A case of appendiceal diverticulum resected by laparoscopic surgery with preoperative diagnosis of appendiceal tumor

Background: The prevalence of common bile duct stones associated with cholelithiasis increases with age and is about 15 % in the 8th decade of life but its management is still controversial. Some surgeons prefer the single-stage approach with laparoscopy while others suggest the two-stage management with preoperative endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy. Objective: The aim of the present study was to evaluate the efficacy of feasibility of single-stage laparoscopic surgery in patients with cholelithiasis and choledocholithiasis. Material and methods: We conducted a retrospective study with prospectively collected data between July 2008 and July 2018. Results: Of 2447 laparoscopic cholecystectomies performed during the study period, 416 presented common bile duct stones. The global success of the transcystic approach to clear common bile duct stones was 81.2%, 70.4% in the cases with preoperative diagnosis of choledocholithiasis and 92.9% for other diagnoses. The rate of complications was 4% without deaths or bile duct injuries. Conclusion: Single-stage laparoscopic surgery is an efficient and safe approach based on the high global success of transcystic exploration. The preoperative diagnosis of choledocholithiasis reduces the efficacy of the procedure due to greater indication of choledocotomy, with complications and longer length of hospital stay.

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Safety of laparoscopic management of ovarian dermoid cyst

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v5i1.18260 ◽

2017 ◽

Vol 5 (1) ◽

pp. 18-22

Author(s):

Nira Singh Shrestha ◽

Junu Bajracharya ◽

Rachana Saha

Keyword(s):

Laparoscopic Surgery ◽

Hospital Stay ◽

Dermoid Cyst ◽

Preoperative Diagnosis ◽

Laparoscopic Approach ◽

College Teaching ◽

Laparoscopic Management ◽

Duration Of Hospital Stay ◽

Chemical Peritonitis ◽

Ovarian Dermoid Cyst

Background: In the recent years, with the advancement of laparoscopic surgery, management of ovarian dermoid cysts is possible with laparoscopic approach. Concerns regarding safety of the procedure has been raised.Objective: To analyze the safety of laparoscopic surgery done for ovarian dermoid cyst at Kathmandu Medical College Teaching Hospital.Methods: This is a descriptive study done from July 2012 to June 2015. All the cases with the diagnosis of ovarian dermoid cyst managed laparoscopically during the study period were enrolled in the study. Thorough history, clinical examination fi nding and diagnostic modalities were noted. Three port laparoscopy was done for the management of dermoid cyst. Thorough peritoneal lavage with warm saline was done at the end of the procedure in the cases with spillage.Variables like preoperative diagnosis, postoperative diagnosis, and type of surgery performed, rate of spillage, features of chemical peritonitis if any and duration of hospital stay were noted and analyzed.Results: Total 52 cases with the preoperative diagnosis of dermoid cyst were managed with laparoscopy during the study period. Of these, only 46 cases (88.46%) were dermoid cyst on laparoscopy. In majority of the cases (45.65%) diagnosis was incidental by Ultrasound scan done for other indications. Cystectomy was performed in 42 cases (91.30%) and in 4 cases (8.69%) oophorectomy was done. Spillage occurred in approximately 89% of the cases but there were no cases of chemical peritonitis. Duration of hospital stay ranged between 2 to 5 days.Conclusion: Laparoscopic management of ovarian dermoid cyst is a safe procedure.Journal of Kathmandu Medical CollegeVol. 5, No. 1, Issue 15, Jan.-Mar., 2016, Page: 18-22

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Gastric-type adenocarcinoma of the uterine cervix diagnosed after laparoscopic surgery following preoperative diagnosis of lobulated cervical gland hyperplasia: A report of two cases

JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY ◽

10.5180/jsgoe.37.1_154 ◽

2021 ◽

Vol 37 (1) ◽

pp. 154-160

Author(s):

Naoko Komura ◽

Hirokazu Naoi ◽

Fuyuki Ichikawa ◽

Asuka Tanaka ◽

Katsumi Kozasa ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Uterine Cervix ◽

Preoperative Diagnosis ◽

Cervical Gland ◽

Gastric Type

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Colecistitis aguda en vesícula biliar izquierda. Presentación de un caso resuelto en forma segura por vía laparoscópica

Revista Argentina de Cirugía ◽

10.25132/raac.v113.n1.1490.ei ◽

2021 ◽

Vol 113 (1) ◽

pp. 125-130

Author(s):

Agustín Virgili ◽

◽

Carlos Wendichansky ◽

Rodrigo Maroni

Keyword(s):

Laparoscopic Cholecystectomy ◽

Laparoscopic Surgery ◽

Bile Duct ◽

Acute Cholecystitis ◽

Preoperative Diagnosis ◽

Direct Puncture ◽

Critical View ◽

Critical View Of Safety ◽

Bile Duct Injuries ◽

Bile Duct Anatomy

Left-sided gallbladder (LSGB) is a rare bile duct abnormality, usually found during a cholecystectomy. Symptoms usually do not differ from those of a normally positioned gallbladder, making the preoperative diagnosis extremely uncommon. We report the case of an acute cholecystitis in a patient whit LSGB, safely managed with laparoscopic surgery. A 24-year-old male patient was admitted to our institution with clinical and radiological signs of acute cholecystitis. The intraoperative finding of an acute cholecystitis in a LSGB made us modify ports positioning and a cholangiograhy was done by direct puncture of the gallbladder before hilum dissection. After the cystic duct was identified, a transcystic cholangiography was performed which confirmed a complete and clear bile duct anatomy and laparoscopic cholecystectomy was safely completed. The intraoperative finding of a LSGB makes the surgeon change some aspects of the usual technique to perform a safe cholecystectomy as LSGB significantly increases the risk of common bile duct injuries. Meticulous dissection of the gallbladder hilum to achieve a critical view of safety and the systematic use of intraoperative cholangiography are extremely important to perform a safe laparoscopic cholecystectomy.

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Laparoscopic and Open Surgery for Right Colonic Diverticulitis

The American Surgeon ◽

10.1177/000313481007600515 ◽

2010 ◽

Vol 76 (5) ◽

pp. 486-491 ◽

Cited By ~ 7

Author(s):

In Kyu Lee ◽

Yoon Suk Lee ◽

Sung Jip Kim ◽

D. Lee Gorden ◽

Dae Youn Won ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Preoperative Diagnosis ◽

Open Surgery ◽

Recurrence Risk ◽

Colonic Diverticulitis ◽

Conventional Surgery ◽

Operative Method ◽

Kaplan Meier ◽

Surgical Modality ◽

Selection Of

The purpose of this study is to evaluate the safety and effectiveness of laparoscopic surgery by comparing laparoscopic and conventional surgery of right colonic diverticulitis (RCD). Among 124 patients who were treated for RCD from January 1997 to July 2007, we enrolled 54 patients who received resection therapy of RCD. Patients were divided into two groups: laparoscopic (LAP; n = 19) and conventional (CON; n = 35) surgery groups according to the respective surgical modality. The diverticulectomy (DIV; n = 46) and right colectomy (COL; n = 8) groups were also compared according to operative methods. There were significant differences between preoperative diagnosis and selection of the operative method and between RCD type and selection of operative method. However, there were no significant differences between preoperative diagnosis and selection of laparoscopic surgery and between RCD type and selection of laparoscopic surgery. The Kaplan-Meier estimated recurrence risk for all patients also showed no significant differences between LAP and CON and DIV and COL ( P = 0.413). The Kaplan-Meier-estimated RCD-free period after surgery was 92.7 months (limited to 100 months). Laparoscopic surgery of RCD is an effective and safety method as a result of no differences in clinical data between conventional and laparoscopic surgery.

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Preoperative Diagnosis and Surgical Approach of Appendiceal Mucinous Cystadenoma: Usefulness of Volcano Sign

Case Reports in Gastroenterology ◽

10.1159/000480374 ◽

2017 ◽

Vol 11 (3) ◽

pp. 539-544 ◽

Cited By ~ 4

Author(s):

Masahiro Shiihara ◽

Takeshi Ohki ◽

Masakazu Yamamoto

Keyword(s):

Preoperative Diagnosis ◽

Benign Tumor ◽

Laparoscopic Resection ◽

Mucinous Cystadenoma ◽

Surgical Approaches ◽

Appendiceal Tumor ◽

Appendiceal Mucocele ◽

Cecal Wall ◽

Accurate Preoperative Diagnosis ◽

Appendiceal Mucinous Cystadenoma

We report a case of appendiceal mucinous cystadenoma that was successfully diagnosed preoperatively and treated by laparoscopic resection. We could find volcano sign on colonoscopy and cystic lesion without any nodules at the appendix on computed tomography (CT). Without any malignant factors in preoperative examinations, we performed laparoscopic appendectomy including the cecal wall. We could avoid performing excessive operation for cystadenoma with accurate preoperative diagnosis and intraoperative finding and pathological diagnosis during surgery. Appendiceal mucocele is a rare disease that is divided into 3 pathological types: hyperplasia, cystadenoma, and cystadenocarcinoma. The surgical approaches for it remain controversial and oversurgery is sometimes done for benign tumor, because preoperative diagnosis is difficult and rupturing an appendiceal tumor results in dissemination. Based on our study, volcano sign on colonoscopy and CT findings were important for the preoperative diagnosis of appendiceal mucocele. Furthermore, we think that laparoscopic resection will become a surgical option for the treatment of appendiceal mucocele.

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THE CONVERSION TO OPEN SURGERY IN LAPAROSCOPIC CHOLECYSTECTOMY

Journal of Surgical Sciences ◽

10.33695/jss.v1i2.174 ◽

2018 ◽

Vol 1 (2) ◽

pp. 57-61

Author(s):

I. Slavu ◽

V. Braga ◽

L. Alecu

Keyword(s):

Laparoscopic Cholecystectomy ◽

Laparoscopic Surgery ◽

Retrospective Study ◽

Gold Standard ◽

Preoperative Diagnosis ◽

Open Surgery ◽

Open Cholecystectomy ◽

Safe Method ◽

Conversion To Open Surgery ◽

Conversion To Open Cholecystectomy

After more than 20 years from the beginning of laparoscopic surgery, laparoscopic cholecystectomy still holds a conversion rate of 5.1 % in the specialty literature. We have conducted a retrospective study based on the experience of the clinical unit of General Surgery within “Prof. Dr. A. Ionescu” Emergency Clinical Hospital, between 1997 and 2013. A number of 2,309 laparoscopic cholecystectomies were performed. The average age of the group was 47.3 years. Conversion was performed to a number of 58 patients (2.51%), out of which 74.13% women (no. = 43) and 26% men (no. 15). The average age of the patients to whom the conversion was performed was 57. Conversion to open cholecystectomy was more frequent in patients over 60 (no. 38). The main preoperative diagnosis in converted patients was acute lithiasic cholecystitis. Laparoscopic cholecystectomy is a safe method with optimal results, being considered the “gold standard” in the treatment of bladder lithiasis. Conversion to open surgery is an expression of the surgeon’s experience and wisdom.

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