Relevant bibliographies by topics / Laparoscopic completion cholecystectomy

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Academic literature on the topic 'Laparoscopic completion cholecystectomy'

Author: Grafiati
Published: 5 June 2025
Last updated: 16 July 2025

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Journal articles on the topic "Laparoscopic completion cholecystectomy"

1

Cawich, Shamir O., Carlos Wilson, Lindberg K. Simpson, and Akil J. Baker. "Stump Cholecystitis: Laparoscopic Completion Cholecystectomy with Basic Laparoscopic Equipment in a Resource Poor Setting." Case Reports in Medicine 2014 (2014): 1–3. http://dx.doi.org/10.1155/2014/787631.

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Introduction. Stump cholecystitis is a recognised condition in which a large gallbladder remnant becomes inflamed after subtotal cholecystectomy. When this occurs, a completion cholecystectomy is indicated. Traditionally, these patients were subjected to open surgery because the laparoscopic approach was anticipated to be technically difficult. We present a case of completion cholecystectomy using basic laparoscopic equipment in a resource poor setting to demonstrate that the laparoscopic approach is feasible.Case Description. A 57-year-old woman presented with right upper quadrant pain and vomiting. She had an elective open cholecystectomy seven years before but reported remarkably similar symptoms. Abdominal ultrasound suggested calculous acute cholecystitis. MRCP confirmed the presence of a large gallbladder remnant with stones. Gastroduodenoscopy excluded other differentials. She had an uneventful laparoscopic completion cholecystectomy performed.Discussion. Although traditional dogma suggested that a completion cholecystectomy should be performed through the open approach, several small studies have demonstrated that laparoscopic completion cholecystectomy is feasible and safe. This report adds to the existing data in support of the laparoscopic approach.
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Hussain, Zahur, Himanshu Sharma, Vikrant Singh Chandail, et al. "LAPAROSCOPIC COMPLETION CHOLECYSTECTOMY FOR POST CHOLECYSTECTOMY SYNDROME." Journal of Evolution of Medical and Dental Sciences 4, no. 42 (2015): 7258–62. http://dx.doi.org/10.14260/jemds/2015/1054.

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3

Manish, Kumar, Kumar Prashant, and Narain Chandramohan. "Laparoscopic Completion Cholecystectomy: A Retrospective Study." International Journal of Pharmaceutical and Clinical Research 16, no. 6 (2024): 1379–82. https://doi.org/10.5281/zenodo.12741632.

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<strong>Background:</strong>&nbsp;Laparoscopic completion cholecystectomy (LCC) is a surgical procedure performed on patients who have previously undergone a partial cholecystectomy. This study aims to evaluate the outcomes and complications associated with LCC in a series of 40 cases at Netaji Subhash Medical College, Bihta, Patna, from January 2024 to May 2024.&nbsp;<strong>Materials and Methods:</strong>&nbsp;A retrospective analysis was conducted on 40 patients aged 50-65 years who underwent LCC between January 2024 and May 2024. Data were collected from medical records, including patient demographics, indications for surgery, intraoperative findings, operative time, postoperative complications, and hospital stay duration. Statistical analysis was performed to assess the correlation between patient characteristics and surgical outcomes.&nbsp;<strong>Results:</strong>&nbsp;Out of the 40 patients, 25 were male, and 15 were female. The mean operative time was 90 minutes (range: 75-120 minutes). The most common indication for LCC was residual gallbladder stones, accounting for 70% of the cases. Intraoperative complications occurred in 10% of the cases, with bile duct injury being the most significant complication. Postoperative complications were observed in 15% of the patients, including wound infection (5%) and bile leakage (10%). The average hospital stay was 4 days (range: 3-7 days). No mortality was reported in this series.&nbsp;<strong>Conclusion:</strong>&nbsp;Laparoscopic completion cholecystectomy is a feasible and safe procedure with acceptable morbidity rates. It is a viable option for patients with residual gallbladder disease following partial cholecystectomy. Proper patient selection and surgical expertise are crucial for minimizing complications and ensuring favorable outcomes. &nbsp; &nbsp;
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Elnabi, Mahmoud H., Ramy A. Hassan, Hamada F. A. Soliman, and Moamen S. Abdelgawaad. "Laparoscopic completion cholecystectomy for patients with residual gallstone disease: a single-center experience." Egyptian Journal of Surgery 42, no. 3 (2023): 635–41. http://dx.doi.org/10.4103/ejs.ejs_123_23.

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Background The incidence of residual gallbladder after cholecystectomy procedures may reach 2.5%. That remnant part of the gallbladder may harbor or develop stones, leading to recurrent symptoms. Surgical excision is recommended in such patients. Herein, we describe our experience regarding laparoscopic management of patients with residual gallbladder or cystic duct stump stones. Patients and methods We retrospectively reviewed the data of 24 patients with previous diagnosis, who were managed by laparoscopy in our tertiary-care setting. Relevant preoperative, intraoperative, and postoperative data were collected. Results The time interval since the previous cholecystectomy ranged between 3 and 120 months. Most patients had previously undergone an open cholecystectomy (75%), while the remaining cases were performed through laparoscopy. The laparoscopic assessment revealed residual gallbladder and cystic duct stump stones in 87.5% and 12.5% of cases, respectively. Conversion to the open approach was needed only in two cases (8.3%). Operative time ranged between 60 and 130 min (mean = 108.83), while intraoperative blood loss had a mean value of 111.88 mL (range, 50–150). The duration of hospitalization ranged between 1 and 4 days (median = 1). Postoperative morbidity occurred in eight patients (33.33%). Wound infection, gallbladder bed collection, and pulmonary embolism occurred in 16.7, 16.7, and 4.2% of patients, respectively. No specific risk factors for postoperative morbidity were identified. Conclusion Laparoscopic completion cholecystectomy is considered a safe and effective procedure in experienced hands for managing patients with symptomatic gallbladder residuals .
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Alsinan, Fatima, and Ali Alaqoul. "Laparoscopic Completion Cholecystectomy for Symptomatic Remnant Gallbladder Following Subtotal Cholecystectomy: a Report of Two Cases." Acta Informatica Medica 33, no. 1 (2025): 79. https://doi.org/10.5455/aim.2025.33.79-81.

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Background: Subtotal cholecystectomy (SC) is considered a safe option for a bailout in the presence of a difficult laparoscopic cholecystectomy with a low incidence of complications. Objective: This report aims to describe the challenges in diagnosing and managing remnant gallbladder. Case presentation: Case 1 is a 31-year-old male who presented with right upper quadrant abdominal pain ten years following SC. Abdominal ultrasound (US) and computed tomography (CT) scan confirmed a ruminant gallbladder. He underwent successful completion of laparoscopic cholecystectomy. Case 2 is a 40-year-old male who was admitted as a case of ascending cholangitis. He had a history of subtotal cholecystectomy one year prior to his presentation. CT scan, Magnetic resonance cholangiography (MRCP), and US all confirmed the presence of a remnant gallbladder. The patient underwent endoscopic retrograde cholangiopancreatography (ERCP), followed by the completion of laparoscopic cholecystectomy. Conclusion: Recurring symptoms due to the remnant gallbladder are often challenging to diagnose and treat. Herein, we highlight the importance of adequate preoperative investigations and surgical planning prior to intervention.
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Maharjan, Dhiresh Kumar, and Prabin Bikram Thapa. "Laparoscopic Extended Cholecystectomy for Early Gall Bladder Cancer." Journal of Nepal Health Research Council 18, no. 4 (2021): 724–28. http://dx.doi.org/10.33314/jnhrc.v18i4.2642.

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Background: Laparoscopic approach for early gall bladder cancer (T1b and T2) has been seen to have equal or better early outcomes and late outcomes in terms of overall survival rate and recurrence rate.Methods: This is a prospective cross sectional observational study performed including all consecutive patients who were diagnosed with gall bladder cancer by a single surgical team from August 2018 to February 2020 at Kathmandu Medical College Teaching Hospital or referred from outside for completion extended cholecystectomy where laparoscopic cholecystectomy was done in some other centre.Results: The mean age of the patients was 51.01±9.42 years in the laparoscopic extended cholecystectomy (N=10) group and 49.6±8.35 years in the open extended cholecystectomy (N=10) group (p value=0.711). Conversion rate was 20% in laparoscopic group. The operative time was longer in the laparoscopic group (287 +/-66.50 minutes, 120.0 to 446 minutes vs. 200+/-66.50 minutes, 100 to 405.0 minutes; p&lt; 0.004.However, the laparoscopic extended cholecystectomy group showed faster time to oral intake and time to first passage of flatus and had shorter hospital stay by 2.2 days (4.8+/-0.78 days) than open approach 7+/-0.81 days.(p value=0.00).There were no significant differences between the groups in the tumour size (p=0.079) and number of harvested lymph nodes 9.3 (5 to 13) in laparoscopic group vs. 11.2 (8 to 15) in open extended cholecystectomy group (p=0.250).Conclusions: Laparoscopic extended cholecystectomy is feasible in early gall bladder cancer along with achievement of oncological safety.Keywords: Gall bladder cancer; laparoscopic extended cholecystectomy; open extended cholecystectomy
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Desai, Gunjan S., Prasad Pande, Rajvilas Narkhede, and Prasad Wagle. "Late postcholecystectomy Mirizzi syndrome due to a sessile gall bladder remnant calculus managed by laparoscopic completion cholecystectomy: a feasible surgical option." BMJ Case Reports 12, no. 8 (2019): e228156. http://dx.doi.org/10.1136/bcr-2018-228156.

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Postcholecystectomy Mirizzi syndrome (PCMS) is an uncommon entity that can occur due to cystic duct stump calculus, gall bladder remnant calculus or migrated surgical clip. It can be classified into early PCMS or late PCMS. It is often misdiagnosed and the management depends on the site of impaction of stone or clip. Endoscopy can be performed for cystic duct stump calculus. However, surgery is the treatment for remnant gall bladder calculus. Role of laparoscopic management is controversial. We present here a case of a 48-year-old woman with late PCMS due to an impacted calculus in a sessile gall bladder remnant following a subtotal cholecystectomy, managed with laparoscopic completion cholecystectomy, review the literature, provide tips for safe laparoscopy for PCMS and summarise our algorithmic approach to the management of the postcholecystectomy syndrome.
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8

Saeed, Anam, Mohammed Salim, Devi Singh Kachhawa, and Renuka Chaudhary. "Intra-operative factors responsible for conversion of laparoscopic cholecystectomy to open cholecystectomy in a tertiary care center." International Surgery Journal 7, no. 5 (2020): 1467. http://dx.doi.org/10.18203/2349-2902.isj20201853.

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Background: Laparoscopic cholecystectomy is the gold standard treatment for symptomatic cholelithiasis and has multiple advantages over open approach. With increasing skills and techniques over the years, the contra-indications to laparoscopic cholecystectomy have reduced. Even after careful selection of appropriate candidates for laparoscopic cholecystectomy, it sometimes becomes necessary to convert into an open cholecystectomy to prevent complications. This study was undertaken so as to identify the intra-operative factors necessitating conversion of laparoscopic cholecystectomy to open cholecystectomy.Methods: In this study conducted at S. P. Medical College and P. B. M. Hospital, Bikaner, over a period of 1 year, 100 consecutive patients with symptomatic cholelithiasis, planned for laparoscopic cholecystectomy were included. Laparoscopic cholecystectomy was performed and cases which could not be completed laparoscopically were converted to open cholecystectomy via right subcostal incision. Intra-operative factors necessitating conversion were observed and analyzed.Results: The incidence of conversion was found to be 7%. The most common intra-operative factor for conversion was dense adhesions at the Calot’s triangle (71.43%) followed by obscure anatomy (42.86%). Uncontrolled bleeding and CBD stones also led to conversion. The identification and appearance of CBD and achievement of critical view of safety were significant factors for conversion to open cholecystectomy (p=0.0001).Conclusions: The rate of conversion to open cholecystectomy was 7% which is comparable to similar studies. Conversion is not a failure or complication but actually a safer alternative to ensure completion of the procedure without any real complications of laparoscopic cholecystectomy- biliary or visceral injury, haemorrhage, etc.
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Chandio, Ashfaq, Suzanne Timmons, Aamir Majeed, Aongus Twomey, and Fuad Aftab. "Factors Influencing the Successful Completion of Laparoscopic Cholecystectomy." JSLS : Journal of the Society of Laparoendoscopic Surgeons 13, no. 4 (2009): 581–86. http://dx.doi.org/10.4293/108680809x1258998404560.

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10

Gumbs, Andrew A., and John P. Hoffman. "Laparoscopic completion radical cholecystectomy for T2 gallbladder cancer." Surgical Endoscopy 24, no. 12 (2010): 3221–23. http://dx.doi.org/10.1007/s00464-010-1102-2.

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Book chapters on the topic "Laparoscopic completion cholecystectomy"

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El-Din Mostafa Madany, Mohie. "Laparoscopic Cholecystectomy from the Classic Approach to Recent Updates." In Biliary Tract - Disease, Treatment, and Quality of Life [Working Title]. IntechOpen, 2025. https://doi.org/10.5772/intechopen.1008505.

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The current chapter provides a comprehensive overview of complications, difficult situations, and technical challenges related to laparoscopic cholecystectomy (LC). It revisited the classic approach, reviewing all the steps with the new advancements, and emphasizing the importance of preoperative imaging and intraoperative techniques for reducing complications. The chapter also discusses complex scenarios, including Mirizzi syndrome, cystic duct stones, GB mucocele, and acute cholecystitis, underlining tailored surgical approaches and the role of advanced imaging. It explores critical issues such as perforated GB, short or absent cystic duct, the seatbelt effect of the cystic artery, and strategies for managing frozen Calot’s triangle, intrahepatic GB, cirrhotic liver, and morbid obesity during LC. The necessity of conversion to open surgery and the role of cholecystostomy, subtotal, completion, and repeat cholecystectomy in complex cases are examined. The chapter underscores optimizing patient outcomes through meticulous surgical planning and advanced techniques.
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Rosen Jacob, Solazzo Massimiliano, Hannaford Blake, and Sinanan Mika. "Objective Laparoscopic Skills Assessments of Surgical Residents Using Hidden Markov Models Based on Haptic Information and Tool/Tissue Interactions." In Studies in Health Technology and Informatics. IOS Press, 2001. https://doi.org/10.3233/978-1-60750-925-7-417.

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Laparoscopic surgical skills evaluation of surgery residents is usually a subjective process, carried out in the operating room by senior surgeons. By its nature, this process is performed using fuzzy criteria. The objective of the current study was to develop and assess an objective laparoscopic surgical skill scale using Hidden Markov Models (HMM) based on haptic information, tool/tissue interactions and visual task decomposition. Methods: Eight subjects (six surgical trainees: first year surgical residents 2 &amp;times; Rl, third year surgical residents 2 &amp;times; R3 fifth year surgical residents 2 &amp;times; R5; and two expert laparoscopic surgeons: 2 &amp;times; ES) performed laparoscopic cholecystectomy following a specific 7 steps protocol on a pig. An instrumented laparoscopic grasper equipped with a three-axis force/torque sensor located at the proximal end with an additional force sensor located on the handle, was used to measure the forces and torques. The hand/tool interface force/torque data was synchronized with a video of the tool operative maneuvers. A synthesis of frame-by-frame video analysis was used to define 14 different types of tool/tissue interactions, each one associated with unique force/torque (F/T) signatures. HMMs were developed for each subject representing the surgical skills by defining the various tool/tissue interactions as states and the associated F/T signatures as observations. The statistical distance between the HMMs representing residents at different levels of their training and the HMMs of expert surgeons were calculated in order to generate a learning curve of selected steps during laparoscopic cholecystectomy. Results: Comparison of HMM&amp;rsquo;s between groups showed significant differences between all skill levels, supporting the objective definition of a learning curve. The major differences between skill levels were: (i) magnitudes of F/T applied (ii) types of tool/tissue interactions used and the transition between them and (iii) time intervals spent in each tool/tissue interaction and the overall completion time. The objective HMM analysis showed that the greatest difference in performance was between Rl and R3 groups and then decreased as the level of expertise increased, suggesting that significant laparoscopic surgical capability develops between the first and the third years of their residency training. The power of the methodology using HMM for objective surgical skill assessment arises from the fact that it compiles enormous amount of data regarding different aspects of surgical skill into a very compact model that can be translated into a single number representing the distance from expert performance. Moreover, the methodology is not limited to in-vivo condition as demonstrated in the current study. It can be extended to other modalities such as measuring performance in surgical simulators and robotic systems.
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