cholecystitis Latest Topics

8/6/2025

Sun, 08 Jun 2025 11:58:33 +0000

[size=20px]A 13-year old girl presents with mild epigastric pain. Laboratory studies include an AST 135 IU/L, ALT 173 IU/L, total bilirubin 1.9 mg/dL, direct bilirubin 1.4 mg/dL, amylase of 400 u/L, lipase of 500 u/L. Right upper quadrant ultrasound shows small stones in the gallbladder with a 7-mm diameter common bile duct, but no stone was noted in the common duct. The following day, direct bilirubin is 0.7 mg/dL, amylase is 100 u/L, and lipase is 75u/L. The best next step in this child’s management is

a MRCP

b IV antibiotics

c Laparoscopic cholecystectomy with IOC when amylase and lipase normalize

d ERCP

e Laparoscopic cholecystectomy with intraoperative cholangiogram (IOC)[/size]

11/5/2025

Sun, 11 May 2025 12:31:33 +0000

[size=20px]A 12-year-old patient undergoes laparoscopic cholecystectomy for acute cholecystitis and choledocholithiasis. She returns on POD 2 with abdominal pain and fevers. Ultrasound shows a large fluid collection in the right upper quadrant. ERCP shows extravasation of bile from the cystic duct. A biliary stent was placed. Two days later, her symptoms resolved and she went home. The stent was removed 8 weeks later. She had no long term problems. This patient’s complication can be classified as Clavien Dindo

a 1

b 2

c 3A

d 3B

e 4A[/size]

4/5/2025

Sun, 04 May 2025 11:21:39 +0000

[size=20px]A 14-year old girl presents with mild epigastric pain. Laboratory studies include an AST 125 IU/L, ALT 180 IU/L, total bilirubin 1.8 mg/dL, direct bilirubin 1.2 mg/dL, amylase of 400 u/L, lipase of 500 u/L. Right upper quadrant ultrasound shows small stones in the gallbladder with a 7-mm diameter common bile duct, but no stone was noted in the common duct. The following day, direct bilirubin is 0.7 mg/dL, amylase is 100 u/L, and lipase is 75u/L. The best next step in this child’s management is

a ERCP

b IV antibiotics

c Laparoscopic cholecystectomy with IOC when amylase and lipase normalize

d Laparoscopic cholecystectomy with intraoperative cholangiogram (IOC)

e MRCP [/size]

Laparoscopic Cholecystectomy

Wed, 31 Mar 2021 12:46:38 +0000

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Cholecystectomy journey

Sun, 16 Feb 2025 07:32:32 +0000

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"The first ever cholecystectomy on record was performed on July 15, 1882, by Carl Johann August Langenbuch (1846–1901) at Lazarus Krankenhaus in Berlin [1]. Few years earlier, on July 15, 1867, John Stough Bobbs of Indianapolis had performed a cholecystostomy on a 30-year-old woman with ovarian cancer [2]. It was over 100 years later, in Germany again, that Erich Mühe of Boblingen performed the first laparoscopic (Fig. 37.1) cholecystectomy [3]. This was a turning point for minimal access approach in general surgery. Another major advance, which helped the surgeons, was the development of a laparoscopic clip applicator with multiple clips. Dr. Mühe had to overcome a lot of hurdles before his technique was being recognised and adopted by other surgeons. He submitted his article to The American Journal of Surgery in 1990 but was rejected. His article never got published in English literature. The procedure was performed on September 12, 1985, with the help of a side-viewing endoscope and an instrumentation channel through the umbilicus. Eventually, his work was rewarded by him receiving the German Surgical Society Anniversary Award with praises like “One of the greatest achievements of German medicine in recent history.”"

During Lap cholecystectomy

Mon, 16 Sep 2024 11:33:33 +0000

Cholecystitis: Presentation, Workup, & Perioperative Considerations

Wed, 25 Jan 2023 13:36:00 +0000

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During Lap Cholecystectomy

Mon, 11 Sep 2023 16:33:30 +0000

Laparoscopic cholecystectomy with cholangiogram

Sat, 22 Oct 2022 08:17:15 +0000

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Robotic single site cholecystectomy

Thu, 22 Jul 2021 08:33:47 +0000

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3/7/2022

Sun, 03 Jul 2022 05:31:46 +0000

[size=20px]A 7 year-old girl with sickle cell disease presents to the emergency department with 3 days of right upper quadrant pain. Laboratory investigations are significant for a total bilirubin of 2.9 mg/dL and direct bilirubin of 2.5 mg/dL. Lipase and liver enzymes are normal. Abdominal ultrasound is significant for cholelithiasis and pericholecystic fluid. The CBD is within normal limits and there is no intrahepatic duct dilatation. What is the best next step in the management of this patient?

A Laparoscopic cholecystectomy only

B Laparoscopic cholecystectomy with post-operative bilirubin trend

C MRCP followed by laparoscopic cholecystectomy

D Laparoscopic cholecystectomy with intraoperative cholangiogram (IOC)

E Pre-operative ERCP followed by laparoscopic cholecystectomy[/size]

Indocyanine green fluoroescence cholangiography during laparoscopic cholecystectomy

Mon, 20 Dec 2021 14:48:24 +0000

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Laparoscopic cholecystectomy - Step by step surgery

Wed, 01 Sep 2021 11:58:19 +0000

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Laparoscopic cholecystectomy lecture

Thu, 20 May 2021 10:33:52 +0000

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