Article
Gastroenterology & Hepatology
Anthony Yuen Bun Teoh, Chi Ho Leung, Prudence Tai Huen Tam, Kitty Kit Ying Au Yeung, Richard Chung Ying Mok, Daniel Leonard Chan, Shannon Melissa Chan, Hon Chi Yip, Philip Wai Yan Chiu, Enders Kwok Wai Ng
Summary: A comparison study of EUS-GBD and LC for acute cholecystitis found similar outcomes in terms of technical and clinical success rates, lengths of hospital stay, 30-day adverse events, and mortality rates. Additionally, the rates of recurrent biliary events, reinterventions, and unplanned readmissions within 1 year were also similar between the two procedures. These findings support EUS-GBD as a viable alternative to LC for patients who may not be suitable for definitive cholecystectomy.
GASTROINTESTINAL ENDOSCOPY
(2021)
Article
Surgery
Marcello Di Martino, Alvaro Gancedo Quintana, Victor Vaello Jodra, Alfonso Sanjuanbenito Dehesa, Dieter Morales Garcia, Ruben Caina Ruiz, Francisca Garcia-Moreno Nisa, Fernando Mendoza-Moreno, Sara Alonso Batanero, Jose Edecio Quinones Sampedro, Paola Lora Cumplido, Altea Arango Bravo, Ines Rubio-Perez, Luis Asensio-Gomez, Fernando Pardo Aranda, Sara Senti Farrarons, Cristina Ruiz Moreno, Clara Maria Martinez Moreno, Aingeru Sarriugarte Lasarte, Mikel Prieto Calvo, Daniel Aparicio-Sanchez, Eduardo Perea Perea del Pozo, Gianluca Pellino, Elena Martin-Perez
Summary: This study assessed the safety of early laparoscopic cholecystectomy (ELC) for acute calculous cholecystitis (ACC) in patients aged 85 and older. The results showed that in the oldest-old group, ELC for ACC still had a higher mortality rate and complication rate. However, it seems to be safe in selected patients.
UPDATES IN SURGERY
(2022)
Article
Medicine, General & Internal
Kojiro Omiya, Kazuhiro Hiramatsu, Yoshihisa Shibata, Masahide Fukaya, Masahiro Fujii, Taro Aoba, Atsuki Arimoto, Takayuki Yamaguchi, Takehito Kato
Summary: Preoperative MRI assessment can predict surgical difficulty during laparoscopic cholecystectomy in acute cholecystitis patients, with low signal intensity of the gallbladder wall being associated with higher rates of bailout procedures and prolonged operating times.
Article
Gastroenterology & Hepatology
Marcello Di Martino, Ismael Mora-Guzman, Victor Vaello Jodra, Alfonso Sanjuanbenito Dehesa, Dieter Morales Garcia, Ruben Caina Ruiz, Francisca Garcia-Moreno Nisa, Fernando Mendoza Moreno, Sara Alonso Batanero, Jose Edecio Quinones Sampedro, Paola Lora Cumplido, Altea Arango Bravo, Ines Rubio-Perez, Luis Asensio-Gomez, Fernando Pardo Aranda, Sara Senti Farrarons, Cristina Ruiz Moreno, Clara Maria Martinez Moreno, Aingeru Sarriugarte Lasarte, Mikel Prieto Calvo, Daniel Aparicio-Sanchez, Eduardo Perea Del Pozo, Gianluca Pellino, Elena Martin-Perez
Summary: This study identified factors associated with an increased risk of postoperative complications in patients with acute calculous cholecystitis (ACC) undergoing early laparoscopic cholecystectomy (ELC) and developed a preoperative score (Chole-Risk Score) to predict these complications. The score was validated through correlation analysis and showed a progressive increase in postoperative complications with higher scores.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Medicine, General & Internal
Irshad Khan, Parul Yadav, Rama K. Saran, Sarthak Sharma, Amit K. Sharma
Summary: This study aimed to evaluate the impact of preoperative gallbladder wall thickness on the outcome of laparoscopic cholecystectomy. The results showed a significant correlation between increased gallbladder wall thickness and higher conversion rate, complications, operative time, and postoperative hospital stay.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Medicine, General & Internal
Jung Hyun Park, Dal Rae Jin, Dong Jin Kim
Summary: This study compared the quality of life (QOL) between primary laparoscopic cholecystectomy (LC) and LC following percutaneous transhepatic gall bladder drainage (PTGBD). The results showed no significant difference in overall health scale between the two groups, but the PTGBD group had better functional and emotional scales.
Article
Surgery
Hadded Dhafer, Mesbahi Meryam, Cherif Mouna, Yazid Benzarti, Jomli Yassine, Chamekhi Chiraz, Ben Maamer Anis
Summary: Gallbladder torsion is a rare but life-threatening cause of acute abdominal pain, often presenting with symptoms similar to acute cholecystitis. It typically requires surgical treatment to detorse and remove the gallbladder.
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS
(2021)
Article
Geriatrics & Gerontology
Malek Barka, Mohamed Salah Jarrar, Zied Ben Abdessalem, Fehmi Hamila, Sabri Youssef
Summary: This study aimed to evaluate the outcomes of early laparoscopic cholecystectomy for acute calculous cholecystitis in older adult patients. The results showed no significant differences in operative time, conversion rate, and intra- and postoperative morbidity between the older adult group and the younger group, indicating that early laparoscopic cholecystectomy can be safely proposed for older adult patients.
GERIATRICS & GERONTOLOGY INTERNATIONAL
(2023)
Article
Surgery
Philippe Malvaux, Dario Gherardi, Fillip Gryspeerdt, Charles De Gheldere
Summary: The use of the CADISS (R) system in laparoscopic cholecystectomy for acute cholecystitis showed promising results in facilitating dissection and reducing complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Pinky Thapar, Prashant Salvi, Madhura Killedar, Philip Roji, Muktachand Rokade
Summary: This study evaluated the utility and safety of LC in complex ACC through a set protocol and intraoperative steps. Analysis of 145 patients showed that outcomes of LC were influenced by preoperative assessment, treatment algorithm, and safety steps.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Kentaro Oji, Yasunori Otowa, Yuta Yamazaki, Keisuke Arai, Yasuhiko Mii, Keitaro Kakinoki, Tetsu Nakamura, Daisuke Kuroda
Summary: This study aimed to explore the safety of continuing antithrombic therapy (ATT) during emergency surgery for acute cholecystitis. The results showed that the use of ATT did not have a significant impact on blood loss or complications during the surgery, however, controlling intraoperative bleeding was crucial for a safe postoperative outcome.
Article
Surgery
Nina Sonne Bundgaard, Aske Bohm, Anna Koldbro Hansted, Anders Peter Skovsen
Summary: This study evaluated the safety of ELC compared to DLC for acute cholecystitis, finding that ELC is safe even beyond 5 days of symptoms. The duration of symptoms in AC does not independently predict perioperative outcomes.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Article
Gastroenterology & Hepatology
Alexander M. Fagenson, Benjamin D. Powers, Konstantinos A. Zorbas, Sunil Karhadkar, Andreas Karachristos, Antonio Di Carlo, Kwan N. Lau
Summary: Frailty is associated with postoperative morbidity and mortality in patients undergoing laparoscopic cholecystectomy for acute cholecystitis, with intermediate and high levels of frailty showing significantly higher rates of complications and mortality. The Modified Frailty Index (mFI) was found to have excellent accuracy in predicting postoperative outcomes.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Surgery
Toshiyuki Mori, Hideki Endo, Takeyuki Misawa, Shigeki Yamaguchi, Yoshihiro Sakamoto, Masafumi Inomata, Yoshiharu Sakai, Yoshihiro Kakeji, Hiroaki Miyata, Yuko Kitagawa, Masahiko Watanabe
Summary: This study evaluated the impact of ESSQS-certified surgeons on short-term outcomes of laparoscopic cholecystectomy for acute cholecystitis. The findings suggest that ESSQS-certified surgeons have lower surgical mortality rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Emergency Medicine
Giuseppe Borzellino, Safi Khuri, Michele Pisano, Subhi Mansour, Niccolo Allievi, Luca Ansaloni, Yoram Kluger
Summary: This study did not confirm the hypothesis that immediate cholecystectomy performed within 24 hours of admission may reduce post-operative complications unless surgery could be performed within 72 hours of the onset of symptoms.
WORLD JOURNAL OF EMERGENCY SURGERY
(2021)