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Published in: World Journal of Emergency Surgery 1/2024

Open Access 01-12-2024 | Cholecystectomy | Research

Acute cholecystitis: how to avoid subtotal cholecystectomy—preliminary results

Authors: Adriana Toro, Martina Rapisarda, Davide Maugeri, Alessandro Terrasi, Luisa Gallo, Luca Ansaloni, Fausto Catena, Isidoro Di Carlo

Published in: World Journal of Emergency Surgery | Issue 1/2024

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Abstract

Background

The aim of this manuscript is to illustrate a new method permitting safe cholecystectomy in terms of complications with respect to the common bile duct (CBD).

Methods

The core of this new technique is identification of the continuity of the cystic duct with the infundibulum. The cystic duct can be identified between the inner gallbladder wall and inflamed outer wall.

Results

In the last 2 years, from January 2019 until December 2021, 3 patients have been treated with the reported technique without complications.

Conclusions

Among the various cholecystectomy procedures, this is a new approach that ensures the safety of the structures of Calot’s triangle while providing the advantages gained from total removal of the gallbladder.
Literature
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go back to reference Brunt LM, Deziel DJ, Telem DA, Strasberg SM, Aggarwal R, Asbun H, Bonjer J, McDonald M, Alseidi A, Ujiki M, Riall TS, Hammill C, Moulton CA, Pucher PH, Parks RW, Ansari MT, Connor S, Dirks RC, Anderson B, Altieri MS, Tsamalaidze L, Stefanidis D. Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy. Ann Surg. 2020;272:3–23. https://doi.org/10.1097/SLA.0000000000003791.CrossRefPubMed Brunt LM, Deziel DJ, Telem DA, Strasberg SM, Aggarwal R, Asbun H, Bonjer J, McDonald M, Alseidi A, Ujiki M, Riall TS, Hammill C, Moulton CA, Pucher PH, Parks RW, Ansari MT, Connor S, Dirks RC, Anderson B, Altieri MS, Tsamalaidze L, Stefanidis D. Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy. Ann Surg. 2020;272:3–23. https://​doi.​org/​10.​1097/​SLA.​0000000000003791​.CrossRefPubMed
Metadata
Title
Acute cholecystitis: how to avoid subtotal cholecystectomy—preliminary results
Authors
Adriana Toro
Martina Rapisarda
Davide Maugeri
Alessandro Terrasi
Luisa Gallo
Luca Ansaloni
Fausto Catena
Isidoro Di Carlo
Publication date
01-12-2024
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2024
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-024-00534-x

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