURPRISES IN CALOT’S TRIANGLE DURING LAPROSCOPIC CHOLEYSTECTOMY
Tariq Nawaz, MD. Rawalpindi Medical UniversityStudy Design: Prospective and observational study. Place and Duration: From January, 2012 to July 2017. Surgical Unit ll, Holy Family Hospital, Rawalpindi. Patients and Methods: Thousand patients with a diagnosis of cholithiasis were included. Exclusion criteria are patient younger than 12 year and older than 80 year. Calot’s triangle dissection was done… Continue Reading
As small as it gets: micro-invasive laparoscopic cholecystectomy using only two 5mm trocars and a needle grasper
Hugo Bonatti, MD. University of Maryland Community Medical GroupBackground: The majority of surgeons use four ports including for laparoscopic cholecystectomy (LC). Multiple efforts have been made to reduce number and size of ports. left upper quadrant (LUQ). Patients and methods: Of 114 LCs performed from 6/2014 - 4/2017, 109 (96%) were done using three instruments… Continue Reading
SURGICAL OUTCOMES FOLLOWING PERCUTANEOUS CHOLECYSTOSTOMY PLACEMENT: A RETROSPECTIVE CHART REVIEW
Julia F Kohn, BS1, Alexander Trenk, MD2, Kristine Kuchta, MS2, Woody Denham, MD2, John Linn, MD2, Stephen Haggerty, MD2, Ray Joehl, MD2, Michael Ujiki, MD2. 1University of Illinois at Chicago; NorthShore University HealthSystem, 2NorthShore University HealthSystemINTRODUCTION: Laparoscopic cholecystectomy is a common procedure in the United States, and is safe even in patients with acute disease. … Continue Reading
ADVANTAGES AND LIMITATIONS ABOUT EARLY LAPAROSCOPIC CHOLECYSTECTOMY: EXPERIENCE IN A DISTRICT HOSPITAL
Susanna Mazzocato, MD1, Angela Maurizi, MD2, Damiana Mandriani, MD2, Fernando De Rose, MD2, Roberto Campagnacci, MD, PhD2. 1Department of General Surgery, Università Politecnica delle Marche, 60126 Ancona, Italy, 2General Surgery, ASUR Regione Marche, "Carlo Urbani" Hospital, Jesi, ItalyINTRODUCTION: The standard treatment for lithiasic acute cholecystitis remains the laparoscopic cholecystectomy despite the timing of surgery is… Continue Reading
REDUCED CONSCIOUSNESS, MALIGNANCY AND QUICK SEQUENTIAL ORGAN FAILURE ASSESSMENT (QSOFA) SCORE PREDICT MORTALITY IN OCTOGENERIAN PATIENTS WITH ACUTE CHOLANGITIS
Charleen S Yeo1, Joseph Wong2, Lavisha Punjabi2, Winston Woon1, Jee Keem Low1, Terence Huey1, Junnarkar Sameer1, Vishal Shelat1. 1Tan Tock Seng Hospital, 2Lee Kong Chian School of MedicineIntroduction With improvements in healthcare access and technology, admissions of octogenarian population with acute cholangitis (AC) are increasing. Octogenarians are vulnerable to inferior outcomes. There is no study… Continue Reading
Outcomes of Percutaneous Cholecystostomy in Malignant Biliary Obstruction
Mena Boules, MD, Madonna Michael, MD, Essa M Aleassa, MD, MSc, Gareth Morris-Stiff, MD, PhD. Cleveland ClinicIntroduction: Management of malignant biliary obstruction not amenable to surgery is usually by means of ERCP or PTHC. However, on occasions, these routes are not accessible and the alternate decompressive technique of percutaneous cholecystostomy (PC) has to be adopted.… Continue Reading
Association of Biliary Disease and Reflux
Melanie Boyle, Daivyd Palencia, Philip Leggett. Houston Northwest Medical CenterBackground: There are very few studies assessing the relationship between gastroesophageal reflux and biliary disease. This is surprising as they share presenting symptoms as well as risk factors, particularly obesity. Our group previously produced a review of 36 patients in our practice who had undergone some… Continue Reading
Is high morbidity and cost associated with tube cholecystostomy worth it? A paradigm shift
Steven Schulberg, DO, Jonathan Gumer, DO, Matt Goldstein, Vadim Meytes, DO, George Ferzli, MD. NYU Langone Hospital - BrooklynIntroduction: Acute cholecystitis is a common surgical disease with roughly 500,000 cholecystectomies performed in the US annually. The current dogma revolves around the “72 hour rule” advocating early cholecystectomy if within the window, and if beyond 72… Continue Reading
DOES SELECTIVE USE OF HEPATOBILIARY SCINTIGRAPHY (HIDA) SCAN FOR DIAGNOSIS OF ACUTE CHOLECYSTITIS, FOLLOWING EQUIVOCAL NON-DIAGNOSTIC GALLBLADDER ULTRASONOGRAPHY, AFFECT OUTCOMES
Fahad Ali, BA, Amir Aryaie, MD, Eneko Larumbe, PhD, Mark Williams, MD, Edwin Onkendi, MD. Texas Tech University Health Sciences CenterIntroduction: Acute cholecystitis (AC) is diagnosed by characteristic gallbladder ultrasonographic findings (high specificity, low sensitivity). Hepatobiliary scintigraphy (HIDA) may be needed to confirm AC (higher sensitivity and specificity). The aim of this study was to… Continue Reading
IS ROUTINE HISTOPATHOLOGY NECESSARY FOR ALL GALLBLADDER SPECIMENS?
Andrea Zaw, MD, Farrukh A Khan, MD, Prashanth Ramachandra, MD, Piotr Krecioch, MD, Leslie Anewenah, MD. Mercy Catholic Medical CenterIntroduction: Benign gallbladder disease is commonly treated with Laparoscopic cholecystectomy (LC). Gallbladder cancer (GBC) is a rare malignancy characterized by high invasiveness and poor survival. In our institution, all gallbladder specimens are routinely sent to pathology,… Continue Reading
Identifying factors contributing to morbidity in recurrent cholangitis
Emanuel A Shapera, MD1, Matteusz Lapucha, MD1, Lauren Baumgarten, MD1, Steven Kaspick, MD1, Cyrus Rahnema, MD1, Matthew Johnson, MD, MMS, FACS2, Paul Nelson, MD, FACS1. 1Mountain View Hospital, 2Desert Surgical AssociatesIntroduction: Recurrent Cholangitis can be caused by parasitical, calculous or malignant disease. We sought to determine clinical factors associated with recurrent cholangitis in two Las… Continue Reading