What’s new in the hot gallbladder: the evolving radiologic diagnosis and management of acute cholecystitis

Nugent, James; Li, Jessica; Pang, Emily; Harris, Alison

doi:10.1007/s00261-022-03451-2

Cited by 8 publications

(19 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As for the postoperative results, wound infection, hematoma, and hernia may occur at the port site during the followup period [10]. Today, laparoscopic cholecystectomy has become the most widely performed elective procedure and for its intelligible advantages, it has become the treatment of choice for symptomatic gallstones and cholecystitis, both acute and chronic [11][12][13]. Closed (Veress needle) and open (Hasson trocar) techniques are approaches for creating a pneumoperitoneum [14].…”

Section: Introductionmentioning

confidence: 99%

Port Site Consequences After Laparoscopic Cholecystectomy Using an Open Versus Closed Approach of Pneumoperitoneum

Sultan¹,

Ali²,

Ghareeb³

2022

Cureus

View full text Add to dashboard Cite

Introduction: Laparoscopic surgery is the standard method for cholecystectomy, and pneumoperitoneum is performed either in a closed or open technique. However, exposure to the consequences of the port site may increase the patient's morbidity. Therefore, this study was conducted to compare both approaches in terms of complications at the port site of each procedure and potential risk factors.Methods: A prospective study was conducted in the department of surgery, in hospitals affiliated with Kirkuk and Diyala governorates in Iraq, from January 2019 to March 2022. The participating patients (200) were electively divided into two groups, each group comprising 100 patients. The pneumoperitoneum was established in the first group by an open technique (Hasson) while in the second group it was by using a closed technique (Veress needle). A comparison was made between the two techniques for intraoperative and postoperative complications that may have occurred due to port insertion up to 18 weeks.Results: According to the results, the highest percentage was for the following: females (84.0%), ages between 50 and 59 years (43.5%), and body mass index (BMI) range 25-30 kg/m 2 (49.0%). No significant difference was observed between those variables for the two surgical techniques (p-value > 0.05). No death was recorded in the study. Consequences at the port site were observed in 10.5% of patients, the majority reported in the open approach (8.5%) as follows: bleeding (3.0%), hematoma (2.0%), wound infection (1.5%), hernia (1.5%), and vascular injury (0.5%).Conclusions: Thus, we concluded that port site complications are lowest in closed laparoscopic surgery which was not shown to be statistically significant but values showed less complications. Furthermore, samples could be used to gain a good statistical significance.

show abstract

Section: Introductionmentioning

confidence: 99%

Port Site Consequences After Laparoscopic Cholecystectomy Using an Open Versus Closed Approach of Pneumoperitoneum

Sultan¹,

Ali²,

Ghareeb³

2022

Cureus

View full text Add to dashboard Cite

show abstract

“…The most frequent complications of inpatient hospitalizations are abdominal surgical site infections, which substantially negatively aect outcomes and expenses. 11 Less invasive surgical techniques are becoming more popular due to technological advancements, which may benet patients. Laparoscopic cholecystectomy has experienced a signicant rise in popularity since its inception in 1987, to the point where it is now recognized as the gold standard for treating symptomatic gallstone disease.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Port Site Infection After Laparoscopic Cholecystectomy: Our Experience at Hayatabad Medical Complex

Aslam¹,

Shah²,

Alam³

et al. 2023

J Gandhara Med Dent Sci

View full text Add to dashboard Cite

OBJECTIVES This study aimed to assess the factors that affect post-laparoscopic cholecystectomies PSI and determine which characteristics can be changed to prevent PSI in a trial to maximize the benefits of laparoscopic surgery.METHODOLOGY The study included all patients who experienced port site infection following laparoscopic cholecystectomy. All patients received Inj Ceftriaxone 1gm pre-operatively & then twice a day postoperatively for 03 days. In all operations, the gallbladder is removed from the epigastric port without using a retrieval bag by skilled surgeons employing four-port methods and reusable equipment. Most patients had the sub-hepatic tube drain placed and were discharged the day after surgery.RESULTSAcute cholecystitis was the most common operative finding with port-site infection, i.e. 6(42.8%), second being empyema that was seen in 3(21.4%) patients, 2(14.3%) patients had bad adhesions, mucocele in 2(14.3%) patients and thick walled gall bladder with stones was found in 1(7.1%) patients respectively, indicating that the relationship between infection and acute cholecystitis is significant. Regarding the spills of bile, stones, or pus, 3(21.4%) patients had infections despite there being no spillage, while 11(78.6%) patients developed an infection while the spillage happened during their procedures. The p-value was 0.0001, meaning that the spillage might be considered a risk factor for the development of port site infection.CONCLUSIONThe spilling of bile, stones, or pus, the port of gallbladder removal, and acute cholecystitis are all strongly associated with port site infection. Given that Mycobacterium tuberculosis may be the source of chronic deep surgical site infections, more care should be exercised. The majority of PSIs are superficial and more prevalent in men.

show abstract

“…In selected cases of gallbladder wall perforation, the drain can be sited through the preexisting wall defect if appropriate to avoid further loss of wall integrity. This may be useful in percutaneous management of perforated cholecystitis 10 ( Fig. 3 ).…”

Section: Methodsmentioning

confidence: 99%

The Use of Ultrasound Contrast in Interventional Radiology

Tantrige

Ballal

Kelly

et al. 2023

The Arab Journal of Interventional Radiology

View full text Add to dashboard Cite

Ultrasound contrast agents have gained increasing popularity due to the high level of safety, real-time improved visualization, and ability to detect vascularity. As a result, contrast-enhanced ultrasound lends itself well to interventional radiology including in preprocedure assessment, intraprocedural guidance, and postprocedure evaluation. The authors aim to demonstrate the wide utility of contrast-enhanced ultrasound in both vascular and nonvascular intervention.

show abstract

What’s new in the hot gallbladder: the evolving radiologic diagnosis and management of acute cholecystitis

Cited by 8 publications

References 71 publications

Port Site Consequences After Laparoscopic Cholecystectomy Using an Open Versus Closed Approach of Pneumoperitoneum

Port Site Consequences After Laparoscopic Cholecystectomy Using an Open Versus Closed Approach of Pneumoperitoneum

Incidence of Port Site Infection After Laparoscopic Cholecystectomy: Our Experience at Hayatabad Medical Complex

The Use of Ultrasound Contrast in Interventional Radiology

Contact Info

Product

Resources

About