Surgical Treatment for Xanthogranulomatous Cholecystitis

Wang, Mingliang; Zhang, Tao; Zang, Lu; Liu, Aiguo; Mao, Zhihai; Li, Jianwen; Dong, Feng; Hu, Weiguo; Yu, Jiang

doi:10.1097/sle.0b013e3181a822f8

Cited by 51 publications

(85 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Analysis of data from outside of China has shown that, in 65% of XGC cases, complete cholecystectomy was difficult, and 35% of cases underwent partial cholecystectomy. 1 In the present study, the mean duration of surgery was 114.6 minutes, which is longer than that for common open cholecystectomy, illustrating the difficulty of surgery in XGC patients. Complete cholecystectomy was performed in 9 patients, and partial cholecystectomy was performed in 5 patients with severe adhesions of the gallbladder to neighboring tissue.…”

Section: Discussionmentioning

confidence: 94%

“…This finding is largely related to the difficulty of stripping the gallbladder, mode of surgery, and physical condition of the patient. 1,12 Complications occurred in 2 (14.2%) patients in the present study: hematoma (n ¼ 1) and pneumonia (n ¼ 1). None of the patients in the present study died.…”

Section: Discussionmentioning

confidence: 95%

“…9 XGC is more prevalent in middle-aged women. 1,7 In the presented series, there was an obvious female predominance, with a male:female ratio of 0.55.…”

Section: Discussionmentioning

confidence: 99%

“…Xanthogranulomatous inflammation occurs in various organs, including the skin, kidneys, retroperitoneum, intracranium, gastrointestinal tract, genital organs, and gallbladder. [1][2][3] Xanthogranulomatous cholecystitis (XGC) is a seldom-seen inflammatory disease that occurs in the gallbladder. Its primary characteristic is destructive inflammation that is local or disseminated throughout this organ.…”

mentioning

confidence: 99%

See 3 more Smart Citations

A Rare Finding During a Common Procedure: Xanthogranulomatous Cholecystitis

Taskesen

Arıkanoğlu

Uslukaya

et al. 2014

International Surgery

View full text Add to dashboard Cite

Xanthogranulomatous cholecystitis is a rare variant of chronic cholecystitis characterized by severe proliferative fibrosis and accumulation of lipid-laden macrophages in regions of destructive inflammation. Xanthogranulomatous cholecystitis clinically and radiologically mimics early-stage gallbladder cancer, with wall thickening on computed tomography. The study included 14 xanthogranulomatous cholecystitis patients that were identified following retrospective analysis of the records of 1248 patients that underwent cholecystectomy between 2005 and 2011. Mean age of the 5 male and 9 female patients was 56.7 years. All 14 patients had gallbladder stones; 10 had a history of acute cholecystitis, 1 had cholangitis, and 2 presented with obstructive jaundice. A right-upper quadrant mass was palpable in 2 patients. All patients underwent cholecystectomy. Open surgery was planned and performed in 6 of the 14 patients, and laparoscopic cholecystectomy was planned in 8 patients, but was converted to open surgery in 1 case. In total, 1 patient developed wound infection, 1 patient had postoperative pneumonia, and 1 patient developed intraabdominal hematoma. None of the patients in the series died. Xanthogranulomatous cholecystitis is difficult to diagnose, both preoperatively and intraoperatively, and definitive diagnosis depends exclusively on pathological examination. Xanthogranulomatous cholecystitis should be a consideration in all difficult cholecystectomy cases.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 95%

“…9 XGC is more prevalent in middle-aged women. 1,7 In the presented series, there was an obvious female predominance, with a male:female ratio of 0.55.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

A Rare Finding During a Common Procedure: Xanthogranulomatous Cholecystitis

Taskesen

Arıkanoğlu

Uslukaya

et al. 2014

International Surgery

View full text Add to dashboard Cite

show abstract

“…Während sich für die Suchbe griffe "xanthogranulomatous sialadenitis" und "xanthogranulomatous + parotid" lediglich 7 Fallberichte in der PubMed Datenbank ergeben [5,6,10,13,18,27,28], trifft man für andere Lokalisationen wie Gallenblase oder Niere auf größere Fall serien von bis zu 74 Fällen pro Studie [16,29]. Dies deutet auf eine große Seltenheit xanthogranulomatöser Veränderungen in den Speicheldrüsen hin.…”

Section: Hintergrundunclassified

Xanthogranulomatöses Reaktionsmuster in Speicheldrüsen

Agaimy

Ihrler

2014

Pathologe

View full text Add to dashboard Cite

Hepatobiliary Pseudotumors Consisting of Nonneoplastic Hematopoietic Cells and Cells of the Macrophage Lineage

Zimmermann

2016

Tumors and Tumor-Like Lesions of the Hepatobiliary Tract

View full text Add to dashboard Cite

The hepatobiliary tract can develop tumor-like lesions or pseudotumors that consist of hematopoietic tissue or macrophage accumulations. Extramedullary hematopoiesis can occur in the liver and may result in macroscopically visible nodular lesions (nodular extramedullary hematopoiesis). Macroscopically, the lesions may have several cm in diameter and usually show a red-brown or tan color. One variant is characterized by the production of an abundant fibrous stroma (sclerosing extramedullary hematopoietic tumor). The liver can be the site of various eosinophilic pseudotumors and eosinophilic necrosis. Macrophage-rich lesions of the liver that can result in tumorlike nodular lesions comprise lipogranulomas, xanthomatous lesions, rheumatoid nodules, malakoplakia, and accumulations of Gaucher cells in Gaucher's disease.

show abstract

Surgical Treatment for Xanthogranulomatous Cholecystitis

Abstract: Surgical treatment remains the most effective and feasible option for XGC.

Cited by 51 publications

References 11 publications

A Rare Finding During a Common Procedure: Xanthogranulomatous Cholecystitis

A Rare Finding During a Common Procedure: Xanthogranulomatous Cholecystitis

Xanthogranulomatöses Reaktionsmuster in Speicheldrüsen

Hepatobiliary Pseudotumors Consisting of Nonneoplastic Hematopoietic Cells and Cells of the Macrophage Lineage

Contact Info

Product

Resources

About