Incidental Gallbladder Cancer: Outcomes of a Recently Treated Single-Center Case Series

Abstract In this single center case series with nine percent primary diversion, 86 of 94 patients alive and with complete follow-up at one year had a functioning anastomosis. Seventy-five of the initial 99 patients never had a stoma. Meaning: Highly selective fecal diversion in combination with proactive leakage management, low anastomoses can be preserved safely, and the majority of patients will be spared all disadvantages of a diverting stoma. In this single-centre case series, with a primary diversion rate of 9 per cent, 86 of 94 patients who were alive and had complete follow-up at 1 year had a functioning anastomosis. Seventy-five of the initial 99 patients never had a stoma. The results indicate that, with highly selective faecal diversion in combination with proactive leakage management, low anastomoses can be preserved safely, and the majority of patients will be spared the disadvantages of a diverting stoma.

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Brucella cardiac implantable electronic device infection: A single-center case series

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102568 ◽

2021 ◽

pp. 102568

Author(s):

Fatehi Elzein ◽

Eid Alsufyani ◽

Yahya Al Hebaishi ◽

Mohammed Mosaad ◽

Moayad Alqurashi ◽

...

Keyword(s):

Electronic Device ◽

Case Series ◽

Single Center ◽

Cardiac Implantable Electronic Device ◽

Device Infection

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Incidental Gallbladder Cancer: Routine versus Selective Histological Examination After Cholecystectomy

The Surgery Journal ◽

10.1055/s-0040-1722175 ◽

2021 ◽

Vol 07 (01) ◽

pp. e22-e25

Author(s):

Andrew Alabi ◽

A D. Arvind ◽

Nikhil Pawa ◽

Shakir Karim ◽

Jason Smith

Keyword(s):

Gallbladder Cancer ◽

Gallstone Disease ◽

Papillary Adenocarcinoma ◽

University Teaching ◽

Histological Evaluation ◽

Adenocarcinoma In Situ ◽

Invasive Adenocarcinoma ◽

Potential Cost ◽

Histopathological Evaluation ◽

Incidental Gallbladder Cancer

Abstract Background Incidental gallbladder cancer is relatively rare, with an incidence ranging between 0.19 and 5.5% of all the cholecystectomies for benign disease, and carries a poor prognosis. Currently, in the literature, there appears to be some controversy about whether all gallbladder specimens should be sent for routine histopathology. The aim of this study was to investigate the need for either routine or selective histopathological evaluation of all gallbladder specimens following cholecystectomy in our institution. Methods The records of all patients who underwent a cholecystectomy (laparoscopic and open) for gallstone disease over a 5-year period (between January 2011 and January 2016) were reviewed retrospectively in a single university teaching hospital. Patients with radiological evidence of gallbladder cancer preoperatively were excluded. The notes of patients with incidental gallbladder cancer were reviewed and data were collected for clinical presentation and preoperative investigations including blood tests and radiological imaging. Results A total of 1,473 specimens were sent for histopathological evaluation, with two patients being diagnosed with an incidental gallbladder cancer (papillary adenocarcinoma in situ and moderately differentiated invasive adenocarcinoma [stage IIIa]). The incidence rate was 0.14%. All patients with incidental gallbladder cancer had macroscopically abnormal specimens. Conclusion Both patients in our study who were diagnosed with incidental gallbladder cancer had macroscopic abnormalities. A selective rather than routine approach to histological evaluation of gallbladder specimens especially in those with macroscopic abnormalities should be employed. This will reduce the burden on the pathology department with potential cost savings.

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