Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

INCOMPLETE CHOLECYSTECTOMY

INCOMPLETE CHOLECYSTECTOMY Incomplete gallbladder surgery usually results from poor exposure, poor anesthesia, misconception of the surgical anatomy, and/or an attempt to perform a cholecystectomy in the presence of a fulminating acute cholecystitis. The differential diagnosis of incomplete cholecystectomy includes overlooked stones in the cystic or common ducts, spasm of the sphincter of Oddi, subacute and chronic pancreatitis, and, oddly enough, esophageal hiatus hernia. Symptoms are likely to recur if a pathological gallbladder is not removed completely. The complaints of such a patient closely resemble those which were present prior to the cholecystectomy. That portion of the gallbladder which the surgeon may fail to remove is Hartmann's pouch (infundibulum). The latter is not to be confused with a cystic duct remnant. The human gallbladder does not have the ability to regenerate. One wonders if many so-called "cystic duct syndromes" or "post cholecystectomy syndromes" are not in reality incomplete cholecystectomies. Amputation neuromas along the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

INCOMPLETE CHOLECYSTECTOMY

JAMA , Volume 166 (11) – Mar 15, 1958

Loading next page...
 
/lp/american-medical-association/incomplete-cholecystectomy-nAlakybn81

References (0)

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1958.62990110014023
Publisher site
See Article on Publisher Site

Abstract

Incomplete gallbladder surgery usually results from poor exposure, poor anesthesia, misconception of the surgical anatomy, and/or an attempt to perform a cholecystectomy in the presence of a fulminating acute cholecystitis. The differential diagnosis of incomplete cholecystectomy includes overlooked stones in the cystic or common ducts, spasm of the sphincter of Oddi, subacute and chronic pancreatitis, and, oddly enough, esophageal hiatus hernia. Symptoms are likely to recur if a pathological gallbladder is not removed completely. The complaints of such a patient closely resemble those which were present prior to the cholecystectomy. That portion of the gallbladder which the surgeon may fail to remove is Hartmann's pouch (infundibulum). The latter is not to be confused with a cystic duct remnant. The human gallbladder does not have the ability to regenerate. One wonders if many so-called "cystic duct syndromes" or "post cholecystectomy syndromes" are not in reality incomplete cholecystectomies. Amputation neuromas along the

Journal

JAMAAmerican Medical Association

Published: Mar 15, 1958

There are no references for this article.