scholarly journals Successful procedure with additional omentopexy to suture closure of gallbladder stump in laparoscopic subtotal cholecystectomy

2021 ◽  
Author(s):  
Hirotaka Kato ◽  
Hiroyuki Kinoshita ◽  
Masanori Kawaguchi ◽  
Hirofumi Yamazaki ◽  
Yoshifumi Sakata
Keyword(s):  
Subtotal Cholecystectomy ◽  
Suture Closure

scholarly journals A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hiroki Hirao ◽  
HiroHisa Okabe ◽  
Daisuke Ogawa ◽  
Daisuke Kuroda ◽  
Katsunobu Taki ◽  
...  
Keyword(s):  
Cystic Duct ◽  
Hepatic Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Endoscopic Retrograde ◽  
Case Presentation ◽  
Endoscopic Nasobiliary Drainage ◽  
Subtotal Cholecystectomy ◽  
Upper Abdominal ◽  
The Right ◽  
Nasobiliary Drainage

Abstract Background Laparoscopic cholecystectomy is a well-established surgical procedure and is one of the most commonly performed gastroenterological surgeries. Therefore, strategy for the management of rare anomalous cystic ducts should be determined. Case presentation A 56-year-old woman was admitted to our hospital owing to upper abdominal pain and diagnosed with acute cholecystitis. Magnetic resonance cholangiopancreatography suspected that several small stones in gallbladder and the right hepatic duct drained into the cystic duct. Endoscopic retrograde cholangiopancreatography confirmed the cystic duct anomaly, and an endoscopic nasobiliary drainage catheter (ENBD) was placed at the right hepatic duct preoperatively. Intraoperative cholangiography with ENBD confirmed the place of division in the gallbladder, and laparoscopic subtotal cholecystectomy was safely performed. Conclusions The present case exhibited rare right hepatic duct anomaly draining into the cystic duct, which might have caused biliary tract disorientation and bile duct injury (BDI) intraoperatively. Any surgical technique without awareness of this anomaly preoperatively might insufficiently prevent BDI, and preoperative ENBD would facilitate safe and successful surgery.

Factors that Predict the Need for Subtotal Cholecystectomy

2020 ◽  
pp. 000313482097978
Author(s):  
Annie Tang ◽  
Caitlin M. Cohan ◽  
Genna Beattie ◽  
Colin M. Mooney ◽  
Anna Chiang ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Preoperative Diagnosis ◽  
Damage Control ◽  
White Blood Cells ◽  
Chronic Cholecystitis ◽  
Older Age ◽  
Operative Strategy ◽  
Subtotal Cholecystectomy ◽  
Increased Risk ◽  
Male Sex

Background Subtotal cholecystectomy is a “damage control” or “bailout procedure” that is used in difficult gallbladder cases when severe inflammation distorts the local anatomy resulting in increased risk in damage to surrounding structures. Subtotal cholecystectomy rates increased nationally over the past decade. We aimed to determine provider experience and patient factors associated with the performance of subtotal cholecystectomies. Methods All cholecystectomies from 2016 to 2019 were reviewed. Patient demographics, laboratory values, imaging, preoperative diagnosis, surgical technique (fenestrating vs. reconstituting), and years of attending and resident experience were collected. Multivariable regression analysis was performed to evaluate for factors that increase the likelihood of subtotal cholecystectomy. Results Of 916 cholecystectomies, 86 were subtotal. The likelihood of subtotal cholecystectomy did not increase based on attending experience of ≤5 vs. > 5 years (odds ratio (OR) .66, P = .09). Older age (adjusted odds ratio (aOR) 1.23, P = .03), male sex (aOR 2.59, P < .01), white blood cells (WBC) above 10.3 (aOR 2.02, P = .02), and preoperative diagnosis of acute on chronic cholecystitis (aOR 5.47, P < .01) were associated with increased likelihood of subtotal cholecystectomy. Discussion Older age, male sex, WBC above 10.3, and preoperative diagnosis of acute on chronic cholecystitis were associated with the increased likelihood of subtotal cholecystectomies. The performance of subtotal cholecystectomy was not impacted by attending years of experience. In cases of severe gallbladder pathology, this technique is being used as an operative strategy among all surgeon levels.

Reinforcement of Subcuticular Continuous Suture Closure With Surgical Adhesive Strips and Gum Mastic: Is There Any Additional Strength Provided?

2005 ◽  
Vol 116 (Supplement) ◽  
pp. 196-197
Author(s):  
Reha Yavuzer ◽  
Christopher Kelly ◽  
Noreen Durani ◽  
Vijay Mittal ◽  
Ian T. Jackson ◽  
...  
Keyword(s):  
Continuous Suture ◽  
Surgical Adhesive ◽  
Suture Closure

scholarly journals Laparoscopic Resection of Cholecystocolic Fistula and Subtotal Cholecystectomy by Tri-Staple in a Type V Mirizzi Syndrome

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Fahri Yetişir ◽  
Akgün Ebru Şarer ◽  
Hasan Zafer Acar ◽  
Omer Parlak ◽  
Basar Basaran ◽  
...  
Keyword(s):  
Laparoscopic Resection ◽  
Normal Liver ◽  
Liver Function Tests ◽  
Mirizzi Syndrome ◽  
Intermittent Fever ◽  
Subtotal Cholecystectomy ◽  
Type V ◽  
First Time ◽  
Cholecystocolic Fistula

The Mirizzi syndrome (MS) is an impacted stone in the cystic duct or Hartmann’s pouch that mechanically obstructs the common bile duct (CBD). We would like to report laparoscopic subtotal cholecystectomy (SC) and resection of cholecystocolic fistula by the help of Tri-Staple™in a case with type V MS and cholecystocolic fistula, for first time in the literature. A 24-year-old man was admitted to emergency department with the complaint of abdominal pain, intermittent fever, jaundice, and diarrhea. Two months ago with the same complaint, ERCP was performed. Laparoscopic resection of cholecystocolic fistula and subtotal cholecystectomy were performed by the help of Tri-Staple. At the eight-month follow-up, he was symptom-free with normal liver function tests. In a patient with type V MS and cholecystocolic fistula, laparoscopic resection of cholecystocolic fistula and SC can be performed by using Tri-Staple safely.

scholarly journals Erk1/2 signaling is required for Tgf-β2–induced suture closure

2006 ◽  
Vol 235 (5) ◽  
pp. 1292-1299 ◽  
Author(s):  
Lynne A. Opperman ◽  
Claudia R. Fernandez ◽  
Sarah So ◽  
Joseph T. Rawlins
Keyword(s):  
Suture Closure

376: Subcuticular suture closure at cesarean: 4-0 Monocryl or Vicryl?

2016 ◽  
Vol 214 (1) ◽  
pp. S209
Author(s):  
Methodius Gamuo Tuuli ◽  
Molly J. Stout ◽  
Shannon Martin ◽  
Roxanne Rampersad ◽  
Alison G. Cahill ◽  
...  
Keyword(s):  
Subcuticular Suture ◽  
Suture Closure
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