How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports
| العنوان: | How to treat remnant cholecystitis after subtotal cholecystectomy: two case reports |
|---|---|
| المؤلفون: | Toshiro Masuda, Katsutaka Matsumoto, Chisho Mitsuura, Kenji Shimizu, Hidetoshi Nitta, Hiroshi Takamori, Tetsuya Okino, Yuta Shiraishi, Kazuto Harada, Taisei Teshima, Ryuichi Karashima |
| المصدر: | Surgical Case Reports Surgical Case Reports, Vol 7, Iss 1, Pp 1-6 (2021) |
| بيانات النشر: | Springer Berlin Heidelberg, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, RD1-811, medicine.medical_treatment, Case Report, 03 medical and health sciences, 0302 clinical medicine, medicine, Acute cholecystitis, In patient, Elective surgery, Bile duct, business.industry, Gallbladder, Remnant cholecystitis, Subtotal cholecystectomy, medicine.disease, Endoscopic gallbladder drainage, Surgery, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Cholecystitis, 030211 gastroenterology & hepatology, Cholecystectomy, business |
| الوصف: | Background Subtotal cholecystectomy in patients with severe acute cholecystitis is considered a “bailout” option when the safety of the bile duct cannot be guaranteed. However, subtotal cholecystectomy has a long-term risk of remnant cholecystitis. The appropriate management of remnant cholecystitis has not been fully elucidated. Case presentation Case 1 was a 66-year-old man who had undergone subtotal cholecystectomy 14 years prior to the development of remnant cholecystitis. We first performed endoscopic gallbladder drainage to minimize inflammation, and then proceeded with elective surgery. We performed a reconstituting procedure for the residual gallbladder due to significant adhesions between the cystic and common bile ducts. Case 2 was a 56-year-old man who had undergone subtotal cholecystectomy for abscess-forming perforated cholecystitis 2 years prior to the development of remnant cholecystitis. He underwent endoscopic drainage followed by complete remnant cholecystectomy 4 months later. Conclusion Endoscopic gallbladder drainage is a useful strategy to improve inflammation and reduce the risk of bile duct injury during remnant cholecystectomy. |
| اللغة: | English |
| تدمد: | 2198-7793 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1790f041ba3d29c5aee37a7757ca9fdc http://europepmc.org/articles/PMC8093147 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1790f041ba3d29c5aee37a7757ca9fdc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21987793 |
|---|