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Iatrogenic porta hepatis injury is a rare but devastating surgical complication of laparoscopic cholecystectomy. There are no systematic studies examining the best treatment strategy in patients with this injury. We present a case of a 23-year-old woman with a large abscess in the right hepatic lobe due to an extreme vasculobiliary injury after laparoscopic cholecystectomy. Although rare, the impact of vasculobiliary injuries after cholecystectomy highlights the need for constant alertness and prompt management in order to minimize mortality and morbidity usually associated with the routine operative procedure.
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http://dx.doi.org/10.1159/000507431 | DOI Listing |
BMC Surg
March 2025
Department of Surgery, Acute Care Surgery, Hamad Medical Corporation, Doha, 3050, Qatar.
Introduction: Acute cholecystitis (AC) is a prevalent condition in emergency departments (EDs). Standard care involves early laparoscopic cholecystectomy; however, in cases of delayed presentation, high surgical risk, or during situations like the COVID-19 pandemic, percutaneous cholecystostomy (PC) serves as an alternative management strategy. This study reports our center's experience with PC in managing AC, providing insights from a unique geographical context.
View Article and Find Full Text PDFLangenbecks Arch Surg
March 2025
Department of Anesthesia, The Second People's Hospital of Liaocheng, No. 306, Jiankang Street, Liaocheng City, 252600, Shandong Province, China.
Objective: This study investigated whether intraoperative controlled hyperventilation could reduce the incidence and severity of post-laparoscopic shoulder pain.
Methods: In this prospective, randomized, double-blind controlled trial, 150 patients undergoing elective laparoscopic cholecystectomy were randomly assigned to either controlled hyperventilation (n = 75) or conventional ventilation (n = 75) groups. The hyperventilation group received mechanical ventilation with a tidal volume of 10 mL/kg and respiratory rate adjusted to maintain end-tidal CO between 30 and 35 mmHg, while the control group received conventional ventilation (tidal volume 8 mL/kg, end-tidal CO 35-45 mmHg).
Hereditas
March 2025
The Second Department of General Surgery, Dongzhimen Hospital, Beijing University of Chinese Medicine, No.5 Haiyuncang, Dongcheng District, Beijing, 100700, China.
Cholecystectomy is often excessively utilized in the management of gallbladder polyps. It is crucial to effectively differentiate between adenomatous and cholesterol polyps to reduce unnecessary cholecystectomies. This study aimed to investigate the potential of miR-33 as a novel diagnostic biomarker for distinguishing cholesterol from adenomatous polyps.
View Article and Find Full Text PDFGynecol Oncol Rep
April 2025
University of Virginia Department of Obstetrics and Gynecology, Charlottesville, VA, United States.
Background: We sought to estimate the impact, acceptance, and additional cost of opportunistic bilateral salpingectomy (OBS) or bilateral salpingo-oophorectomy (BSO) during certain non-gynecologic procedures on the incidence of high grade serous ovarian cancer (HGSOC).STUDY DESIGN: US population and institutional data were reviewed for three common laparoscopic non-gynecologic surgeries: Cholecystectomy (CCY), Ventral Hernia Repair (VHR), and Bariatric Surgical Procedures (BSP). Additionally, institutional review was performed on all patients, aged 35-75, undergoing these procedures from July 2016 to June 2019 to determine candidacy for OBS or BSO.
View Article and Find Full Text PDFTurk J Surg
March 2025
Department of Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Objective: 2-15% of laparoscopic cholecystectomy gets converted to an open procedure due to various factors. The aim of this study was to identify pre-operative risk factors that could predict the conversion of laparoscopic cholecystectomy to open surgery. Pre-operative prediction would help in reducing the morbidity.
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