Calculus left in remnant gallbladder cause long-term complications in patients undergoing subtotal cholecystectomy

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Symptomatic calculi in a remnant gallbladder: a rare cause of post-cholecystectomy syndrome and biliary pancreatitis.

Biliary pain after cholecystectomy, known as post-cholecystectomy syndrome, is common and has a broad differential diagnosis. Here we present a case of biliary pancreatitis and intermittent biliary pain that was caused by a remnant gallbladder that contained calculi. A 45-year-old man presented for evaluation of abdominal pain. He had undergone cholecystectomy 2 years previously and described i...

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Single-Incision Cholecystectomy for Left-Sided Gallbladder

True left-sided gallbladder (sinistroposition) is a rare anatomic anomaly in which the gallbladder is found to the left of the falciform ligament, under the left lobe of the liver. Though uncommon, it is important for the surgeon to recognize this finding because the ductal anatomy is unique and the mechanics of the operation provide a technical challenge. Multiple case reports have documented ...

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Laparoscopic Cholecystectomy for Left-sided Gallbladder (Sinistroposition)

Transposition of the gallbladder to the left side without situs inversus viscerum is rare. These gallbladders are situated under the left lobe of the liver between Segment III and IV or on Segment III to the left of the falciform ligament. Because routine preoperative studies may not detect the anomaly, it may provide the surgeons with an unusual surprise during laparoscopy. Awareness of the un...

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Subtotal Cholecystectomy

Subtotal cholecystectomy has been carried out in 34 patients from 1972 to 1992. In the same period 1620 total cholecystectomies were performed. The indications were severe inflammation and/or severe fibrosis in 31 patients, and Mirizzi syndrome type 1 in 3 patients. The morbidity was insignificant, but one patient died, due to severe sepsis. In follow up studies ranging from 6 months to 9 years...

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Efficacy of Laparoscopic Cholecystectomy in Acalculous Gallbladder Disease: Long-term Follow-up

OBJECTIVE Our aim was to determine the efficacy of laparoscopic cholecystectomy in symptomatic patients with ultrasound negative and abnormal gallbladder ejection fractions; Patients with gallbladder ejection fractions less than 35% on hepatobiliary scan were offered laparoscopic cholecystectomy. METHODS Between January 1995 and January 2001, 1564 patients underwent laparoscopic cholecystecto...

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ژورنال

عنوان ژورنال: HPB

سال: 2019

ISSN: 1365-182X

DOI: 10.1016/j.hpb.2018.09.007