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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Japan Surgical Society
2021-11-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-021-01333-1 |
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| 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 |
| collection | DOAJ |
| 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 |
| id | doaj-art-fedc81a3a0bc49e9bd06fb8d50afe05c |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2021-11-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-fedc81a3a0bc49e9bd06fb8d50afe05c2025-08-20T02:49:49ZengJapan Surgical SocietySurgical Case Reports2198-77932021-11-01711610.1186/s40792-021-01333-1Laparoscopic remnant cholecystectomy for calculi in the remnant gallbladder following subtotal-cholecystectomy: a report of two casesTakeshi Utsunomiya0Katsunori Sakamoto1Kyousei Sogabe2Ryoichi Takenaka3Tatsuya Hayashi4Fumiya Ogura5Hisato Yamamoto6Naoki Ishida7Taro Nakamura8Akimasa Sakamoto9Miku Iwata10Chihiro Ito11Takashi Matsui12Yusuke Nishi13Mikiya Shine14Mio Uraoka15Tomoyuki Nagaoka16Kei Tamura17Naotake Funamizu18Kohei Ogawa19Yasutsugu Takada20Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Surgery, Uwajima City HospitalDepartment of Surgery, Uwajima City HospitalDepartment of Surgery, Uwajima City HospitalDepartment of Surgery, Seiyo Municipal HospitalDepartment of Surgery, Uwajima City HospitalDepartment of Surgery, Uwajima City HospitalDepartment of Surgery, Uwajima City HospitalDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineDepartment of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of MedicineAbstract 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.https://doi.org/10.1186/s40792-021-01333-1Remnant gallbladder calculiFluorescence imagingLaparoscopic operation |
| spellingShingle | 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 Surgical Case Reports Remnant gallbladder calculi Fluorescence imaging Laparoscopic operation |
| 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 | Remnant gallbladder calculi Fluorescence imaging Laparoscopic operation |
| url | https://doi.org/10.1186/s40792-021-01333-1 |
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