Tag Archives: gallbladder

PUBLISHED: Open Cholecystectomy for Gallbladder Disease

Open Cholecystectomy for Gallbladder Disease
Jacob C. Mesiti1Yoko Young Sang, MD2Peter F. Rovito, MD2;
1Lake Erie College of Osteopathic Medicine
2World Surgical Foundation

Gallbladder diseases are a subset of a spectrum of pathologies of the biliary system and are a particularly common etiology of abdominal pain encountered in modern medicine. These pathologies most often share a similar underlying mechanism of disease: obstruction of a portion of the biliary tree by cholelithiasis, or gallstones.

Gallstones, for the most part, form initially in the gallbladder with the exception of primary common bile duct (CBD) stones that form primarily in the CBD. Risk factors include a wide variety of conditions both pathologic and physiologic, including hyperlipidemia, hemolysis, and pregnancy. The resulting obstruction creates a state of biliary stasis, eventually leading to inflammation, pain, and an increased risk of infection. The anatomical location of the obstruction contributes greatly to both the clinical presentation and the ultimate treatment of the disease.

A hallmark of the treatment of gallbladder disease, ranging from simple biliary colic to life-threatening emphysematous cholecystitis, is the cholecystectomy. In modernized countries, this procedure is almost invariably performed laparoscopically. However, in certain clinical scenarios, such as when a patient cannot tolerate the pneumoperitoneum associated with laparoscopic surgery or when the procedure takes place in a developing country with limited access to laparoscopic capabilities, an open approach is preferred.

PUBLISHED: Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy

Naomi Sell, MD, MHS
Massachusetts General Hospital

Denise W. Gee, MD
Operating Surgeon, MGH

The patient in this case is a 32-year-old female with recurrent episodes of biliary colic. An ultrasound revealed numerous gallstones within the gallbladder. Because the patient has had recurrent symptoms for the past six months, surgical removal of her gallbladder was the best option to relieve her recurrent pain and prevent future development of acute cholecystitis. Here, Dr. Denise Gee at Massachusetts General Hospital performs a laparoscopic cholecystectomy to remove the patient’s gallbladder.

PREPRINT RELEASE: Open Cholecystectomy for Gallbladder Disease

Open Cholecystectomy for Gallbladder Disease
Hospital Leonardo Martinez, Honduras

Peter F. Rovito, MD
General Surgeon
World Surgical Foundation

Yoko Young Sang, MD
Resident Physician
World Surgical Foundation

The patient in this case is a 50-year-old male with a long history of gallbladder disease. Here, Dr. Rovito performs an open cholecystectomy on this patient during a surgical mission in Honduras with the World Surgical Foundation.

PREPRINT RELEASE: Open Cholecystectomy


Open Cholecystectomy
Romblon Provincial Hospital

Liborio “June” Soledad, MD
World Surgical Foundation

Enrico Jayma, MD
World Surgical Foundation

Ted Carpio, MD
World Surgical Foundation

The patient in this case is a 53-year-old male with a 1-year history of recurrent right upper quadrant pain that radiates to the back. On workup, ultrasound revealed intraluminal gallstones. Here, Dr. Soledad, Dr. Jayma, and Dr. Carpio perform an open cholecystectomy on this patient while on a surgical mission to the Philippines with the World Surgical Foundation.

PREPRINT RELEASE: Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy
Massachusetts General Hospital

Denise W. Gee, MD
Assistant Professor of Surgery
Harvard Medical School

A female patient presented with a few months of abdominal pain following the eating of fatty foods. Imaging showed gallbladder sludge, small stones, or potentially a polyp. Here, Dr. Denise W. Gee performs a laparoscopic cholecystectomy to alleviate these symptoms. #MGH #generalsurgery #gallbladder #cholecystectomy