Reporting of complications after laparoscopic cholecystectomy: a systematic review

Alexander, Harry C.; Bartlett, Adam; Wells, Cameron I.; Hannam, Jacqueline A.; Moore, Matthew R.; Poole, Garth; Merry, Alan

doi:10.1016/j.hpb.2018.03.004

Cited by 80 publications

(68 citation statements)

References 64 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Higher rate for surgical intervention was due to the delayed referral and the occurrence of enteric injuries as well. Delayed referral to a specialized center has been associated with increases the morbidity 17. We did not observe higher mortality due to delayed referral.…”

Section: Discussioncontrasting

confidence: 52%

“…The exact incidence of enteric injury during cholecystectomy is unknown as it is being reported rarely. In a recent review reporting of complications after laparoscopic cholecystectomy, the entire emphasis was laid on bile duct injuries 17. There is not even a single large series which has reported any enteric injury 17.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent review reporting of complications after laparoscopic cholecystectomy, the entire emphasis was laid on bile duct injuries 17. There is not even a single large series which has reported any enteric injury 17. Enteric injuries have been reported as anecdotes 18.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Post-cholecystectomy acute injury: What can go wrong?

Gupta

Yadav

et al. 2019

Ann Hepatobiliary Pancreat Surg

View full text Add to dashboard Cite

Backgrounds/Aims Most of the emphasis of postcholecystectomy injuries is laid on iatrogenic bilary trauma. However, they can involve a wide spectrum of injuries. Methods We prospectively evaluated 42 patients with postcholecystectomy injuries referred to us from July 2011 to December 2012. Based on spectrum of injuries, we proposed an algorithm of management. Results Injuries occurred following laparoscopy in 20 (2 converted) patients and open in 22 patients. Mean time of detection of injury was 4.32±2.33 days. The nature of drainage was bilious in 36, bile with blood in 2, only blood in 2, and enteric in 2. Nine had organ failure at presentation. Six (14%) needed re-operation. Source of hemorrhage was from right hepatic artery in three and small bowel mesentry in 1. Enteric injuries were one each to duodenum and colon. Six patient (14%) died. Advancing age and organ failure were the predictors of mortality. Persistant biliary fistula was seen in 5 (14%). Ten had lateral leaks that closed at 28.89±2.34 days. Twenty-two formed stricture which was successfully managed with definitive hepaticojejunostomy. Conclusions Post cholecystectomy acute injury does not limit itself to bile duct or vascular injury but it can traumatize adjacent hollow viscus or mesentery. It is important to diagnose and intervene enteric injury early. Presentation and management for such injury should be followed as per the proposed algorithm.

show abstract

Section: Discussioncontrasting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Post-cholecystectomy acute injury: What can go wrong?

Gupta

Yadav

et al. 2019

Ann Hepatobiliary Pancreat Surg

View full text Add to dashboard Cite

show abstract

“…Although laparoscopic cholecystectomy has a low surgical risk and is the most common elective abdominal surgery performed in the US 174 , a series of complications is possible, ranging from conversion to open cholecystectomy (the most frequent) to bile leak, bile duct injury, and (in few cases) death 175 . It was recently suggested that surgical complications are more likely in patients with low socioeconomic status, who appear to be more vulnerable.…”

Section: Future Perspectives: From Therapy To Preventionmentioning

confidence: 99%

Recent advances in understanding and managing cholesterol gallstones

Ciaula

Portincasa

2018

F1000Res

View full text Add to dashboard Cite

The high prevalence of cholesterol gallstones, the availability of new information about pathogenesis, and the relevant health costs due to the management of cholelithiasis in both children and adults contribute to a growing interest in this disease. From an epidemiologic point of view, the risk of gallstones has been associated with higher risk of incident ischemic heart disease, total mortality, and disease-specific mortality (including cancer) independently from the presence of traditional risk factors such as body weight, lifestyle, diabetes, and dyslipidemia. This evidence points to the existence of complex pathogenic pathways linking the occurrence of gallstones to altered systemic homeostasis involving multiple organs and dynamics. In fact, the formation of gallstones is secondary to local factors strictly dependent on the gallbladder (that is, impaired smooth muscle function, wall inflammation, and intraluminal mucin accumulation) and bile (that is, supersaturation in cholesterol and precipitation of solid crystals) but also to “extra-gallbladder” features such as gene polymorphism, epigenetic factors, expression and activity of nuclear receptors, hormonal factors (in particular, insulin resistance), multi-level alterations in cholesterol metabolism, altered intestinal motility, and variations in gut microbiota. Of note, the majority of these factors are potentially manageable. Thus, cholelithiasis appears as the expression of systemic unbalances that, besides the classic therapeutic approaches to patients with clinical evidence of symptomatic disease or complications (surgery and, in a small subgroup of subjects, oral litholysis with bile acids), could be managed with tools oriented to primary prevention (changes in diet and lifestyle and pharmacologic prevention in subgroups at high risk), and there could be relevant implications in reducing both prevalence and health costs.

show abstract

“…Nowadays, preservation of cholecyst has been increasingly getting attention with awareness of the various complications of cholecystectomy and the significance of gallbladder function. [ 3 – 5 ] With the development of endoscopic ultrasound (EUS)-guided transmural cholecystostomy using lumen-apposing metal stent (LAMS), per-oral transmural endoscopic resection of gallbladder polyps was introduced. [ 6 ] Through this pathway, endoscopic resection of gallbladder polyps with gallbladder preservation becomes possible.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic ultrasound-guided cholecystostomy for resection of gallbladder polyps with lumen-apposing metal stent

et al. 2020

View full text Add to dashboard Cite

Laparoscopic cholecystectomy is the routine method to treat gallbladder polyps. Nowadays, endoscopic ultrasound (EUS)-guided cholecystostomy as a bridge for per-oral transmural endoscopic resection of gallbladder polyps is introduced because preservation of gallbladder is increasingly getting attention. The aim of our study was to evaluate the approach in the treatment of patients with gallbladder polyps and symptomatic gallstones. EUS-guided cholecystostomy with the placement of a lumen-apposing metal stent (LAMS) was performed for those patients with accompanying gallbladder polyps and symptomatic gallstones. Several days after the cholecystostomy with LAMS, a gastroscope was introduced into the gallbladder to remove gallbladder polyps. All patients were successfully performed with the procedures of EUS-guided cholecystoduodenostomy (n = 3) or cholecystogastrostomy (n = 1) and endoscopic resection of gallbladder polyps. One patient experienced severe peritonitis. During the follow-up at 3 months, 1 patient was performed with laparoscopic cholecystectomy because ultrasonography examination showed the reappeared gallstones. No stone recurrence was found in other patients. During the follow-up of 3 to 15 months, no polyp recurrence was found in all the patients. The approach is novel for performing EUS-guided gallbladder fistulization, which can subsequently allow procedures of per-oral transmural endoscopic resection of gallbladder polyps to avoid cholecystectomy in the patients with gallbladder polyps and gallstones. However, further studies are needed before clinical recommendation because of the complications and stone recurrence.

show abstract

Reporting of complications after laparoscopic cholecystectomy: a systematic review

Abstract: Considerable variation was identified between studies in the choice of measures used to evaluate the complications of LC, and in their definitions. A standardised set of core outcomes of LC should be developed for use in clinical trials and in evaluating the performance of surgical units.

Cited by 80 publications

References 64 publications

Post-cholecystectomy acute injury: What can go wrong?

Post-cholecystectomy acute injury: What can go wrong?

Recent advances in understanding and managing cholesterol gallstones

Endoscopic ultrasound-guided cholecystostomy for resection of gallbladder polyps with lumen-apposing metal stent

Contact Info

Product

Resources

About