Clinical evaluation of 3D-CT cholangiography for preoperative examination in laparoscopic cholecystectomy

1999 ◽  
Vol 34 (1) ◽  
pp. 111-118 ◽  
Author(s):  
Shinichi Kinami ◽  
Tadashi Yao ◽  
Madoka Kurachi ◽  
Yoshio Ishizaki
PAIN RESEARCH ◽  
1998 ◽  
Vol 13 (1) ◽  
pp. 9-13
Author(s):  
Tomoaki Higashizawa ◽  
Kenji Hiramatsu ◽  
Haruyuki Yuasa ◽  
Takafumi Izumi ◽  
Keiji Kawata ◽  
...  

Author(s):  
Tadashi Yoshida ◽  
Shojiro Shimada ◽  
Takayuki Kitsu ◽  
Kenji Fukushima ◽  
Hideki Satisu ◽  
...  

2001 ◽  
Vol 25 (2) ◽  
pp. 300-304 ◽  
Author(s):  
Kayoko Kato ◽  
Tsuneo Ishiguchi ◽  
Kunihiro Maruyama ◽  
Shinji Naganawa ◽  
Takeo Ishigaki

1995 ◽  
Vol 1 (3) ◽  
pp. 147-152 ◽  
Author(s):  
Tetsuro Ishikawa ◽  
Michio Sowa ◽  
Masayoshi Nagayama ◽  
Yukio Nishiguchi

We performed laparoscopic cholecystectomy for symptomatic cholelithiasis on four patients with cirrhosis of the liver, two of whom had clinical portal hypertension and splenomegaly. Preoperative examination disclosed hypersplenism in one patient, while mild thrombocytopenia and decreased prothrombin concentration were noted in three patients. However, no remarkable bleeding tendency was recognized clinically in any of the patients. Preoperatively, by Child-Pugh's criteria, three patients had class B disease and one class A disease. Intraoperatively, remarkable inflammatory change or fibrotic change of the gallbladder wall and Calot's triangle was observed in two cases, and collateral veins and lymphangial congestion were observed in all four cases. In the first case, extreme bleeding and lymphorrhea from dissected sites were observed, and a 1.5 unit of transfusion of whole blood was required during operation. Postoperatively, increase in ascites which was controlled with diuretics was recognized in one case. However, the postoperative course was uneventful in all cases, and no serious complications were recognized.That laparoscopic cholecystectomy can be safely performed in patients with cirrhosis if careful and appropriate management of bleeding and lymphorrhea from sites of dissection is ensured, is encouraging.


2014 ◽  
Vol 21 (3) ◽  
pp. 234-239 ◽  
Author(s):  
Parag Dhumane ◽  
Bernard Dallemagne ◽  
Brian Barry ◽  
Silvana Perretta ◽  
Joel Leroy ◽  
...  

1994 ◽  
Vol 50 (8) ◽  
pp. 1012
Author(s):  
Keiji Fujimoto ◽  
Kouki Kurita ◽  
Norio Nishii ◽  
Mitsuo Fujita

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