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

Abstract 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...

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Autores principales:	Takeshi Utsunomiya, Katsunori Sakamoto, Kyousei Sogabe, Ryoichi Takenaka, Tatsuya Hayashi, Fumiya Ogura, Hisato Yamamoto, Naoki Ishida, Taro Nakamura, Akimasa Sakamoto, Miku Iwata, Chihiro Ito, Takashi Matsui, Yusuke Nishi, Mikiya Shine, Mio Uraoka, Tomoyuki Nagaoka, Kei Tamura, Naotake Funamizu, Kohei Ogawa, Yasutsugu Takada
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Remnant gallbladder calculi Fluorescence imaging Laparoscopic operation Surgery RD1-811
Acceso en línea:	https://doaj.org/article/fedc81a3a0bc49e9bd06fb8d50afe05c
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spelling	oai:doaj.org-article:fedc81a3a0bc49e9bd06fb8d50afe05c2021-12-05T12:20:23ZLaparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases10.1186/s40792-021-01333-12198-7793https://doaj.org/article/fedc81a3a0bc49e9bd06fb8d50afe05c2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40792-021-01333-1https://doaj.org/toc/2198-7793Abstract 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.Takeshi UtsunomiyaKatsunori SakamotoKyousei SogabeRyoichi TakenakaTatsuya HayashiFumiya OguraHisato YamamotoNaoki IshidaTaro NakamuraAkimasa SakamotoMiku IwataChihiro ItoTakashi MatsuiYusuke NishiMikiya ShineMio UraokaTomoyuki NagaokaKei TamuraNaotake FunamizuKohei OgawaYasutsugu TakadaSpringerOpenarticleRemnant gallbladder calculiFluorescence imagingLaparoscopic operationSurgeryRD1-811ENSurgical Case Reports, Vol 7, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Remnant gallbladder calculi Fluorescence imaging Laparoscopic operation Surgery RD1-811
spellingShingle	Remnant gallbladder calculi Fluorescence imaging Laparoscopic operation Surgery RD1-811 Takeshi Utsunomiya Katsunori Sakamoto Kyousei Sogabe Ryoichi Takenaka Tatsuya Hayashi Fumiya Ogura Hisato Yamamoto Naoki Ishida Taro Nakamura Akimasa Sakamoto Miku Iwata Chihiro Ito Takashi Matsui Yusuke Nishi Mikiya Shine Mio Uraoka Tomoyuki Nagaoka Kei Tamura Naotake Funamizu Kohei Ogawa Yasutsugu Takada Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases
description	Abstract 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.
format	article
author	Takeshi Utsunomiya Katsunori Sakamoto Kyousei Sogabe Ryoichi Takenaka Tatsuya Hayashi Fumiya Ogura Hisato Yamamoto Naoki Ishida Taro Nakamura Akimasa Sakamoto Miku Iwata Chihiro Ito Takashi Matsui Yusuke Nishi Mikiya Shine Mio Uraoka Tomoyuki Nagaoka Kei Tamura Naotake Funamizu Kohei Ogawa Yasutsugu Takada
author_facet	Takeshi Utsunomiya Katsunori Sakamoto Kyousei Sogabe Ryoichi Takenaka Tatsuya Hayashi Fumiya Ogura Hisato Yamamoto Naoki Ishida Taro Nakamura Akimasa Sakamoto Miku Iwata Chihiro Ito Takashi Matsui Yusuke Nishi Mikiya Shine Mio Uraoka Tomoyuki Nagaoka Kei Tamura Naotake Funamizu Kohei Ogawa Yasutsugu Takada
author_sort	Takeshi Utsunomiya
title	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_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_sort	laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/fedc81a3a0bc49e9bd06fb8d50afe05c
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Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two cases

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