The aim of the study was the comparison and assessment of the results of gallbladder excision performed with the classical and laparoscopic methods in persons after age of 70. A total of 242 patients with mean age of 76.1 years operated on in the years 1999-2002, were analysed. 150 of them were operated with the laparoscopic and 92 with the classical methods. The frequency of postoperative--surgical and general--complications and the presence of concomitant diseases associated with old age were compared. Laparoscopic procedures are distinguished for an almost six fold decrease in the percentage of complications (6 vs. 35%) loaded comparably with concomitant diseases. Patients operated with laparoscopic methods had suffered from cardiac infarctions twice as often in their past history (17 vs. 8%). The method of laparoscopic gallbladder excision proved to be beneficial also in persons of advanced age.
Download full-text PDF |
Source |
---|
BMC Anesthesiol
December 2024
Department of Anesthesiology, Nara Medical University, Shijo-cho 840, Kashihara, Nara, 634-8522, Japan.
Background: Modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) is a trunk block that has been gaining attention for managing postoperative pain following abdominal surgeries since its first report in 2019. We conducted a scoping review on M-TAPA, aiming to comprehensively evaluate existing research, identify the gaps in knowledge, and understand the implications of M-TAPA.
Methods: This scoping review was conducted using databases including PubMed, Embase, Cochrane, and CINAHL to evaluate the clinical efficacy of M-TAPA on April 19, 2024.
Am J Gastroenterol
December 2024
West China Hospital, Chengdu, Sichuan, China.
Vet Sci
November 2024
CityU VMC, Sham Shui Po, Kowloon, Hong Kong SAR, China.
Surgical management of feline extra-hepatic biliary obstruction (EHBO) has poor survival rates with few prognostic factors reported in the literature. The etiology and clinical findings of feline EHBO and their influence on short-(2 weeks-6 months) and long-term (>6 months) survival and prognosis were examined in an observational clinical retrospective study of 26 client-owned cats undergoing surgery for biliary obstruction at one institution between 2012 and 2020. The etiology of EHBO was determined in 21/26 cats, which included inflammatory causes (14/21), neoplastic causes (6/21), and a duodenal foreign body (1/21).
View Article and Find Full Text PDFObjective: Limitations are sometimes encountered in the application of laparoscopic cholecystectomy to the treatment of acute cholecystitis. Endoscopic gallbladder stenting (EGBS) has emerged as an additional option. However, the long-term stent patency remains an issue.
View Article and Find Full Text PDFNeuroendocrine tumors (NETs) of the biliary tract are extremely rare due to a paucity of Kulchitsky cells. While their preoperative diagnosis remains challenging due to the lack of specific diagnostic markers and imaging findings, there have been no detailed reports describing the diagnostic utility of various imaging modalities for bile duct NETs at the junction of the cystic and common hepatic ducts. We report a case of a woman in her 40s who presented with jaundice and elevated hepatobiliary enzymes.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!