- Gallbladder and biliary surgery

2014 ◽  
pp. 334-351
Keyword(s):  
Biliary Surgery

Comparative study of ultrasonographic findings with the operative findings of biliary surgery

2020 ◽  
Vol 22 (1) ◽  
pp. 25-29
Author(s):  
Zubayer Ahmad ◽  
Mohammad Ali ◽  
Kazi lsrat Jahan ◽  
ABM Khurshid Alam ◽  
G M Morshed
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Imaging Modality ◽  
False Positive Rate ◽  
Gallstone Disease ◽  
False Negative ◽  
False Negative Rate ◽  
Biliary Disease ◽  
Biliary Surgery ◽  
Operative Findings

Background: Biliary disease is one of the most common surgical problems encountered all over the world. Ultrasound is widely accepted for the diagnosis of biliary system disease. However, it is a highly operator dependent imaging modality and its diagnostic success is also influenced by the situation, such as non-fasting, obesity, intestinal gas. Objective: To compare the ultrasonographic findings with the peroperative findings in biliary surgery. Methods: This prospective study was conducted in General Hospital, comilla between the periods of July 2006 to June 2008 among 300 patients with biliary diseases for which operative treatment is planned. Comparison between sonographic findings with operative findings was performed. Results: Right hypochondriac pain and jaundice were two significant symptoms (93% and 15%). Right hypochondriac tenderness, jaundice and palpable gallbladder were most valuable physical findings (respectively, 40%, 15% and 5%). Out of 252 ultrasonically positive gallbladder, stone were confirmed in 249 cases preoperatively. Sensitivity of USG in diagnosis of gallstone disease was 100%. There was, however, 25% false positive rate detection. Specificity was, however, 75% in this case. USG could demonstrate stone in common bile duct in only 12 out of 30 cases. Sensitivity of the test in diagnosing common bile duct stone was 40%, false negative rate 60%. In the series, ultrasonography sensitivity was 100% in diagnosing stone in cystic duct. USG could detect with relatively good but less sensitivity the presence of chronic cholecystitis (92.3%) and worm inside gallbladder (50%). Conclusion: Ultrasonography is the most important investigation in the diagnosis of biliary disease and a useful test for patients undergoing operative management for planning and anticipating technical difficulties. Journal of Surgical Sciences (2018) Vol. 22 (1): 25-29

Clinical aspects and surgical technique in Mirizzi syndrome: A systematic review

2020 ◽  
pp. 35871-35873
Keyword(s):  
Surgical Technique ◽  
Cystic Duct ◽  
Hepatic Duct ◽  
Signs And Symptoms ◽  
Mirizzi Syndrome ◽  
Common Hepatic Duct ◽  
Clinical Aspects ◽  
Main Diagnosis ◽  
Biliary Surgery ◽  
Electronic Library

Mirizzi syndrome is described in the 1940s as follows: partial obstruction of the secondary common hepatic duct by gallstones, impacted on the cystic duct or gallbladder infundibulum, associated with the inflammatory response that involved the cystic duct and the common hepatic duct. As it is a rare and delicate condition, differential diagnosis is extremely important, in which the patient's clinical condition is verified through anamnesis and complementary exams, where immediately after the surgical intervention can be performed. This work aims to describe, through a literature review, the clinical aspects and the surgical technique in Mirizzi Syndrome. Were used as a database for research sites containing scientific articles available online such as Virtual Health Library (VHL), Scientific Electronic Library Online (Scielo) and PubMed. 154 articles were found through the descriptors, where after applying the inclusion and exclusion criteria 11 articles remained to write the work. According to the articles surveyed, it is clear that most of them do not report the syndrome as the main diagnosis, possibly because it is a pathology with signs and symptoms very close to other diseases of the bile duct, therefore leaving the syndrome sometimes described in the context of these other diseases. Finally, it concludes that even though the preoperative diagnosis is rare, it should be suspected in individuals undergoing biliary surgery.

99mTc-GSA Scintigraphy Could Predict Post-Hepatectomy Liver Failure–Related Death in Biliary Surgery

2021 ◽  
Author(s):  
Takehiro Noji ◽  
Ayano Inoue ◽  
Yoshitsugu Nakanishi ◽  
Takahiro Tsuchikawa ◽  
Keisuke Okamura ◽  
...  
Keyword(s):  
Liver Failure ◽  
Biliary Surgery

scholarly journals Patient-Specific Opioid Volume Calculations Reduce Discharge Prescriptions After Hepato-Pancreato-Biliary Surgery

HPB ◽  
2020 ◽  
Vol 22 ◽  
pp. S2
Author(s):  
R.W. Day ◽  
T.E. Newhook ◽  
W. Dewhurst ◽  
M. Arvide ◽  
M. Bruno ◽  
...  
Keyword(s):  
Patient Specific ◽  
Biliary Surgery ◽  
Volume Calculations

Fully covered, self-expandable metal stents for first-step endoscopic treatment of biliary leaks secondary to hepato-biliary surgery: A retrospective study

2013 ◽  
Vol 45 (5) ◽  
pp. 430-432 ◽  
Author(s):  
Benedetto Mangiavillano ◽  
Carmelo Luigiano ◽  
Ilaria Tarantino ◽  
Luca Barresi ◽  
Marco Dinelli ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Endoscopic Treatment ◽  
Metal Stents ◽  
Biliary Surgery

Intraoperative Celiac Plexus Block with Pre-peritoneal Infusion Reduces Opioid Usage in Major Hepato-pancreato-biliary Surgery

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Zhe Hao T. Teo ◽  
Boon Lim J. Tey ◽  
Chek Wun Foo ◽  
Wan Yi Wong ◽  
Jee Keem Low
Keyword(s):  
Celiac Plexus ◽  
Celiac Plexus Block ◽  
Biliary Surgery ◽  
Plexus Block

THORACIC APPROACH IN HEPATO-BILIARY SURGERY

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 190S
Author(s):  
Alexandru M. Botianu ◽  
Petre A. Botianu
Keyword(s):  
Biliary Surgery ◽  
Thoracic Approach

scholarly journals A dangerous pleural effusion

2010 ◽  
Vol 92 (5) ◽  
pp. e53-e54 ◽  
Author(s):  
Somprakas Basu ◽  
Shilpi Bhadani ◽  
Vijay K Shukla
Keyword(s):  
Rare Complication ◽  
Sudden Onset ◽  
Biliary Surgery ◽  
Biliary Leak ◽  
X Ray ◽  
Delay In Diagnosis ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Life Threatening ◽  
Chest X Ray

Bilothorax is a rare complication of biliary peritonitis and, if not treated promptly, can be life-threatening. We report a case of a middle-aged woman who had undergone a bilio-enteric bypass and subsequently a biliary leak developed, which finally led to intra-abdominal biliary collection and spontaneous bilothorax. The clinical course was rapid and mimicked venous thromboembolism, myocardial infarction and pulmonary oedema, which led to a delay in diagnosis and management and finally death. We high-light the fact that bilothorax, although a rare complication of biliary surgery, should always be considered as a probable cause of massive effusion and sudden-onset respiratory and cardiovascular collapse in the postoperative period. A chest X-ray and a diagnostic pleural tap can confirm the diagnosis. Once detected, an aggressive management should be instituted to prevent organ failure and death.

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