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Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases

Two cases of laparoscopic remnant cholecystectomy using near-infrared fluorescence cholangiography (NIFC) for remnant gallbladder calculi following subtotal-cholecystectomy are reported. Case 1: a 36-year-old woman was referred to our hospital with acute abdomen. Computed tomography showed remnant g...

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Autores principales: Utsunomiya, Takeshi, Sakamoto, Katsunori, Sogabe, Kyousei, Takenaka, Ryoichi, Hayashi, Tatsuya, Ogura, Fumiya, Yamamoto, Hisato, Ishida, Naoki, Nakamura, Taro, Sakamoto, Akimasa, Iwata, Miku, Ito, Chihiro, Matsui, Takashi, Nishi, Yusuke, Shine, Mikiya, Uraoka, Mio, Nagaoka, Tomoyuki, Tamura, Kei, Funamizu, Naotake, Ogawa, Kohei, Takada, Yasutsugu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8630207/
https://www.ncbi.nlm.nih.gov/pubmed/34843016
http://dx.doi.org/10.1186/s40792-021-01333-1
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author Utsunomiya, Takeshi
Sakamoto, Katsunori
Sogabe, Kyousei
Takenaka, Ryoichi
Hayashi, Tatsuya
Ogura, Fumiya
Yamamoto, Hisato
Ishida, Naoki
Nakamura, Taro
Sakamoto, Akimasa
Iwata, Miku
Ito, Chihiro
Matsui, Takashi
Nishi, Yusuke
Shine, Mikiya
Uraoka, Mio
Nagaoka, Tomoyuki
Tamura, Kei
Funamizu, Naotake
Ogawa, Kohei
Takada, Yasutsugu
author_facet Utsunomiya, Takeshi
Sakamoto, Katsunori
Sogabe, Kyousei
Takenaka, Ryoichi
Hayashi, Tatsuya
Ogura, Fumiya
Yamamoto, Hisato
Ishida, Naoki
Nakamura, Taro
Sakamoto, Akimasa
Iwata, Miku
Ito, Chihiro
Matsui, Takashi
Nishi, Yusuke
Shine, Mikiya
Uraoka, Mio
Nagaoka, Tomoyuki
Tamura, Kei
Funamizu, Naotake
Ogawa, Kohei
Takada, Yasutsugu
author_sort Utsunomiya, Takeshi
collection PubMed
description Two cases of laparoscopic remnant cholecystectomy using near-infrared fluorescence cholangiography (NIFC) for remnant gallbladder calculi following subtotal-cholecystectomy are reported. Case 1: a 36-year-old woman was referred to our hospital with acute abdomen. Computed tomography showed remnant gallbladder calculi, with detected no other findings as the cause of the abdominal pain. For intraoperative exploration of the biliary anatomy, 0.25 mg/kg of indocyanine green (ICG) was administered intravenously the day before the operation. NIFC clearly showed the common bile duct and enabled safe laparoscopic remnant cholecystectomy. She was free from symptoms after the operation. Case 2: a 40-year-old woman was referred to our hospital with epigastralgia due to remnant gallbladder calculi after open cholecystectomy. ICG was administered intravenously the day before the operation. Severe adhesions were observed in the upper abdominal cavity and there was tight adherence of the duodenum to the remnant gallbladder. NIFC showed a clear margin that appeared to be the margin between the duodenum and remnant gallbladder. However, dissection of the margin observed by NIFC caused perforation of the duodenum. The clear margin seen with NIFC was likely due to visualization of the gallbladder through the duodenum. Although NIFC is a useful modality for confirming the intraoperative biliary anatomy, it is important not to rely too heavily on NIFC alone, which may lead to misinterpretation of the anatomy.
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spelling pubmed-86302072021-12-10 Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases Utsunomiya, Takeshi Sakamoto, Katsunori Sogabe, Kyousei Takenaka, Ryoichi Hayashi, Tatsuya Ogura, Fumiya Yamamoto, Hisato Ishida, Naoki Nakamura, Taro Sakamoto, Akimasa Iwata, Miku Ito, Chihiro Matsui, Takashi Nishi, Yusuke Shine, Mikiya Uraoka, Mio Nagaoka, Tomoyuki Tamura, Kei Funamizu, Naotake Ogawa, Kohei Takada, Yasutsugu Surg Case Rep Case Report Two cases of laparoscopic remnant cholecystectomy using near-infrared fluorescence cholangiography (NIFC) for remnant gallbladder calculi following subtotal-cholecystectomy are reported. Case 1: a 36-year-old woman was referred to our hospital with acute abdomen. Computed tomography showed remnant gallbladder calculi, with detected no other findings as the cause of the abdominal pain. For intraoperative exploration of the biliary anatomy, 0.25 mg/kg of indocyanine green (ICG) was administered intravenously the day before the operation. NIFC clearly showed the common bile duct and enabled safe laparoscopic remnant cholecystectomy. She was free from symptoms after the operation. Case 2: a 40-year-old woman was referred to our hospital with epigastralgia due to remnant gallbladder calculi after open cholecystectomy. ICG was administered intravenously the day before the operation. Severe adhesions were observed in the upper abdominal cavity and there was tight adherence of the duodenum to the remnant gallbladder. NIFC showed a clear margin that appeared to be the margin between the duodenum and remnant gallbladder. However, dissection of the margin observed by NIFC caused perforation of the duodenum. The clear margin seen with NIFC was likely due to visualization of the gallbladder through the duodenum. Although NIFC is a useful modality for confirming the intraoperative biliary anatomy, it is important not to rely too heavily on NIFC alone, which may lead to misinterpretation of the anatomy. Springer Berlin Heidelberg 2021-11-29 /pmc/articles/PMC8630207/ /pubmed/34843016 http://dx.doi.org/10.1186/s40792-021-01333-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Utsunomiya, Takeshi
Sakamoto, Katsunori
Sogabe, Kyousei
Takenaka, Ryoichi
Hayashi, Tatsuya
Ogura, Fumiya
Yamamoto, Hisato
Ishida, Naoki
Nakamura, Taro
Sakamoto, Akimasa
Iwata, Miku
Ito, Chihiro
Matsui, Takashi
Nishi, Yusuke
Shine, Mikiya
Uraoka, Mio
Nagaoka, Tomoyuki
Tamura, Kei
Funamizu, Naotake
Ogawa, Kohei
Takada, Yasutsugu
Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases
title Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases
title_full Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases
title_fullStr Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases
title_full_unstemmed Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases
title_short Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases
title_sort laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8630207/
https://www.ncbi.nlm.nih.gov/pubmed/34843016
http://dx.doi.org/10.1186/s40792-021-01333-1
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