OBJECTIVE To evaluate the efficacy and safety of a combined approach to the treatment of biliary pancreatitis using laparoscopic cholecystectomy and selective endoscopic retrograde cholangiopancreatography (ERCP). DESIGN Consecutive case series. SETTING Tertiary care center. PATIENTS All patients undergoing primary operations for biliary pancreatitis during 2 time periods were included. I...

The safety of laparoscopic cholecystectomy (LC) in patients ≥65 years of age requires further investigation of postoperative outcomes before it becomes more widely accepted as a safe technique. The advantages of using LC versus open cholecystectomy (OC) in elderly patients were analyzed using propensity score matching. The demographics, cholecystitis severity, comorbidities, complications, and ...

Because it offers several advantages over open cholecystectomy, laparoscopic cholecystectomy has largely replaced open cholecystectomy for the management of symptomatic gallstone disease. The only potential disadvantage is a higher incidence of major bile duct injury. Although prevention of these biliary injuries is ideal, when they do occur, early identification and appropriate treatment are c...

BACKGROUND In some randomized trials successful laparoscopic cholecystectomy for cholecystitis is associated with an earlier recovery and shorter hospital stay when compared with open cholecystectomy. Other studies did not confirm these results and showed that the potential advantages of laparoscopic cholecystectomy for cholecystitis can be offset by a high conversion rate to open surgery. More...

The first cholecystectomy was performed by Langenbuch in 1882 (1), and the surgical approach changed very little in the next century. However, in the 1980s, reports began to appear that described the removal of the gallbladder through a 3-8 cm, muscle-sparing incision (small-incision cholecystectomy, or minicholecystectomy) (2-17). A few years later, laparoscopic cholecystectomy entered the sce...

Post operatively she developed an air and bile leak. A subsequent ERCP was performed and the plastic biliary stent removed from the bile duct. There was a suspicion of contrast in the bronchial tree on this examination. A further CT scan demonstrated a pleural effusion, diaphragmatic disruption and a collection under the diaphragm consistent with bronchobiliary fistula. Her bilioptysis settled ...

OBJECTIVE Laparoscopic cholecystectomy (LC) has become the gold standard for the surgical treatment of gallbladder disease, but conversion to open cholecystectomy is still inevitable in certain cases. Knowledge of the rate and impact of the underlying reasons for conversion could help surgeons during preoperative assessment and improve the informed consent of patients. We decided to review the ...

Laparoscopy for diagnostic and operative purposes offers specific advantages to the patient. Apart from the aesthetic appeal, the shorter hospitalization, a more rapid return to normal activity than after traditional open surgery and decreased postoperative morbidity are particularly strong arguments for laparoscopic surgery. Currently, the most frequently performed laparoscopic upper abdominal...

UNLABELLED Most commonly performed laparoscopic surgery is laparoscopic cholecystectomy. Although cholecystectomy through three port is not commonly preferred, researches have shown that it is a safe and feasible way of surgery. Material and Methods. We evaluate 100 patient that have undergone elective laparoscopic cholecystectomy through three port (group one). These patients were compared wit...

Cholecystectomy is the treatment of choice for symptomatic gallstones because it removes the organ that contributes to both the formation of gallstones and the complications ensuing from them.1 The morbidity associated with cholecystectomy is attributable to injury to the abdominal wall in the process of gaining access to the gallbladder (i.e., the incision in the abdominal wall and its closure...