scholarly journals Prevention and predictive nursing activity of Cu(II) coordination polymer on hypothermia during laparoscopic cholecystectomy operation

2021 ◽  
Author(s):  
Ben‐Jing Cheng ◽  
Fang Wen ◽  
Jin‐Jian Xiang ◽  
Sha Li ◽  
Fang‐Yu Zhou
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Hanis M ◽  
Nasser A

Detailed knowledge of the vascular anatomy of hepatobiliary system is important for a safe cholecystectomy. We are reporting a case of aberrant type of right hepatic artery originating from superior mesenteric artery and encircles the gallbladder that has been found during laparoscopic cholecystectomy operation. We presented a 39-year-old Malay lady came to International Islamic University Malaysia Medical Centre with features of obstructive jaundice. Ultrasound of hepatobiliary system showed cholelithiasis with choledocholithiasis causing dilatation of the common bile duct. ERCP had been performed and sphincterotomy was done. Patient was planned for laparoscopic cholecystectomy. Intraoperatively, the Calot’s triangle was identified in usual manner. However, the right hepatic artery was identified encircling the gallbladder body anteriorly before entering the liver. The procedure was converted to open cholecystectomy due to anatomical variation via Kocher’s incision. Further identification upon open cholecystectomy revealed right hepatic artery originates from superior mesenteric artery runs anterior to cystic duct and encircles the gallbladder before further branches into right and left lobe of the liver. Right hepatic artery was dissected from the gallbladder and the gallbladder removed after cystic duct ligation and separation from the liver bed. On table cholangiogram showed distal CBD stone which was pushed down to duodenum with forceps? Post-operative was uneventful and patient liver functions improved. Knowledge regarding anatomical structure and variant of hepatic artery as well as cystic artery and cystic duct is important to ensure the inadvertent ligation of right hepatic artery which would leads to hepatic ischemia and necrosis.


HPB ◽  
2001 ◽  
Vol 3 (3) ◽  
pp. 197-199 ◽  
Author(s):  
P.W. Plaisier ◽  
M.M.S. Pauwels ◽  
J.F. Lange

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Mustafa Taner Bostanci ◽  
Mehmet Saydam ◽  
Koray Kosmaz ◽  
Baki Tastan ◽  
Erdal Birol Bostanci ◽  
...  

Background and Objective: To evaluate the clinical role of the routine use of a drain in an elective laparoscopic cholecystectomy operation applied to patients with symptomatic cholelithiasis not showing acute inflammation. Method: Following laparoscopic removal of the gallbladder, patients were separated into two groups of 30 each, either with subhepatic drain placement or without. The presence of subhepatic fluid collection was evaluated with transabdominal ultrasonography (USG) at 24 hours postoperatively and on the 7th day. The other parameters evaluated were postoperative morbidity, shoulder and abdominal pain. Results: No statistically significant difference was found between the two groups in respect of demographic characteristics and operative details. The median pain score was determined to be statistically significantly higher in the group with a drain applied compared to the group without a drain (p=0.007). In the comparison between the groups of fluid collection on USG at 24 hours and shoulder pain persisting until the 7th day, although seen less in the group with no drain applied, no statistically significant difference was determined (p=0.065, p=0.159). In the examinations made on the 7th day, no hematoma or significant fluid collection was determined on USG and no wound infection was observed in any patient of either group. Conclusion: The routine application of prophylactic subhepatic drain in laparoscopic cholecystectomy procedure did not show any benefit to the patient. doi: https://doi.org/10.12669/pjms.35.5.291 How to cite this:Bostanci MT, Saydam M, Kosmaz K, Tastan B, Bostanci EB, Akoglu M. The effect on morbidity of the use of prophylactic abdominal drain following elective laparoscopic cholecystectomy. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.291 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2003 ◽  
Vol 56 (8) ◽  
pp. 647-653 ◽  
Author(s):  
Lan Liu ◽  
Stan Duraj ◽  
Phillip E. Fanwick ◽  
Maria T. Andras ◽  
Aloysius F. Hepp

Sign in / Sign up

Export Citation Format

Share Document