Many surgeons opt to perform subtotal cholecystectomy to limit duct injuries in difficult cases. In these cases, however, there is a risk for the gallbladder remnant to become diseased. In these cases, a completion cholecystectomy is necessary.Although technically challenging, the laparoscopic approach to completion cholecystectomy is feasible and safe, when performed by surgeons with advanced ...

Gallbladder perforation with subsequent gallstone spillage can occur with higher frequency in laparoscopic cholecystectomy than in traditional open approach. Gallstone abscess formation from stone spillage post-cholecystectomy is extremely rare. We present a case of para-spinal abscess formation 5 years after spilled gallstones following laparoscopic cholecystectomy.

OBJECTIVE To test the feasibility of needlescopic cholecystectomy using a two-port technique with 3-mm miniaturised instruments. DESIGN Prospective study. SETTING Regional hospital, Hong Kong. PATIENTS One hundred consecutive patients undergoing elective cholecystectomy from September 2001 to August 2002. INTERVENTION Two-port needlescopic cholecystectomy all performed or supervised by ...

Purpose: Stage-related treatment has been recommended for gallbladder cancer (GBC). When patients with T2 tumors undergo an extended cholecystectomy, the 5˗year survival rates have been reported to be 64∼100%. But when patients with T2 tumors undergo simple cholecystectomy, the 5˗year survival rates have been reported to be only 20∼40%. The question may rise as to which patients benefit from si...

BACKGROUND During a previous study to define and compare incidence risks of postoperative nausea and vomiting (PONV) for elective laparoscopic and open cholecystectomy at two hospitals in Jamaica, secondary analysis comparing PONV risk in elective open cholecystectomy to that after emergency open cholecystectomy suggested that it was markedly reduced in the latter group. The decision was made t...

Laparoscopic surgery has been widely accepted as a feasible and safe treatment modality in many cancers of the gastrointestinal tract. However, most guidelines on gallbladder cancer (GBC) regard laparoscopic surgery as a contraindication, even for early GBC. This study aims to evaluate and compare recent surgical outcomes of laparoscopic and open surgery for T1(a,b) GBC and to determine the opt...

Cholecystitis presents as acute or chronic. Severity of cholecystitis depends on several factors.  Aim of this study was to evaluate severity of laparoscopic cholecystectomy findings based on gender type. In a retrospective and epidemiological study, a total of 101 patients who were underwent laparoscopic cholecystectomy were selected from 2001 to 2006 in university affiliated hospitals of Ahwa...

Twelve selected patients undergoing cholecystectomy were operated in a prospective randomised study by laparoscopy (CO2 laser) or by classic surgery. Our preliminary results suggest that laparoscopic cholecystectomy is of clinical benefit as compared to classic cholecystectomy since it reduces the surgical trauma, limiting weight loss and shortening the hospital stay.