Laparoscopic completion cholecystectomy: A retrospective study of 40 cases

Parmar, Amit; Khandelwal, Radha Govind; Mathew, Mittu John; Reddy, Prasanna Kumar

doi:10.1111/ases.12012

Cited by 26 publications

(46 citation statements)

References 13 publications

(16 reference statements)

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“…Completion cholecystectomy offers a definitive treatment for any residual gallbladder remnant and can be performed laparoscopically. 7 The therapeutic approach in patients with sphincter of Oddi (SO) dysfunction (SOD) aims to reduce the resistance to the flow of bile or pancreatic juice. Vardenafil inhibits the activity of phosphodiesterase type 5 (PDE-5), which degrades cyclic guanosine monophosphate (cGMP) and results in relaxation of smooth muscle.…”

Section: Discussionmentioning

confidence: 99%

Should We Perform Routine Upper Gastrointestinal Endoscopy Before Cholecystectomy?

Günay

Abuoğlu

2017

International Surgery

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In some patients, there is not any symptomatic relief after cholecystectomy due to the overlap of the symptoms of biliary and gastroduodenal pathologies known as postcholecystectomy syndrome. The aim of this study was to assess the effectiveness of upper gastrointestinal (UGI) endoscopy in reducing the possibility of postcholecystectomy syndrome. This retrospective study was conducted in 194 cases. In patients sampled for histopathologic examination, screening for Helicobacter pylori and intestinal metaplasia was carried out with Giemsa stain and PAS-Alcian stain. Patients who did not undergo UGI endoscopy before operation were designated as Group A (n ¼ 100) and those who underwent routine UGI endoscopy before operation were called Group B (n ¼ 94). Symptomatic relief after cholecystectomy and endoscopic findings were evaluated. Thirty-one of the 39 patients diagnosed with H. pylori, underwent eradication treatment. Seven of the 31 patients undergoing H. pylori eradication during the preoperative period had ongoing symptoms at the postoperative period. On the other hand, only 2 of 8 patients who did not undergo H. pylori eradication during the preoperative period had unremitting symptoms during the postoperative period. Only three of 100 patients who did not receive a UGI endoscopy during the preoperative period had unremitting symptoms during the postoperative period. The main outcome of the study is to evaluate the necessity of performing routine UGI endoscopy before cholecystectomy. Our results show that it is not necessary, because if you take biliary colic as the one and only symptom of indication for cholecystectomy, the ratio of postcholecystectomy syndrome is 3% to 5% and the reason is 50% organic.

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Section: Discussionmentioning

confidence: 99%

Should We Perform Routine Upper Gastrointestinal Endoscopy Before Cholecystectomy?

Günay

Abuoğlu

2017

International Surgery

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“…However, this carries the risk of developing stump cholecystitis when the gallbladder remnant becomes inflamed due to stone disease [1, 3]. …”

Section: Discussionmentioning

confidence: 99%

Stump Cholecystitis: Laparoscopic Completion Cholecystectomy with Basic Laparoscopic Equipment in a Resource Poor Setting

Cawich

Wilson²,

Simpson³

et al. 2014

Case Reports in Medicine

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Introduction. Stump cholecystitis is a recognised condition in which a large gallbladder remnant becomes inflamed after subtotal cholecystectomy. When this occurs, a completion cholecystectomy is indicated. Traditionally, these patients were subjected to open surgery because the laparoscopic approach was anticipated to be technically difficult. We present a case of completion cholecystectomy using basic laparoscopic equipment in a resource poor setting to demonstrate that the laparoscopic approach is feasible. Case Description. A 57-year-old woman presented with right upper quadrant pain and vomiting. She had an elective open cholecystectomy seven years before but reported remarkably similar symptoms. Abdominal ultrasound suggested calculous acute cholecystitis. MRCP confirmed the presence of a large gallbladder remnant with stones. Gastroduodenoscopy excluded other differentials. She had an uneventful laparoscopic completion cholecystectomy performed. Discussion. Although traditional dogma suggested that a completion cholecystectomy should be performed through the open approach, several small studies have demonstrated that laparoscopic completion cholecystectomy is feasible and safe. This report adds to the existing data in support of the laparoscopic approach.

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“…cuff of the gallbladder near the Hartmann's pouch, removing the rest of the gallbladder, in the manner described by Lerner [2] or Bornman and Terblanche [3] after removing all stones from the remaining cuff of the gallbladder. However, this carries the risk of developing stump cholecystitis when the gallbladder remnant becomes inflamed due to stone disease [4] . The reported incidence of stump cholecystitis varies but has been reported to occur in as many as 5% [4] of patients after emergent cholecystectomy, and it is rare after elective operations.…”

Section: Introductionmentioning

confidence: 99%

“…However, this carries the risk of developing stump cholecystitis when the gallbladder remnant becomes inflamed due to stone disease [4] . The reported incidence of stump cholecystitis varies but has been reported to occur in as many as 5% [4] of patients after emergent cholecystectomy, and it is rare after elective operations. It tends to occur in middleaged women who are usually quite confident that their symptoms are similar to those that prompted their original cholecystectomy.…”

Section: Introductionmentioning

confidence: 99%

Post Cholecystectomy Stump Calculus Cholecystitis with Completion Cholecystectomy –A Rare Case Report

Yadwadkar¹

2017

jmscr

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Laparoscopic completion cholecystectomy: A retrospective study of 40 cases

Abstract: Gallbladder remnant containing stones may be the cause of otherwise unexplained postcholecystectomy pain. Completion cholecystectomy offers a definitive treatment for any residual gallbladder remnant and can be performed laparoscopically.

Cited by 26 publications

References 13 publications

Should We Perform Routine Upper Gastrointestinal Endoscopy Before Cholecystectomy?

Should We Perform Routine Upper Gastrointestinal Endoscopy Before Cholecystectomy?

Stump Cholecystitis: Laparoscopic Completion Cholecystectomy with Basic Laparoscopic Equipment in a Resource Poor Setting

Post Cholecystectomy Stump Calculus Cholecystitis with Completion Cholecystectomy –A Rare Case Report

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