Clinical experience among gastroenterologists indicates that laparoscopic management of gallbladder disease offers a less invasive alternative to open surgery.
Surgical outcomes continue to improve as new techniques and tools become available for performing laparoscopic gallbladder surgery, and these advances are highlighted in "Advances in Cholecystectomy Surgery (http://online.liebertpub.com/toc/lap/22/6)," a comprehensive special issue of Journal of Laparoendoscopic & Advanced Surgical Techniques
), a peer-reviewed journal published by Mary Ann Liebert, Inc. publishers (http://www.liebertpub.com
). The issue is available free online at the Journal of Laparoendoscopic & Advanced Surgical Techniques
Samer Bessa, MD and coauthors, University of Alexandria, Egypt, compared the feasibility, safety, and side effects of laparoscopic cholecystectomy performed with general anesthesia, the standard of care, or with spinal anesthesia. In the accompanying Commentary on "Spinal Versus General Anesthesia for Day-Case Laparoscopic Cholecystectomy: A Prospective Randomized Study," (http://online.liebertpub.com/doi/full/10.1089/lap.2012.9992
) Fred Luchette, MD, MSc, considers whether the risks of spinal anesthesia outweigh its potential benefits for this procedure.
Rajeev Sinha, MS, and Sharad Chandra, MD, DM, M.L.B. Medical College, Jhansi, Uttar Pradesh, India, described a group of patients who developed biliary peritonitis, a potentially serious adverse event, following laparoscopic gallbladder removal using a "scarless" single-site surgical technique known as LESS. L. Michael Brunt, MD, Washington University School of Medicine, St. Louis, MO, provides his insights on this study and its implications in Commentary on "Cystic Duct Leaks After Laparoendoscopic Single Site Cholecystectomy (LESS)": A Word of Caution (http://online.liebertpub.com/doi/full/10.1089/lap.2012.9993
The issue also features articles on long-term experience with post-cholecystectomy bile duct injuries and outcomes of laparoendoscopic surgery, as well as experience with robotic surgery to remove bile duct cysts in pediatric patients.
Videos illustrating cutting-edge techniques in cholecystectomy (http://www.liebertpub.com/lpages/highlighted-cholecystectomy-videos/25/
) are available in Videoscopy™ (http://www.liebertpub.com/vor
), the videojournal component of Journal of Laraoendoscopic & Advanced Surgical Techniques
"The modern era of laparoscopic surgery all started over 20 years ago with laparoscopic cholecystectomy," says Editor-in-Chief C. Daniel Smith, MD, Department of Surgery, Mayo Clinic, Jacksonville, FL. "Despite this long experience with MIS, the advancements in gallbladder surgery continue today. This special issue includes several manuscripts highlighting continued advancements in the care of patients with gallbladder disease and will provide even surgeons with extensive experience new insights into gallbladder procedures."