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Polypoid gallbladder neuroendocrine tumor diagnosed as benign polyp before surgery: A case report.
Mol Clin Oncol
March 2020
Department of Gastroenterological Surgery, Faculty of Medicine, Fukuoka University, Jonan-ku, Fukuoka 814-0180, Japan.
Gallbladder neuroendocrine tumors (GB-NETs) comprise only 0.5% of all NET cases, and their biology has been incompletely characterized. In the present study we report the case of a 50-year-old male patient with GB-NET who was admitted to Naito Hospital with diarrhea as the main complaint.
View Article and Find Full Text PDFCholecystohepatic duct detected during laparoscopic cholecystectomy: a case report.
Surg Case Rep
January 2020
Department of Surgery, Matsusaka Central General Hospital, 102 Kobo, Kawaimachi, Matsusaka, Mie, 515-8566, Japan.
Background: The cholecystohepatic duct is a rare form of an aberrant hepatic duct that connects to the gallbladder. Although cholecystohepatic duct is reported to be a very rare anomaly, injury of cholecystohepatic duct during cholecystectomy may result in serious complications. Herein, we present a case of cholecystohepatic duct in the ventral branch of the right posterior inferior segmental bile duct detected during laparoscopic cholecystectomy.
View Article and Find Full Text PDFNear-infrared cholecystocholangiography with direct intragallbladder indocyanine green injection: preliminary clinical results.
Surg Endosc
March 2018
Department of General Surgery, Chang Gung Memorial Hospital, Linkou, Chang Gung University, #5, Fu-Hsing Street, Kwei-Shan, Taoyuan, Taiwan.
Article Synopsis
- Near-infrared (NIR) fluorescence cholangiography using indocyanine green (ICG) improves the visualization of the biliary tree during laparoscopic cholecystectomy, but traditional methods can obscure important details due to liver enhancement.* -
- A study with 46 patients demonstrated that injecting ICG directly into the gallbladder enhances the visualization of key biliary structures, especially in cases of cholecystitis with adhesions or inflammation.* -
- The new technique showed significant benefits over standard White Light visualization, making it a safer option for challenging laparoscopic surgeries, despite showing no advantage in non-inflamed lithiasis cases.*
Evaluation of the use of laparoscopic-guided cholecystocholangiography and liver biopsy in definitive diagnosis of neonatal cholestatic jaundice.
Afr J Paediatr Surg
September 2017
Department of Pediatric Surgery, Asser Central Hospital and Abha Maternity Children Hospital, Abha, Saudi Arabia.
Background: Once it is established that a jaundiced infant has direct hyperbilirubinemia, the principal diagnostic concern is to differentiate hepatocellular from obstructive cholestasis. Traditional tests such as ultrasonography, percutaneous liver biopsy and technetium 99 m hepatobiliary iminodiacetic acid (HIDA) scan are often not sufficiently discriminating. Definitive exclusion of biliary atresia (BA) in the infant with cholestatic jaundice usually requires mini-laparotomy and intra-operative cholangiography.
View Article and Find Full Text PDFNear-infrared cholecysto-cholangiography with indocyanine green may secure cholecystectomy in difficult clinical situations: proof of the concept in a porcine model.
Surg Endosc
September 2016
IRCAD, Research Institute Against Digestive Cancer, Strasbourg, France.
Article Synopsis
- Biliary injuries are a significant risk during laparoscopic cholecystectomy, and new methods like near-infrared fluorescence cholangiography are being tested for better visualization of the biliary tree.
- A study involving seven pigs tested the effectiveness of direct injection of indocyanine green (ICG) into the gallbladder compared to systemic injection, focusing on visibility in challenging clinical scenarios.
- Results showed that direct intragallbladder ICG injection significantly improved visualization of the cystic duct and gallbladder infundibulum over systemic injection, providing important guidance during surgery.
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