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Limy bile and laparoscopic cholecystectomy

(2001) ACTA CHIRURGICA BELGICA. 101(1). p.31-34
Author
Organization
Abstract
Objective to determine incidence of 'limy bile' in patients undergoing laparoscopic cholecystectomy; to analyze patient characteristics and preoperative imaging modalities in these patients and evaluate surgical treatment Patients and Methods : a retrospective analysis of 1800 laparoscopic cholecystectomies performed between March 1990 and March 1998 for symptomatic gallbladder disease. Results : Five patients with limy bile (0,27%) were identified. Four were female and one was male, age varied from 42 to 66. Most patients were symptomatic longtime before presentation. Ultrasound was not able to differentiate between normal gallstones or sludge. In three patients the diagnosis was made before operation, in one patient it was an incidental finding. Surgery in these patients is not more difficult than in any other patient. Conclusion : Limy bile is a rare finding (0,27% in 1800 cholecystectomies). Plain abdominal X-rays mostly suggest the presence of calcium carbonate precipitate in the gallbladder, but ultrasound cannot differentiate between cholelithiasis and limy bile. Laparoscopic resection can be performed without problems in most patients. Preoperative diagnosis of this rare entity is not essential, as it does not alter treatment.
Keywords
cholelithiasis/radiography, cholelithiasis/chemistry, cholelithiasis/surgery, adult, cholecystectomy, calcium carbonate/metabolisn, bile/analysis

Citation

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Chicago
Onghena, T, Jan De Waele, L Vereecken, and C Van Loon. 2001. “Limy Bile and Laparoscopic Cholecystectomy.” Acta Chirurgica Belgica 101 (1): 31–34.
APA
Onghena, T., De Waele, J., Vereecken, L., & Van Loon, C. (2001). Limy bile and laparoscopic cholecystectomy. ACTA CHIRURGICA BELGICA, 101(1), 31–34.
Vancouver
1.
Onghena T, De Waele J, Vereecken L, Van Loon C. Limy bile and laparoscopic cholecystectomy. ACTA CHIRURGICA BELGICA. 2001;101(1):31–4.
MLA
Onghena, T, Jan De Waele, L Vereecken, et al. “Limy Bile and Laparoscopic Cholecystectomy.” ACTA CHIRURGICA BELGICA 101.1 (2001): 31–34. Print.
@article{140631,
  abstract     = {Objective to determine incidence of 'limy bile' in patients undergoing laparoscopic cholecystectomy; to analyze patient characteristics and preoperative imaging modalities in these patients and evaluate surgical treatment
Patients and Methods : a retrospective analysis of 1800 laparoscopic cholecystectomies performed between March 1990 and March 1998 for symptomatic gallbladder disease.
Results : Five patients with limy bile (0,27\%) were identified. Four were female and one was male, age varied from 42 to 66. Most patients were symptomatic longtime before presentation. Ultrasound was not able to differentiate between normal gallstones or sludge. In three patients the diagnosis was made before operation, in one patient it was an incidental finding. Surgery in these patients is not more difficult than in any other patient.
Conclusion : Limy bile is a rare finding (0,27\% in 1800 cholecystectomies). Plain abdominal X-rays mostly suggest the presence of calcium carbonate precipitate in the gallbladder, but ultrasound cannot differentiate between cholelithiasis and limy bile. Laparoscopic resection can be performed without problems in most patients. Preoperative diagnosis of this rare entity is not essential, as it does not alter treatment.},
  author       = {Onghena, T and De Waele, Jan and Vereecken, L and Van Loon, C},
  issn         = {0001-5458},
  journal      = {ACTA CHIRURGICA BELGICA},
  keyword      = {cholelithiasis/radiography,cholelithiasis/chemistry,cholelithiasis/surgery,adult,cholecystectomy,calcium carbonate/metabolisn,bile/analysis},
  language     = {eng},
  number       = {1},
  pages        = {31--34},
  title        = {Limy bile and laparoscopic cholecystectomy},
  volume       = {101},
  year         = {2001},
}

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