After outlining and discussing the etiology and pathophysiology of the postcholecystectomy syndrome, the authors describe their own series of 35 cases, therapeutic policies, and results obtained. In the discussion they suggest that the so-called cystic stump syndrome has probably been overplayed, since in the authors' own series of cases there was a high incidence of associated pathology.

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Article Synopsis
  • Researchers have faced challenges in treating benign biliary strictures (BBS) due to a lack of effective study models.
  • The study aimed to create a rabbit model of BBS by surgically inducing bile duct injury, allowing for comprehensive examination of the condition.
  • The model successfully exhibited symptoms such as jaundice and liver dysfunction, along with pathological changes that mirror human BBS, thus providing a valuable tool for further research.
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Positive cystic duct margin for low grade dysplasia with intestinal metaplasia after routine laparoscopic cholecystectomy: Case report.

Int J Surg Case Rep

January 2025

General Surgery Junior Resident, General Surgery Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Introduction: Incidental neoplastic findings after routine cholecystectomy are becoming more common. However, low-grade dysplasia at the cystic duct resection margin remains rare and lacks established management guidelines.

Case Presentation: A 37-year-old male underwent a routine laparoscopic cholecystectomy.

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Background: Gallbladder cancer is a malignancy with a highly dismal prognosis, requiring optimal surgical strategies to achieve effective outcomes. We aimed to evaluate the outcomes of our algorithm-based decision-making approach based on image T-factors and intraoperative pathology of regional lymph node metastases and the bile duct stumps in patients undergoing gallbladder cancer resection.

Methods: A prospectively maintained database of patients who underwent gallbladder cancer resection between April 2001 and June 2022 was reviewed.

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Background: Gallbladder cancer is a rare disease with poor prognosis, for which surgical resection is considered the only curative treatment. The widespread adoption of laparoscopic cholecystectomy for benign biliary diseases has led to an increased incidence of postoperatively diagnosed gallbladder cancer. Several studies have proposed that tumors exceeding stage T2 require additional resection.

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