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The value of intraoperative percutaneous aspiration of the mucocele of the gallbladder for safe laparoscopic management

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Abstract

Mucocele of the gallbladder is an overdistended gallbladder filled with mucoid content. It is under-reported in humans, and literature review showed insufficient data about the incidence and the factors affecting the laparoscopic management. We aim to evaluate the intraoperative aspiration of the mucoid contents of the gallbladder as a factor influencing the outcome of the treatment. A prospective cohort database analysis of the results of patients who were diagnosed as mucocele of the gallbladder and treated laparoscopically between January 2003 and December 2012 was done. Diagnostic results, ultrasound findings, operative diagnosis, duration of symptoms, length of hospitalization, and complications were analyzed. 57 patients were diagnosed with mucocele of the gallbladder. The incidence rate was 5.85%. Male to female ratio was 1:1.48 and the mean age of patients was 37.41 ± 7.12 years. Ultrasound suspected mucocele in 24 (42%) patients. Laparoscopic cholecystectomy was performed in all 57 (100%) patients, and aspiration of mucoid fluid was done to all. Aspiration of the mucocele contents intraoperatively as a factor for safe laparoscopic management of mucocele of the gallbladder was found to represent a significant difference statistically (P  =  0.02). Morbidity and mortality rates were recorded as zero (0%). Laparoscopic cholecystectomy could efficiently manage mucocele of the gallbladder with morbidity and mortality rates as low as 0%. The most important factor influencing the success of the procedure is the intraoperative aspiration of the mucoid contents of the gallbladder. Collapsing of the gallbladder wall was a keystone in the non-complicated laparoscopic procedure.

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Acknowledgement

The authors would like to acknowledge the late Dr. Abdull monem Al hadi (died 2013), and the late Dr. Ahmad Deghaidi (died 2014) for their clinical participation in the surgical part of the study.

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Authors and Affiliations

  1. King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 65362, Jeddah, 21556, Saudi Arabia

    Bader Hamza Shirah

  2. Department of General Surgery, Al Ansar General Hospital, Medina, Saudi Arabia

    Hamza Asaad Shirah

  3. King Abdulaziz Medical City/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia

    Khalid Bataa Albeladi

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  1. Bader Hamza Shirah
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  2. Hamza Asaad Shirah
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  3. Khalid Bataa Albeladi
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Correspondence to Bader Hamza Shirah.

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Research involving human participants and/or animals

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was formally approved by the ethics committee of the institution where it was developed.

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Informed consent was obtained from all individual participants included in this study.

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Shirah, B.H., Shirah, H.A. & Albeladi, K.B. The value of intraoperative percutaneous aspiration of the mucocele of the gallbladder for safe laparoscopic management. Updates Surg 70, 495–502 (2018). https://doi.org/10.1007/s13304-018-0565-x

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