The postoperative length of hospital stay did not differ significantly between OA and LA for men. Laparoscopic appendectomy required more time and did not offer any advantages compared with OA.
Laparoscopic TAPP hernia repair under spinal anesthesia is associated with satisfactory short- and long-term results. Use of regional anesthesia instead of the traditional general anesthesia does not seem to adversely affect the quality of repair, and moreover, it offers the patient an attractive anesthetic alternative.
Introduction:The purpose of this study was to present a challenging case of laparoscopic completion cholecystectomy after a previous open subtotal cholecystectomy. A review of the relevant literature was conducted as well.Case Description: A 64-year-old patient with a history of open cholecystectomy due to acute cholecystitis presented with right-upper-quadrant abdominal pain, fever, and deranged liver function tests. Magnetic resonance cholangiopancreatography revealed a gallbladder remnant with residual stones and a dilated common bile duct. The patient was submitted to an endoscopic retrograde cholangiopancreatography with sphincterotomy and common bile duct clearance. As symptoms persisted, the completion of the previous subtotal cholecystectomy was decided. A laparoscopic completion cholecystectomy was attempted and was completed successfully.Discussion: Up to 10 cases of this certain sequence have been reported to date. Attempts for the laparoscopic removal of the gallbladder remnant should not be averted based on the history of open subtotal cholecystectomy.
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