Index admission vs elective laparoscopic common bile duct exploration: a district general hospital experience over 6 years.

Background: Laparoscopic common bile duct exploration (LCBDE) is relatively a new approach for clearing choledocholithiasis. The aim of this study is to assess the safety of this approach to clearing common bile duct (CBD) stones on an index admission including emergency setting.

Methods: Retrospective data collection and analysis were carried out for 207 consecutive cases of LCBDE performed in Royal Cornwall Hospital over 6 years (2015-2020).

Idiopathic omental infarction: One for conservative or surgical management?

Idiopathic omental infarction (IOI) is a rare cause of right-sided abdominal pain, mimicking serious surgical pathology. It occurs in <4 in 1000 cases of appendicitis. IOI can be a challenge to diagnose, as features may mimic appendicitis, and therefore in young patients, may only be discovered on laparoscopy.

A randomised trial of post-discharge enteral feeding following surgical resection of an upper gastrointestinal malignancy.

Background: Patients undergoing upper gastrointestinal surgery often eat poorly post-operatively, despite dietetic input. A pilot study was conducted to examine the benefit of a 6 week nutritional supplementation via a feeding jejunostomy on fatigue, quality of life and independent living.

Methods: A feeding jejunostomy was placed routinely at oesophagectomy or total gastrectomy for cancer.