National Institutes of Health Consensus Development Conference Statement on Gallstones and Laparoscopic Cholecystectomy

doi:10.1016/S0002-9610(05)80929-8

The American Journal of Surgery

Volume 165, Issue 4, April 1993, Pages 390-396

https://doi.org/10.1016/S0002-9610(05)80929-8 Get rights and content

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Gallbladder Disorders: A Comprehensive Review
2021, Disease-a-Month
Citation Excerpt :
Gallstone disease affects more than 20 million people in the United States.1 One million patients are newly diagnosed with gallstone disease, of which 50–70% are asymptomatic at diagnosis.2 Prevalence rates of cholelithiasis increase with age, and are higher in females.
Gallbladder disorders encompass a wide breadth of diseases that vary in severity. We present a comprehensive review of literature for the clinical presentation, pathophysiology, diagnostic evaluation, and management of cholelithiasis-related disease, acute acalculous cholecystitis, functional gallbladder disorder, gallbladder polyps, gallbladder hydrops, porcelain gallbladder, and gallbladder cancer.
Gallstone Disease: Cholecystitis, Mirizzi Syndrome, Bouveret Syndrome, Gallstone Ileus
2019, Surgical Clinics of North America
Laparoscopic cholecystectomy with aberrant bile duct detected by intraoperative fluorescent cholangiography concomitant with angiography: A case report
2018, International Journal of Surgery Case Reports
Citation Excerpt :
LC is a common operation in the field of digestive surgery [3] and offers several advantages over open cholecystectomy, including reduced pain, a lower frequency of wound infection, improved cosmesis, and an earlier return to normal activity. LC is thus a standard surgical treatment for patients with benign gallbladder disease [1,2]. On the other hand, bile duct injury is the most serious surgical complication; although the incidence is a relatively low 0.3–0.5% [3], such injury frequently causes serious conditions such as bile leakage and bile duct stenosis.
Laparoscopic cholecystectomy is the standard surgical treatment for patients with benign gallbladder disease. However, bile duct injury continues to be reported as a surgical complication. Intraoperative cholangiography is recommended to reduce the risk of bile duct injury during laparoscopic cholecystectomy. Intraoperative cholangiography using indocyanine green, which is excreted into bile and shows fluorescence under infrared light, has recently been reported as useful in preventing bile duct injury during laparoscopic cholecystectomy. We report here a case of laparoscopic cholecystectomy with an aberrant bile duct detected by intraoperative fluorescent cholangiography concomitant with angiography.
An 82-year-old woman was diagnosed with cholecystolithiasis and underwent laparoscopic cholecystectomy. An aberrant bile duct branching from the right side of the common hepatic duct was detected by intraoperative indocyanine green fluorescent cholangiography. Furthermore, we were able to confirm the cystic artery by reinjecting indocyanine green during the procedure. Laparoscopic cholecystectomy was performed safely without injuring the aberrant bile duct, despite no recognition of the abnormality on preoperative computed tomography or magnetic resonance imaging.
Aberrant bile ducts are rare anatomical variation and clinically important because of the susceptibility to injury during cholecystectomy. Our case reported for the first time that fluorescence cholangiography concomitant with angiography was useful for identifying an aberrant bile duct and the cystic artery during laparoscopic cholecystectomy.
Analysis of surgical cost of patients who were subjected to laparoscopic and open cholecystectomy. Real-world data from a regional hospital in Greece
2023, Archives of Hellenic Medicine
External Validity of Preoperative Predictive Risk Scoring System for Assessment of Difficulty in Laparoscopic Cholecystectomy at a Rural Hospital
2023, World Journal of Laparoscopic Surgery
Efficacy of endoscopic trans-papillary gallbladder stenting and drainage in acute calculous cholecystitis in high-risk patients: a systematic review and meta-analysis
2023, Therapeutic Advances in Gastrointestinal Endoscopy

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