التفاصيل البيبلوغرافية
| العنوان: |
Robotic-assisted completion cholecystectomy with repair of cholecystoduodenal fistula. |
| المؤلفون: |
Hurwitz, Joshua C, Kolwitz, Christine E, Kim, David Y, Petrone, Patrizio, Halpern, David K |
| المصدر: |
Journal of Surgical Case Reports; May2023, Vol. 2023 Issue 5, p1-3, 3p |
| مصطلحات موضوعية: |
FISTULA, CHOLECYSTECTOMY, GASTROINTESTINAL system, GALLBLADDER cancer, CHOLECYSTITIS, GALLBLADDER, GALLSTONES, REOPERATION |
| مستخلص: |
Post-cholecystectomy syndrome (PCS) is a well-documented complication of incomplete cholecystectomy. The etiology is often post-surgical chronic inflammation from unresolved cholelithiasis, which is secondary to anatomical abnormalities, including a retained gallbladder or a large cystic duct remnant (CDR). An exceedingly rare consequence is retained gallstone fistulization into the gastrointestinal tract. We present a case of a 70-year-old female with multiple comorbidities 4 years status-post incomplete cholecystectomy, who developed PCS with cholecystoduodenal fistula secondary to retained gallstone in the remnant gallbladder, with CDR involvement, treated via robotic-assisted surgery. Reoperation in PCS has been traditionally performed via laparoscopic approach with recent advances made in robotic-assisted surgery. However, we report the first documented case of PCS complicated by bilioenteric fistula repaired with robotic-assisted surgery. This highlights the value of robotic-assisted surgery in complicated cases, where one must contend with post-surgical anatomic abnormalities and visualization difficulties. Subsequent investigation is necessary to objectively quantify the safety and reproducibility of our approach. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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