Tag: cholecystectomy

Laparoscopic cholecystectomy for the treatment of symptomatic cholecystolithiasis is currently the standard of care. However, multiple studies indicate that 10-41% of patients continue to have symptoms despite cholecystectomy. This finding warrants investigation of alternative strategies in the treatment of symptomatic gallstone disease. In this randomized controlled non-inferiority trial, 1,067...
Association Between Longitudinal Plasma Neurofilament Light and Neurodegeneration in Patients With Alzheimer Disease Alzheimer disease (AD) is characterized by the accumulation of amyloid b (Ab) and tau aggregates in the brain. The progression of AD can be monitored through imaging techniques or through the use of cerebrospinal fluid (CSF) biomarkers....
Originally published by Harvard Health. What Is It? Cholecystectomy is the surgical removal of the gallbladder, the small saclike organ located near the liver in the upper right side of the abdomen. It is attached to the main duct that carries bile from the liver into the intestine. Bile helps your body...
In this section, we highlight the key high-impact studies, updates, and analyses published in medicine during the past week. Letrozole versus Clomiphene for Infertility in the Polycystic Ovary Syndrome Polycystic ovary syndrome (PCOS) affects 5 to 10 percent of reproductive age women and is the major cause of anovulatory infertility. Clomiphene,...
Image: PD 1. Endoscopic sphincterotomy did not relieve unexplained post-cholecystectomy abdominal pain due to suspected biliary Sphincter of Oddi (SOD) dysfunction. 2. Manometry readings of biliary and pancreatic sphincter pressures was not useful in predicting the success of sphincterotomy. Evidence Rating Level: 1 (Excellent)​ Study Rundown: Abdominal pain of unexplained etiology is a frequent...
Image: PD In this section, we will highlight the key high-impact studies, updates, and analyses published in medicine during the past week. Dolutegravir Plus Abacavir-Lamivudine for the Treatment of HIV-1 Infection Antiretroviral therapy in the treatment of human immunodeficiency virus (HIV) infection has dramatically improved the survival of HIV-positive patients, but traditional...
Image: PD 1. There is no difference in conversion from laparoscopic to open cholecystectomies among surgeons who had vs. had not operated the night prior to elective daytime laparoscopic cholecystectomies.  2. Operating the night before does not increase risk of iatrogenic injury or death compared to not operating the night before...
Image: CC/Wiki 1. 87 of 95 patients completed single-site robotic cholecystectomy without conversion to traditional approaches.  2. Following single-site robotic cholecystectomy, 11.6% of patients required hospital admission and 6.3% required readmission.  3. 24% of patients suffered cholecystotomy during dissection, but without any measurable sequelae.  Evidence Rating Level: 2 (Good)  Study Rundown: This study demonstrated...
Image: PD  1. Novice surgical residents who used deliberate practice in virtual reality simulation had significantly higher technical performance scores.  2. Residents randomized to deliberate practice received more detailed feedback from the supervising surgeon, and practiced specific tasks in the surgical simulator.  Evidence Rating Level: 1 (Excellent)  Study Rundown: The virtual reality (VR)...
Image: PD  1. Delaying cholecystectomy in the setting of acute cholecystitis doubles the morbidity rate.  2. Immediate surgery within 24 hours of admission for acute cholecystitis results in shorter hospital stays and lower costs than antibiotic treatment followed by elective surgery a week or more later.  Evidence Rating Level: 1 (Excellent)  ...