Results 11 to 20 of about 9,206 (201)

Cost‐effectiveness of gallbladder histopathology after cholecystectomy for benign disease

BJS Open, Volume 4, Issue 6, Page 1125-1136, December 2020., 2020
The objective of this study was to assess the cost‐effectiveness of routine and selective gallbladder histopathology when performing cholecystectomy for benign disease. The most important factor for cost‐effectiveness was found to be the cost and number of histological analyses, due to large numbers of cholecystectomies relative to low prevalence of ...
L. Lundgren, M. Henriksson, B. Andersson, P. Sandström   +3 more
wiley   +1 more source

Preoperative MRI for predicting pathological changes associated with surgical difficulty during laparoscopic cholecystectomy for acute cholecystitis

BJS Open, Volume 4, Issue 6, Page 1137-1145, December 2020., 2020
Variations in the layered pattern of the gallbladder wall on MRI were significantly associated with fibrosis and necrosis of the gallbladder wall in acute cholecystitis. Intermediate to low signal intensity of the gallbladder wall on MRI had a sensitivity of 90 per cent and a specificity of 73 per cent for predicting pathological changes in the ...
K. Omiya, K. Hiramatsu, T. Kato, Y. Shibata, M. Yoshihara, T. Aoba, A. Arimoto, A. Ito   +7 more
wiley   +1 more source

Safe, selective histopathological examination of gallbladder specimens: a systematic review

BJS (British Journal of Surgery), Volume 107, Issue 11, Page 1414-1428, October 2020., 2020
This meta‐analysis found that the incidence of truly incidental gallbladder cancer (GBC) was less than 0·5 per cent and decreased to less than 0·1 per cent when the surgeon performed a systematic macroscopic examination. At least 50 per cent of GBC that was not detected before or during surgery was of early stage and with no clinical consequences ...
V. P. Bastiaenen, J. E. Tuijp, S. van Dieren, M. G. Besselink, T. M. van Gulik, L. Koens, P. J. Tanis, W. A. Bemelman   +7 more
wiley   +1 more source

Optimal timing for surgical reconstruction of bile duct injury: meta‐analysis

BJS Open, Volume 4, Issue 5, Page 776-786, October 2020., 2020
This meta‐analysis addressed the timing of surgical reconstruction with hepaticojejunostomy for bile duct injury. Reconstruction between 2 and 6 weeks after injury was associated with an increased risk of postoperative morbidity as well as anastomotic stricture formation.
A. M. Schreuder, B. C. Nunez Vas, K. A. C. Booij, S. van Dieren, M. G. Besselink, O. R. Busch, T. M. van Gulik   +6 more
wiley   +1 more source

Is out‐of‐hours cholecystectomy for acute cholecystitis associated with complications?

BJS (British Journal of Surgery), Volume 107, Issue 10, Page 1313-1323, September 2020., 2020
Early surgery is recommended for acute cholecystitis. The study was performed to see whether surgery out of hours is associated with a higher risk of complications compared with surgery within office hours. There was a higher risk of complications for out‐of‐hours surgery, but it seemed to be due to factors other than time of day of surgery.
C. Gustafsson, M. Dahlberg, A. Sondén, H. Järnbert‐Pettersson, G. Sandblom   +4 more
wiley   +1 more source

Self‐reported and actual adherence to the Tokyo guidelines in the European snapshot audit of complicated calculous biliary disease

BJS Open, Volume 4, Issue 4, Page 622-629, August 2020., 2020
The Tokyo Guidelines 2018 (TG18) describe expert consensus for best practice in the management of complex acute biliary calculous disease. Self‐reported adherence (and limitations to this) were compared with ‘real‐world’ patient‐level data from a prospective observational study, the ESTES snapshot audit.
G. A. Bass, A. E. Gillis, Y. Cao, S. Mohseni, European Society for Trauma and Emergency Surgery (ESTES) Cohort Studies Group, A. Shamiyeh, L. Rosetti, G. Klimbacher, B. Klugsberger, P. Healy, C. Moriarty, C. Power, N. Knightly, A. D. K. Hill, D. C. Winter, M. E. Kelly, B. E. Creavin, É. J. Ryan, C. C. Duffy, M. Sugrue, M. H. Moore, L. Flanagan, J. Ryan, C. Keady, B. Fahey, K. L. McKevitt, K. Barry, K. C. Conlon, K. Mentor, A. Kazemi‐Nava, B. Julies, P. F. Ridgway, D. O. Kavanagh, M. Whelan, M. Donnelly, C. McCarrick, U. Muhammad, T. M. Connolly, P. C. Neary, S. Magalina, V. Cozza, A. LaGreca, D. Gui, A. Malagnino, M. Zago, M. Montuori, A. Biloslavo, N. Samardzic, S. Fracon, D. Cosola, N. de Manzini, U. Fernandes, P. Avelar, R. Marques, A.S. Esteves, A. Marçal, C. Gomes, D. Machado, T. Teles, S. Neves, M. Semiao, R. Cunha, J. Pereira, J. Constantino, M. Sá, C. Casimiro, L. Ionescu, R. Livadariu, L. Stirbu, R. Danila, D. Timofte, B. Astefaniei, A. Landaluce Olavarria, B. Estraviz Mateos, J. Gonzalez Taranco, D. Gomez, J. Barrutia, J. Zeballos, D. Morales Garcia, A. Lozano Najera, E. Gonzalez Tolaretxipi, L. Tallon‐Aguilar, J. Pintor‐Tortolero, A. Sanchez‐Arteaga, V. Duran‐Muñóz Cruzado, V. Camacho‐Marente, J. Tinoco‐Gonzalez, A. Älverdal, S. Redeen, A. Mohammad, R. Ahl, M. Wikström, S. Marinos, N. Warner, R. Patel, T. Magro, R. Sunthareswaran, A. Mihailescu, G. Pokusewski, A. L. Bubuianu, C. Dimitriu, M. Paraoan, A. Desai, K. Jones, M. Mlotshwa, K. Ross, S. Lambracos, Y. Tryliskyy, D. C. Cullinane   +108 more
wiley   +1 more source

Prophylactic salpingectomy for prevention of ovarian cancer at the time of elective laparoscopic cholecystectomy

BJS (British Journal of Surgery), Volume 107, Issue 5, Page 519-524, April 2020., 2020
Serous ovarian cancer is now understood to arise in the fallopian tubes. Prophylactic salpingectomy to reduce the risk of ovarian cancer is widely recommended at gynaecological surgery in appropriate women. This article explores prophylactic salpingectomy at the time of non‐gynaecological surgery.
G. Tomasch, M. Lemmerer, S. Oswald, S. Uranitsch, C. Schauer, A.‐M. Schütz, B. Bliem, A. Berger, P. F. J. Lang, G. Rosanelli, F. Ronaghi, J. Tschmelitsch, S. F. Lax, S. Uranues, K. Tamussino   +14 more
wiley   +1 more source

Recurrence of idiopathic acute pancreatitis after cholecystectomy: systematic review and meta‐analysis

BJS (British Journal of Surgery), Volume 107, Issue 3, Page 191-199, February 2020., 2020
Idiopathic acute pancreatitis recurs more often than acute pancreatitis of known cause. In at least some of these patients, standard diagnostics (laboratory tests, transabdominal ultrasonography) may fail to detect biliary disease. The literature on cholecystectomy as a preventive measure for recurrence of pancreatitis in presumed idiopathic acute ...
D. S. Umans, N. D. Hallensleben, R. C. Verdonk, S. A. W. Bouwense, P. Fockens, H. C. van Santvoort, R. P. Voermans, M. G. Besselink, M. J. Bruno, J. E. van Hooft, on behalf of the Dutch Pancreatitis Study Group   +10 more
wiley   +1 more source

Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy

BJS Open, Volume 3, Issue 6, Page 802-811, December 2019., 2019
Evaluation was undertaken to determine whether a 12‐hospital quality improvement collaborative could be effective in assisting surgeons to implement national guidance to improve the care pathway for patients with acute gallstone disease. A negative binomial regression model showed a significant improvement in the 8‐day surgery rate for participating ...
J. R. Bamber, T. J. Stephens, D. A. Cromwell, E. Duncan, G. P. Martin, N. F. Quiney, J. F. Abercrombie, I. J. Beckingham, on behalf of the Cholecystectomy Quality Improvement Collaborative, J. Abraham, I. Ahmad, J. Ahmed, M. Andrews, B. Appleton, M. Asif, R. Bolton, C. Briggs, U. Bumagat, S. Burchfield, G. Cochrane, F. Dewi, G. Dovell, S. Dyer, J. Edge, R. Edwards, I. Fabre, E. Gemmill, E. Griffiths, D. Hariharan, E. Harrington‐Patel, A. Hassn, M. Hepworth, J. Hewes, S. Hine, M. Hollyman, K. Ide, D. Jenner, R. Johnson, S. Jordan, S. Karamanakos, J. Kovoor, N. Kukreja, G. Marangoni, N. Metcalfe, P. Morcous, P. Needham, N. Patel, N. Qureshi, N. Rajaretnam, I. Rajendran, Y. Sabah, D. L. Sanders, A. Sandison, J. Sansom, R. Seth, V. Shetty, T. Sollei, S. Strong, L. Sullivan, R. P. Sutcliffe, L. Talbot, G. Taylor, V. Varadarajan, E. Villatoro, J. Wardale, S. Weaver, T. Wiggins, A. Wood   +67 more
wiley   +1 more source

The Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Abdominal Surgery

HPB Surgery, Volume 10, Issue 6, Page 353-356, 1998., 1998
A retrospective study was carried in 1500 patients submitted to elective laparoscopic cholecystectomy to ascertain its feasibility in patients with previous abdominal surgery. In 411 patients (27.4%) previous infraumbilical intraperitoneal surgery had been performed, and 106 of them (7.06%) had 2 or more operations.
J. Diez, R. Delbene, A. Ferreres
wiley   +1 more source