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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: Jan 7, 2026

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
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Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

Published on: March 28, 2025

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Enhancing Timing and Referral Pathways for Laparoscopic Cholecystectomy: A Two-Cycle Audit.

Aaditi Hardenia1, Hussein Ahmed1, Alaa Hassan1

  • 1General Surgery, Newham University Hospital, Barts Health NHS Trust, London, GBR.

Cureus
|December 31, 2025
PubMed
Summary
This summary is machine-generated.

Improving surgical booking for laparoscopic cholecystectomy reduced readmissions but delays persist. Further pathway integration and addressing theatre capacity are needed for timely gallstone disease treatment.

Keywords:
acute cholecystitisgallstone diseaselaparoscopic cholecystectomyquality improvementreferral pathwaysurgical audit

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Last Updated: Jan 7, 2026

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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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Area of Science:

  • Surgical Audit
  • Healthcare Management
  • Patient Outcomes

Background:

  • Symptomatic gallstone disease necessitates laparoscopic cholecystectomy.
  • National guidelines advocate surgery within 2-6 weeks to minimize complications.
  • This audit evaluated adherence to local timing and referral guidelines for cholecystectomy.

Purpose of the Study:

  • Assess adherence to local laparoscopic cholecystectomy guidelines.
  • Evaluate the impact of service improvements on surgical timing and patient outcomes.
  • Identify persistent barriers to timely surgical booking.

Main Methods:

  • A two-cycle audit (July-August 2024, n=70; July-August 2025, n=50) was performed.
  • Interventions included a structured pathway, teaching, and standardized booking.
  • Key metrics: pre-assessment clinic (PAC) attendance, booking timeliness, follow-up avoidance, and readmission rates.

Main Results:

  • PAC attendance increased from 3% to 16% post-intervention.
  • Readmission rates decreased from 36% to 22%.
  • Significant booking delays remained, with 36% scheduled at 3 months and 40% unbooked.

Conclusions:

  • Service interventions improved PAC attendance and reduced readmissions.
  • Surgical booking delays are the primary obstacle to timely laparoscopic cholecystectomy.
  • Further pathway integration and addressing theatre capacity are crucial for guideline adherence.