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Endoscopic Gallbladder Drainage: A Comprehensive Review on Indications, Techniques, and Future Perspectives.
Medicina (Kaunas)
April 2024
Department of Systems Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.
In recent years, therapeutic endoscopy has become a fundamental tool in the management of gallbladder diseases in light of its minimal invasiveness, high clinical efficacy, and good safety profile. Both endoscopic transpapillary gallbladder drainage (TGBD) and endoscopic ultrasound (EUS)-guided gallbladder drainage (EUS-GBD) provide effective internal drainage in patients with acute cholecystitis unfit for cholecystectomy, avoiding the drawbacks of external percutaneous gallbladder drainage (PGBD). The availability of dedicated lumen-apposing metal stents (LAMS) for EUS-guided transluminal interventions contributed to the expansion of endoscopic therapies for acute cholecystitis, making endoscopic gallbladder drainage easier, faster, and hence more widely available.
View Article and Find Full Text PDFIntroduction And Importance: Gallstone ileus is a rare condition, accounting for 0.5 % of mechanical small bowel obstructions. It is a misnomer for mechanical intestinal obstruction caused by one or more gallstones impacted within the gastrointestinal tract lumen, which occurs mostly in the elderly and female population.
View Article and Find Full Text PDFEvaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy: A systematic review and meta-analysis.
J Minim Access Surg
January 2024
Department of UGI Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, England, UK.
Background: The role of a very low-calorie diet (VLCD) before cholecystectomy in obese patients is unclear. This study evaluated whether VLCD could be used as a risk mitigation strategy for this high-risk patient cohort.
Patients And Methods: A systematic review and meta-analysis was performed (PROSPERO ID CRD42022374610).
Incidental finding and successful management of Larrey's hernia during laparoscopic cholecystectomy: Case report.
Int J Surg Case Rep
January 2024
Department of General Surgery, Menzel Bourguiba Hospital, Rue Djebal Lakhdar, 1006, Tunis, Tunisia.
Introduction: Larrey hernias (LH) are birth defects causing abdominal viscera to protrude into the thoracic cavity. With an incidence of 2-4 %, they are exceptional in adults.
Case Presentation: A 65-year-old female patient was admitted for an elective laparoscopic cholecystectomy.
Posterior Calot's Triangle Approach First Would Be a Better Choice for Chronic Atrophic Cholecystitis: A Retrospective Controlled Study.
J Laparoendosc Adv Surg Tech A
December 2023
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Compare the clinical efficacy of anterior and posterior Calot's triangle approach in laparoscopic cholecystectomy (LC) for chronic atrophic cholecystitis, to find out which approach is much safer and more reliable. From June 2020 to June 2022, 102 patients with chronic atrophic cholecystitis underwent LC in our hospital. They were divided into anterior Calot's triangle approach group and posterior Calot's triangle approach group.
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