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Duplication of the gallbladder: An intraoperative finding during laparoscopic cholecystectomy.
Int J Surg Case Rep
January 2025
University Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Introduction: Duplication of the gallbladder is a rare congenital malformation associated with the development of cholelithiasis. It increases the risk of iatrogenic bile duct injury during cholecystectomy and can lead to symptom recurrence if missed. Although preoperative imaging is helpful, detection rates are around 50 %.
View Article and Find Full Text PDFSafety and feasibility of robot-assisted surgery for pediatric patients weighing ≤ 10 kg with congenital biliary dilatation.
J Robot Surg
December 2024
Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
The advantage of robot-assisted surgery (RAS) is its ability to perform fine surgical operations with higher-resolution images. RAS should be particularly beneficial for small children, but it requires a certain amount of working space. The da Vinci Surgical System instructions state that careful consideration of indications for robotic surgery in patients weighing ≤ 10 kg is required.
View Article and Find Full Text PDFA case of simultaneous pancreatoduodenectomy and living donor liver transplantation for biliary cancer complicated with congenital biliary dilatation.
Surg Case Rep
December 2024
Department of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Background: In patients with pancreaticobiliary maljunction complicated by congenital biliary dilatation, the pancreatic enzyme flows back into the bile, leading to bile duct carcinogenesis. Although the biliary tract resection and reconstruction is well documented to decrease the rate of malignancy, cancer occurrence has been reported in the residual intrahepatic or intrapancreatic bile duct, even after resection. We report a case of multiple biliary tract cancers in the liver complicated by congenital biliary dilatation, whose tumor lesions were resected en bloc without disconnecting the biliary tract by simultaneous pancreatoduodenectomy and living donor liver transplantation.
View Article and Find Full Text PDFThe Presence of Type Va Double Common Bile Duct in a Male Patient: A Case Report.
Cureus
October 2024
Department of Radiology, Tempe St. Luke's Hospital, Tempe, USA.
Double common bile duct (DCBD) is a rare congenital anomaly of the biliary system, characterized by the presence of two common bile ducts. The condition can be classified into five distinct types. Type Va DCBD is one of the rare congenital variations where both bile ducts open separately into the duodenum: one opens normally at the major duodenal papilla, and the second opens independently into the duodenum at a different site, usually proximal to the major duodenal papilla.
View Article and Find Full Text PDFIntrahepatic Class VII Choledochal Cyst: Radiological Insights and Surgical Approach.
Am J Case Rep
December 2024
Department of Surgery, Faculty of Medicine, Al-Baha University, Al-Baha, Saudi Arabia.
Article Synopsis
- Choledochal cysts are congenital bile duct abnormalities classified into five main types, with this case focusing on an intrahepatic variant mistaken for biliary cystadenoma.
- A 35-year-old woman experienced pain and a palpable mass, leading to diagnostic imaging that revealed a complicated cyst affecting her liver's bile ducts.
- Surgical intervention was required due to the cyst's complexity, and while the gallbladder was removed, the cyst could not be entirely separated from the common hepatic duct, highlighting the need for careful evaluation to prevent complications.
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