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Cholecystectomy is the surgical removal of the gallbladder. 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 ]
enterotomy and bowel repair or bowel resection [13] right or left hemicolectomy [13] pyloric exclusion and gastric diversion, in which gastric secretions are diverted away from the duodenum by closing the pylorus and creating a new connection between the stomach and the small intestine [14] nephrectomy, or removal of all or part of a kidney [15]
Several studies have pointed out that for various laparoscopic surgical applications (such as cholecystectomy, groin hernia repairs and appendectomies), creating pneumoperitoneum by using a Veress needle is not always as safe and effective as other techniques (e.g. direct trocar insertion (DTI)).
Treatment of bile leaks: leakage of bile into the abdominal cavity is a complication of laparoscopic cholecystectomy. The purpose of biliary endoscopic sphincterotomy in the treatment of a bile leak is to reduce or eliminate the pressure gradient between the bile duct and the duodenum, encouraging transpapillary bile flow and allowing the leak ...
Cholecystectomy may be performed via an open incision or via laparoscopic methods, but gallbladder anatomy and consistency may complicate the operation. [ 5 ] Based on evidence in the current literature, a prophylactic cholecystectomy is not routinely recommended for all patients with porcelain gallbladder and should be restricted to those with ...
a bile duct injury (e.g. cholecystectomy, iatrogenic, trauma) an infection/inflammation (e.g. pancreatic pseudocyst) Roux-en-Y choledochojejunostomy – indications same as Roux-en-Y hepaticojejunostomy. Roux-en-Y pancreas transplant [6] Roux-en-Y pancreas reconstruction after blunt abdominal trauma. [7]
The primary drawback is the risk of stent occlusion with food or gastric contents. This risk is lowered when entering through the duodenum. EUS-GBD also complicates a future surgical cholecystectomy because the patient's anatomy is modified, requiring an additional repair of the choleycystoenteric fistula. [3]
The following represent indications for ERCP, particularly if or when less invasive options are not adequate or definitive: Fluoroscopic image of common bile duct stone seen at the time of ERCP. The stone is impacted in the distal common bile duct. A nasobiliary tube has been inserted.