Modern principles of safety in laparoscopic cholecystectomy

Тимербулатов, М. В.; Grishina, Elena A.; Аитова, Л. Р.; Aziev, M. M.

doi:10.17116/hirurgia2022121104

Cited by 3 publications

(2 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Laparoscopic cholecystectomy is a common and generally safe surgical procedure for the treatment of symptomatic cholelithiasis and gallbladder diseases including conditions such as acute cholecystitis, chronic cholecystitis, gallbladder polyps, and biliary dyskinesia [1][2][3]. It has a well-established profile for reducing postoperative pain, shortening hospital stays, and enabling quicker returns to normal activities compared to open cholecystectomy [4,5].…”

Section: Introductionmentioning

confidence: 99%

Post-cholecystectomy Hepatic Subcapsular Biloma: A Detailed Case Study on Presentation and Management

Louis,

Kuhn,

Redenius

2024

Cureus

View full text Add to dashboard Cite

Hepatic subcapsular biloma is a rare but significant complication following laparoscopic cholecystectomy, characterized by the accumulation of bile beneath the hepatic capsule. Despite its infrequency, recognizing this condition is crucial due to its potential for significant morbidity. This report aims to elucidate the presentation, diagnosis, and management of this complication to enhance clinical outcomes. We present the case of a 59-year-old male with a complex medical history including atrial fibrillation, heart failure with preserved ejection fraction, myocardial infarction, chronic obstructive pulmonary disease, hypertension, and alcohol abuse. The patient presented with acute cholecystitis and underwent an uncomplicated laparoscopic cholecystectomy. Postoperatively, he developed right upper quadrant abdominal pain and nausea, leading to the diagnosis of a hepatic subcapsular biloma. The biloma was managed successfully with percutaneous drainage, illustrating a rare complication managed effectively without the need for endoscopic retrograde cholangiopancreatography (ERCP). This case illustrates the need for heightened awareness and swift imaging to diagnose hepatic subcapsular biloma effectively. The management of this patient demonstrates the effectiveness of percutaneous drainage in resolving bilomas and avoiding more invasive procedures such as ERCP. This case adds to the limited literature on the management of postcholecystectomy hepatic subcapsular biloma and emphasizes the importance of considering this diagnosis in similar clinical scenarios. In conclusion, hepatic subcapsular biloma is a rare complication postcholecystectomy that requires early recognition and intervention. This case contributes to the body of knowledge, emphasizing the role of imaging in diagnosis and the effectiveness of minimally invasive management strategies. It highlights the educational value of recognizing early postoperative complications, thereby enhancing patient safety and care.

show abstract

Section: Introductionmentioning

confidence: 99%

Post-cholecystectomy Hepatic Subcapsular Biloma: A Detailed Case Study on Presentation and Management

Louis,

Kuhn,

Redenius

2024

Cureus

View full text Add to dashboard Cite

show abstract

“…Previous studies have found that postoperative complications of LC may be related to Calot triangle adhesion, anatomical variation of biliary tract structure, thickening of gallbladder wall, history of abdominal surgery, number of gallstones and gallbladder atrophy. If preoperative preparation is not made in time, the above complications are likely to occur after surgery, and severe cases can lead to death [ 3 ]. Therefore, it is of great clinical significance to explore the risk factors of postoperative complications of LC.…”

Section: Introductionmentioning

confidence: 99%

Analysis of risk factors for complications after laparoscopic cholecystectomy

Fu,

Liu,

Chen

et al. 2023

Heliyon

View full text Add to dashboard Cite

Analysis of reasons for reoperations in patients after cholecystectomy

Matveev,

Baradulin,

Dmitriev

et al. 2024

Ann. hir. gepatol.

View full text Add to dashboard Cite

Aim. To study reoperations after cholecystectomy in terms of their incidence, reasons, peculiarities and their significance when evaluating quality of medical care for patients with cholecystolithiasis. Materials and methods. Cholecystectomy was performed in 1272 cases, repeated interventions – in 18 (1.4 %). The study involved determination of their structure, peculiarities, terms, and outcomes, as well as stratification of their severity. The electronic database of the clinic for 2016–2022 was used for the study. Results. 1101 operations (86.6 %) were performed laparoscopically, 171 cases (13.4 %) involved open surgery. Repeated laparoscopic and open surgeries were performed in 10 (0.9 %) and 8 (4.8 %) cases. Following cholecystectomy, 11 patients (61.1 %) underwent surgery for chronic cholecystitis, 7 (38,9 %) – for acute cholecystitis; laparoscopy was used in 11 cases, traditional intervention – in 7. The reasons for repeated interventions included bleeding – in 11 cases (0.8 %), bile leakage – in 4 (0.31 %), and purulent-septic complications – 3 (0.23 %). In order to stop bleeding, theoperation was performed in 18 hours on average. No fatal outcomes reported. Conclusion. The sufficient experience of the clinic in providing medical care to patients with cholecystolithiasis was proven by the prevalence of laparoscopic cholecystectomy, acceptable incidence of reoperations, as well as their timely and adequate performance.

show abstract

Modern principles of safety in laparoscopic cholecystectomy

Cited by 3 publications

References 35 publications

Post-cholecystectomy Hepatic Subcapsular Biloma: A Detailed Case Study on Presentation and Management

Post-cholecystectomy Hepatic Subcapsular Biloma: A Detailed Case Study on Presentation and Management

Analysis of risk factors for complications after laparoscopic cholecystectomy

Analysis of reasons for reoperations in patients after cholecystectomy

Contact Info

Product

Resources

About