The ultrasound for early, right local diagnosis helps convenient operation, improves the treatment quality and reduces the mortality rate. Study on 97 patients with operation for the gallbladder stone in the central army hospital No 108 from Jan. 1993 to June 1994 received an operation by Kontrol. The corrects of ultrasound before operation for the gallbladder stone, OMC stone, inner hepatic stone and biliary ascariasis are 95%; 97.94%; 87.63%-93.84%; 92.78%-94.85%, respectively. The ultrasound only has determined dilation of bile-duct. The diagnosis of narrow of bile-duct, especially inner hepatic bile-duct remainly are limited by ultrasound.
Ultrasonography ; Gallbladder ; Gallstones ; surgery

Benign gallbladder diseases are common diseases in surgery,which are closely related to the occurrence of gallbladder cancer.Currently,nonstandard treatment exited in the surgical management of benign gallbladder diseases in China. Based on relevant domestic and foreign literature,guidelines,and expert consensus,consensus on the surgical management of benign gallbladder diseases(2021 edition) has been formulated. Further,recommendations related to diagnosis and treatment were presented to improve the standardization of surgical diagnosis and treatment of benign gallbladder diseases in China,so as to eliminate the clinical harm of gallbladder diseases and reduce the incidence rate of gallbladder cancer and prevent the occurrence. After the publication of the consensus,it has aroused heated discussion. This paper will interpret the hot issues.
China ; Consensus ; Gallbladder Diseases/surgery* ; Gallbladder Neoplasms/surgery* ; Humans

From 1980 to 2003 at Binh Dan Hospital had performed 120 Whipple procedures that 37 were classical and 83 modified. As mean age, there was 43 and 45. About pathologies, there were 23 cases of pancreatic head, 55 cases of billiary duct, 5 cases of duodenum and 1 advanced case of gall bladder. In comparison of the classical Whipple group and the modified one, the mean operating time was 4 hrs 10 mns and 2 hrs 40 mns, the mean blood loss was 1000ml and 300ml, the early complications and hospital death were 19% - 5.4% and 12.25% - 4.8%, the hospital stays in post operation were 17 and 13, the late complications and the survival rate were 14.2% - 1.26% and 33% - 32%
Therapeutics ; epidemiology ; Gallbladder ; surgery ; duodenum

Benign gallbladder diseases are common in surgery department,and the incidence rate is increasing in recent years.Currently,nonstandard treatment existed in the surgical management of benign gallbladder diseases in China.Based on relevant domestic and foreign literature,guidelines,and expert consensus,this consensus expounds on the diagnosis and surgical treatment of common benign gallbladder diseases such as gallstone,cholecystitis,gallbladder polypoid,gallbladder adenomyosis,gallbladder variation and deformity,complications after cholecystectomy.Further,recommendations related to diagnosis and treatment were presented to improve the standardization of surgical diagnosis and treatment of benign gallbladder diseases in China,so as to eliminate the clinical harm of gallbladder diseases and reduce the incidence rate of gallbladder cancer and prevent the occurrence.
Cholecystectomy ; Consensus ; Gallbladder ; Gallbladder Diseases/surgery* ; Gallbladder Neoplasms/surgery* ; Gallstones/surgery* ; Humans

Gallbladder cancer is a common malignant tumor in the bile duct system with high malignant degree and poor prognosis. Although it is still controversial, important progress has been made in clinical application of laparoscopic technique for diagnosis and staging of gallbladder cancer, treatment of early stage and laparoscopic unexpected gallbladder cancer in recent years. In this article we review the current status of application of laparoscopic technique and its value in diagnosis and treatment of gallbladder cancer.
Gallbladder Neoplasms ; surgery ; Humans ; Laparoscopy ; methods ; Prognosis

OBJECTIVETo explore the feasibility of single-incision laparoscopic cholecystectomy using a three-dimensional (3D) laparoscopic system.

METHODSTwo patients with benign gallbladder disease with a history of recurrent abdominal pain were selected to undergo the surgery. Gallstones were diagnosed by B ultrasound examination. All the operations were performed through the umbilical incision with the 3D laparoscopic system.

RESULTSThe 2 operations were completed successfully with a operative time of 35 min and 50 min. Both of the patients were ambulatory 8 h after the surgery, began to have a normal diet 1 day after operation, and were discharged 2 days postoperatively without any clinical symptoms.

CONCLUSIONS3D single-incision laparoscopic operation can well reveal the tissue anatomy in the operative field especially for some important structures such as the Calot's triangle with an improved safety compared to conventional laparoscopic operations.

The polypoid lesions of gallbladder have explosively increased with enhanced feasibility of transabdominal ultrasonography. Most of small polyps less than 10 mm are benign and remain static for a long period. In small polyps, three to six month intervaled ultrasonography is warranted in the initial follow-up, but the duration of follow-up period is not clarified. The polypoid lesions larger than 10 mm show a quite different feature. They showed a remarkable risk of malignancy (34-88%) and should be treated by surgery. Furthermore, age more than 50 years and combined gallstone are important factors predicting malignancy in polypoid lesions of gallbladder. In addition, other factors including solitary polyp and the presence of symptoms are considered as risk factors. Laparoscopic cholecystectomy is a golden standard therapy for these polyps unless the suspicion of malignancy is high. The gallbladder polyps remain a problem of concern to both doctors and patient with the worry of malignancy. Thus, the comprehensive understanding of natural coruse of gallbladder polyp and risk factors of malignancy should be kept in mind.
Cholecystectomy, Laparoscopic ; Gallbladder Diseases/classification/*pathology/surgery ; Gallbladder Neoplasms/diagnosis ; Humans ; Polyps/classification/*pathology/surgery ; Risk Factors

Adenocarcinoma ; metabolism ; pathology ; surgery ; Aged ; Cholecystectomy ; Chondrosarcoma ; metabolism ; pathology ; surgery ; Female ; Gallbladder ; chemistry ; pathology ; surgery ; Gallbladder Neoplasms ; metabolism ; pathology ; surgery ; Humans ; Immunohistochemistry ; Keratin-3 ; metabolism ; S100 Proteins ; metabolism

No abstract available.
Cholecystitis, Acute/*surgery ; Drainage/*methods ; Endoscopy, Gastrointestinal/*methods ; Female ; Gallbladder/*surgery ; Humans ; Male

No abstract available.
Cholecystitis, Acute/*surgery ; Drainage/*methods ; Endoscopy, Gastrointestinal/*methods ; Female ; Gallbladder/*surgery ; Humans ; Male