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Cholecystostomy or (cholecystotomy) is a medical procedure used to drain the gallbladder through either a percutaneous or endoscopic approach. The procedure involves creating a stoma in the gallbladder, which can facilitate placement of a tube or stent for drainage , first performed by American surgeon, Dr. John Stough Bobbs , in 1867.
Surgical Endoscopy: The official monthly journal of SAGES. It published its 1st manual Basic Laparoscopy and Endoscopy in 2000, and is now on its 3rd edition and split into 2 volumes. later its 2nd Manual Perioperative Care in Minimally Invasive Surgery (2005).
Delayed bleeding occurs from a few hours up to 2 wk after the procedure. [13] Perforation: the incidence of sphincterotomy related perforation, also named Type 2 duodenal perforation, is between 0% and 1.8%. [12] Cholangitis/sepsis: the incidence of cholangitis after biliary endoscopic sphincterotomy is between 1% and 3%. [1]
Cholecystectomy is a common treatment of symptomatic gallstones and other gallbladder conditions. [1] In 2011, cholecystectomy was the eighth most common operating room procedure performed in hospitals in the United States. [2] Cholecystectomy can be performed either laparoscopically, or via an open surgical technique. [3] [page needed]
Natural orifice transluminal endoscopic surgery (NOTES) is a surgical technique whereby "scarless" abdominal operations can be performed with an endoscope passed through a natural orifice (mouth, urethra, anus, vagina, etc.) then through an internal incision in the stomach, vagina, bladder or colon, thus avoiding any external incisions or scars.
[20] [21] Intestinal perforation is a risk of any gastroenterologic endoscopic procedure, and is an additional risk if a sphincterotomy is performed. As the second part of the duodenum is anatomically in a retroperitoneal location (that is, behind the peritoneal structures of the abdomen), perforations due to sphincterotomies are retroperitoneal.
This procedure was developed in 1951 by Japanese biliary and hepatic pediatric surgeon Morio Kasai (1922–2008). [3] [4] [5] Prognosis.
Endoclips have also found an application in preventing bleeding when performing complicated endoscopic procedures. For example, prophylactic clipping of the base of a polyp has been found to be useful in preventing post- polypectomy bleeding, especially in high-risk patients or patients on anticoagulant medications. [ 17 ]