Biliary/GB

Question 1

In gallstone pancreatitis, what is the risk of recurrence if patient does not have cholecystectomy?

Answer 1

25-30 percent within 6 to 18 weeks

Question 2

For subtotal cholecystectomy… what is a fenestrating subtotal cholecystectomy?

Answer 2

leaving the infundibulum /cystic duct orifice open with a placement of a drain in the Morrison’s pouch

Question 3

For subtotal cholecystectomy… what is a reconstituting subtotal cholecystectomy?

Answer 3

Closure of the cuff of infundibulum over the top of the cystic duct orifice

Question 4

How does a subtotal cholecystectomy morbidity rate compare to that of a total cholecystectomy?

Answer 4

Comparable morbidity rate with total cholcystectomy

7 to 18% rate of bile leak with need for ERCP in 4-20%