Laparoscopic Cholecystectomy after Upper Abdominal Surgery : Is It Feasible Even after Gastrectomy?

Lee, Jung Min; Jeong, Jae Hoon; Doojin, Kim; Kim, Jooseop; Ryu, Taesuk

doi:10.7602/jmis.2017.20.1.22

Cited by 3 publications

(3 citation statements)

References 10 publications

(16 reference statements)

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“…The severity of adhesion, on the other hand, has a greater impact than the sort of past operation that can be addressed with a proper laparoscopic approach. 19 As for safety and conversion rate, safety should and must be always the corner stone for evaluating and judging any new emerging technique and it should be never compromised for the wrong goals. The request and concern in ''scarless'' surgery cannot be denied.…”

Section: Discussionmentioning

confidence: 99%

Rate of Conversion of Laparoscopic Cholecystectomy in Patient with Previous upper Abdominal Surgery

Helal

Sharaf²,

Aboulyazied³

2022

Al-Azhar International Medical Journal

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Background: There are still a significant number of patients in whom laparoscopic cholecystectomy (LC) cannot be performed successfully, necessitating conversion to open surgery . Some surgeons are hesitant to use the laparoscopic operation in patients with symptomatic gallstones and a history of upper abdominal surgery due to the possible dangers (UAS). Aim of the work:To evaluate the rate of Conversion from In a patient who has had previous upper abdominal surgery, a laparoscopic cholecystectomy is performed. Patients and methods: This was a retrospective study included collected records of 50 patients underwent cholecystectomy with previous upper abdominal surgery to detect rate of conversion among them in Al-Azhar University Hospitals & Damanhour Hospital. Results: In our study, regarding Techniques for safe entry to the abdomen among the participants, Safe entery of first trocar was our goal in all patients so we used different methods for 1st trocar insertion thus preventing injury to bowel or any structure that would adhere to abdominal wall, the Hasson's technique was used among 52%, Veress needle was used among 24%, Palmer's point was used among 18%, Visiport was used among 6% of the participants. Conclusion:In some cases, laparoscopic cholecystectomy is a viable and safe treatment option for symptomatic gallstone disease. patients with previous upper abdominal surgery history. However, appropriate preoperative preparations, patients' assessment, careful intraoperative techniques, and well-experienced surgeon are mandatory for good outcomes.

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Section: Discussionmentioning

confidence: 99%

Rate of Conversion of Laparoscopic Cholecystectomy in Patient with Previous upper Abdominal Surgery

Helal

Sharaf²,

Aboulyazied³

2022

Al-Azhar International Medical Journal

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“…Variations in operative time were prominent in different studies. For example Karayiannakis et al [5] reported a mean time of 66.4±34.2 minutes, while in Akyurek et al [15] study, it was 57± 9.8 minutes, Lee et al [26] reported 144.2± 56.1 minutes, Kohli et al [14] reported 76.2±13.2 minutes, and Fanaei et al reported a mean time of 75.0±3.2 minutes. The prolonged operative time noted in the study of Lee et al [26] was a consequence of being applied among patients who had a scar of previous gastrectomy.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery

Salama

Soliman

Elramah

2021

International Journal of Medical Arts

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Background: Previous abdominal surgery usually lead to adhesion formation, which considered as a contraindication of laparoscopic cholecystectomy [LC]. However, it had been reported that, careful adhesiolysis could be performed and thus LC becomes feasible. Aim of the work:To assess the feasibility and outcome of laparoscopic cholecystectomy in patients with previous upper abdominal surgery.Patients and Methods: This study included 30 patients, who were presented by symptomatic gallstones. All participants assessed clinically. Then, a full lab profile was performed. Finally, abdominal ultrasound was done and if there was a dilatation of common bile duct, patients were submitted to magnetic resonance cholangiopancreatography. Both intra-and postoperative data were collected and any complications were documented. Results: 26 patients [86.7%] had chronic calcular cholecystitis, two had acute calcular cholecystitis and two had mucocele of gallbladder. Adhesions were grade 1 in 13.3%, grade 2 in 46.7%, grade 3 in 20% and grade 4 in 20.0%. Adhesiolysis was needed in twenty patients [66.7%]. Intraoperative complications were reported in nine patients [40%]. Bleeding reported in six patients and rupture of the gall bladder in three patients [10%]. Three patients [10%] were converted to open surgery. Postoperatively, 12 patients [26.7%] had complications [3, 1, 2, 1 and 5 for port site wound infection, bile leakage, bleeding, and chest infection respectively]. Post operative pain was mild in half of patients and moderate in other half. Conclusion: laparoscopic cholecystectomy after previous abdominal operations is feasible and relatively safe, as minority of patients had difficulties and complications.

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“…Cholecystectomy performed at the time of primary surgery may be beneficial considering that subsequent cholecystectomy is more challenging after upper abdominal surgery and has an increased risk for bile duct injuries and a longer operation time [ 7 , 8 ]. Further, concomitant cholecystectomy might reduce the risk of disease recurrence around the gallbladder.…”

Section: Introductionmentioning

confidence: 99%

Significance of cholecystectomy in cytoreductive surgery for advanced ovarian cancer

et al. 2023

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Background There have been no studies concerning the complications or benefits of cholecystectomy in ovarian cancer. In this study, we aimed to evaluate the outcomes of cholecystectomy performed during various time periods of the disease course and suggest a management strategy for cholecystectomy in ovarian cancer. Methods We retrospectively reviewed the medical records of patients with advanced ovarian cancer who underwent cholecystectomy during the cytoreductive surgery from 2009 to 2020. Cholecystectomy was primarily indicated when the gallbladder and surrounding structures were considered to have metastatic tumor invasion. If the final pathologic results showed free of malignant tumor, patients were placed into the no-infiltration group. Clinical outcomes including the recurrence rate and complications were analyzed. Results A total of 62 patients underwent cholecystectomy, 48 of whom (77.4%) underwent cholecystectomy during primary or interval debulking surgery, whereas 14 (22.6%) underwent cholecystectomy during the follow-up period (five with benign disease and 9 with disease recurrence). Among the patients, 32 (51.6%) patients were included in the no-infiltration group in the final pathology. There were no complications observed in the no-infiltration group (n = 32). Seven (78%) of the nine patients who received cholecystectomy for disease recurrence had metastatic disease in the porta-hepatis or lesser sac at the time of primary surgery. However, no recurrent lesions were observed around the porta-hepatis in patients who received cholecystectomy during primary treatment. Conclusion Considering the safety of the procedure, as well as the risk of disease recurrence or cholecystitis, a cholecystectomy can be offered to patients with ovarian cancer who have metastatic lesions around the gallbladder and porta-hepatis at the time of primary surgery.

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Laparoscopic Cholecystectomy after Upper Abdominal Surgery : Is It Feasible Even after Gastrectomy?

Cited by 3 publications

References 10 publications

Rate of Conversion of Laparoscopic Cholecystectomy in Patient with Previous upper Abdominal Surgery

Rate of Conversion of Laparoscopic Cholecystectomy in Patient with Previous upper Abdominal Surgery

Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery

Significance of cholecystectomy in cytoreductive surgery for advanced ovarian cancer

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