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2025, Number 4

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Rev Fac Med UNAM 2025; 68 (4)

Open Cholecystectomy: Case Report with Photographic Documentation of the Surgical Technique

Alejandre LR, García HG, Lacarriere MD
Full text How to cite this article

Language: Spanish
References: 8
Page: 23-28
PDF size: 343.27 Kb.


Key words:

Acute colecistitis, cholecystectomy, diagnostic techniques, surgical techniques, surgical procedure biliary.

ABSTRACT

Cholecystectomy is a common surgical procedure, either with traditional open or minimally invasive techniques. In both cases the main challenge is the identification of the anatomical structures in an efficient manner, which depends on factors such as the possible innate anatomical variants of the patient, as well as the modification of the anatomy by the inflammatory process of the pathology, and even by previous nosological processes; which is essential for the doctor to have knowledge of these items to be able to diagnose and perform the surgical resolution in a timely manner.
This clinical case is about a 61 year old male patient, with no previous pathologies or surgeries, with a timely diagnosis of acute cholecystitis who during the surgical procedure and postoperative care presented a favorable evolution, which was granted as a prognosis during the perioperative period since the actions aimed at his treatment were adequate. It is of utmost importance to take into account that there are morphological characteristics and variants, which can modify the surgical technique with the intention of reaching the pertinent critical vision of the anatomical structures in order to achieve maximum safety in the surgical procedure. The doctor in training is obliged to acquire knowledge, competences and basic surgical skills, so the mission of this clinical case is to confront us to a more accurate vision of the surgical field and thus be able to have a better understanding of both the anatomy and the pathology per se and its treatment through this surgical technique. In such a way that general practitioners who decide to specialize in the field of general surgery can obtain an initial knowledge of the surgical anatomy in this pathology.


REFERENCES

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  2. Catalano OA, Sahani DV, Kalva SP, Cushing MS, HahnPF, Brown JJ, et al. MR Imaging of the Gallbladder: APictorial Essay. RadioGraphics. 2008 Jan;28(1):135-55.

  3. Wang X, Yu W, Jiang G, Li H, Li S, Xie L, et al. GlobalEpidemiology of Gallstones in the 21st Century: A SystematicReview and Meta-Analysis. Clinical Gastroenterologyand Hepatology [Internet]. 2024 Feb 19;22(8).Disponible en: https://www.sciencedirect.com/science/article/pii/S1542356524002052

  4. Lunevicius R, Nzenwa IC, Mesri M. A nationwide analysisof gallbladder surgery in England between 2000 and2019. Surgery. 2022 Feb;171(2):276-84.

  5. Hakan Önder, Muhammed Sıddık Özdemir, Güven Tekbaş,Faysal Ekici, Hatice Gümüş, Aslan Bilici. 3-T MRIof the biliary tract variations. Surgical and RadiologicAnatomy. 2012 Sep 13;35(2):161-7.

  6. Ibrarullah M, Mohanty L, Mishra A, Panda A, SikoraSS. Anatomical appraisal of safe cholecystectomy: a prospectivestudy. ANZ Journal of Surgery. 2023 Mar 15;93(5):1329-34.

  7. Altieri MS, Brunt LM, Yang J, Zhu C, Talamini MA, PryorAD. Early cholecystectomy (< 72 h) is associated withlower rate of complications and bile duct injury: a studyof 109,862 cholecystectomies in the state of New York.Surgical Endoscopy. 2019 Aug 2;34(7):3051-6.

  8. Mencarini L, Vestito A, Zagari RM, Montagnani M. TheDiagnosis and Treatment of Acute Cholecystitis: A ComprehensiveNarrative Review for a Practical Approach. Journalof Clinical Medicine [Internet]. 2024 Jan 1;13(9):2695. Disponibleen: https://www.mdpi.com/2077-0383/13/9/269




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Rev Fac Med UNAM . 2025;68