El carcinoma primario en el conducto cístico es un tumor raro y abarca del 0.1% al 0.2% de los carcinomas del tracto gastrointestinal. Presentamos el caso de un varón con pérdida de peso e ictericia, en el que se demuestra por imagen una dilatación de vías intrahepática y extrahepática condicionada por una compresión extrínseca del colédoco. Se realiza colangiografía pancreática retrógrada endoscópica que confirma la compresión, por lo que se lleva a cabo una exploración quirúrgica que evidencia una tumoración del conducto cístico. Se realiza colecistectomía con resección de ganglios linfáticos, además de anastomosis hepatoyeyunal. La tumoración se reporta como carcinoma del conducto cístico sin involucro ganglionar. Primary cystic duct carcinoma is a rare tumor and comprises 0.1% to 0.2% of carcinomas of the gastrointestinal tract. We present a case of a male with weight loss and jaundice. Evidence is shown by imaging of intrahepatic and extrahepatic duct dilatation conditioned by extrinsic bile duct compression. An endoscopic retrograde pancreatic cholangiography was performed confirming the compression, so a surgical exploration was preformed showing a tumor of the cystic duct, a cholecystectomy with resection of regional lymph nodes, as well as a hepatic-jejunal anastomosis. The tumor is reported as cystic duct carcinoma without lymph node involvement.
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http://dx.doi.org/10.24875/CIRU.20000275 | DOI Listing |
Arch Cardiol Mex
November 2024
Departamento de Cardiología Pediátrica, Instituto Nacional de Pediatría, Ciudad de México, México.
Cir Esp (Engl Ed)
October 2024
Departamento de Cirugía General y Digestiva, Hospital Universitari Mútua Terrassa, Barcelona, Spain; Departamento de Cirugía General y Digestiva, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain.
Background: This study aims to compare the visualization of the cystic duct-common bile duct junction with indocyanine green (ICG) among 3 groups of patients divided according to the difficulty of elective laparoscopic cholecystectomy.
Methods: Conducted at a single center, this non-randomized, prospective, observational study encompassed 168 patients who underwent elective laparoscopic cholecystectomy and were assessed with a preoperative risk score to predict difficult cholecystectomies, including clinical factors and radiological findings. Three groups were identified: low, moderate, and high risk.
Gastroenterol Hepatol
June 2024
Bellvitge Biomedical Research Institute, L'Hospitalet de Llobregat, Barcelona, Spain; Universitat de Barcelona, Barcelona, Spain; Hepato-biliary-pancreatic Unit, Department of General Surgery, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
Background And Aims: Endoscopic ultrasound-guided pancreatic duct intervention (EUS-PDI) is one of the most technically challenging procedures. There remains a knowledge gap due to its rarity. The aim is to report the accumulated EUS-PDI experience in a tertiary center.
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June 2024
Departamento de Medicina, Facultad de Medicina. Universidad Cooperativa de Colombia, Medellín, Colombia.
Cir Cir
March 2024
Department of Gastroenterology, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Objective: To investigate the value of endoscopic duodenal papillary sphincterotomy combined with balloon dilatation in the treatment of duodenal papilloplasty with titanium clip after choledocholithiasis in post-operative complications.
Materials And Methods: One hundred and twenty-five patients (69 males and 56 females) with a median age of 65 (32-81) years were included. The treatment plan was randomly divided into Group A (n = 59) and Group B (n = 66) according to the random number table.
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