Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic Cholecystectomy

Cholecystectomies have become one of the more commonly practiced procedures. As a result, there has been a rise in neoplastic changes in excised specimens. Due to this, surgeons must be prepared to manage possible malignancy after resecting what was previously thought to be a benign gallbladder. Whi...

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Main Authors: Claire Ufongene, Saran Kunaprayoon, Juan Mestre
Format: Article
Language:English
Published: Hindawi Limited 2024-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2024/6682520
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author Claire Ufongene
Saran Kunaprayoon
Juan Mestre
author_facet Claire Ufongene
Saran Kunaprayoon
Juan Mestre
author_sort Claire Ufongene
collection DOAJ
description Cholecystectomies have become one of the more commonly practiced procedures. As a result, there has been a rise in neoplastic changes in excised specimens. Due to this, surgeons must be prepared to manage possible malignancy after resecting what was previously thought to be a benign gallbladder. While management for high-grade dysplasia has been more clearly laid out in literature, data on management of low-grade dysplasia are limited. Here, we report a novel case of a 46-year-old woman with an incidental low-grade dysplasia of the cystic duct stump after a laparoscopic cholecystectomy for biliary colic. The decision was made to excise the remaining stump without further surveillance postoperatively given benign pathology findings. More documented cases and their management and ultimately longitudinal cohort studies will help facilitate the creation of guidelines for managing this particular pathology.
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spelling doaj.art-d4658699d7af44609db9f3d43209690a2024-03-15T00:00:02ZengHindawi LimitedCase Reports in Surgery2090-69192024-01-01202410.1155/2024/6682520Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic CholecystectomyClaire Ufongene0Saran Kunaprayoon1Juan Mestre2Icahn School of Medicine at Mount SinaiMount Sinai HospitalElmhurst Hospital CenterCholecystectomies have become one of the more commonly practiced procedures. As a result, there has been a rise in neoplastic changes in excised specimens. Due to this, surgeons must be prepared to manage possible malignancy after resecting what was previously thought to be a benign gallbladder. While management for high-grade dysplasia has been more clearly laid out in literature, data on management of low-grade dysplasia are limited. Here, we report a novel case of a 46-year-old woman with an incidental low-grade dysplasia of the cystic duct stump after a laparoscopic cholecystectomy for biliary colic. The decision was made to excise the remaining stump without further surveillance postoperatively given benign pathology findings. More documented cases and their management and ultimately longitudinal cohort studies will help facilitate the creation of guidelines for managing this particular pathology.http://dx.doi.org/10.1155/2024/6682520
spellingShingle Claire Ufongene
Saran Kunaprayoon
Juan Mestre
Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic Cholecystectomy
Case Reports in Surgery
title Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic Cholecystectomy
title_full Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic Cholecystectomy
title_fullStr Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic Cholecystectomy
title_full_unstemmed Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic Cholecystectomy
title_short Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic Cholecystectomy
title_sort case and management considerations of low grade cystic duct stump dysplasia after laparoscopic cholecystectomy
url http://dx.doi.org/10.1155/2024/6682520
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AT sarankunaprayoon caseandmanagementconsiderationsoflowgradecysticductstumpdysplasiaafterlaparoscopiccholecystectomy
AT juanmestre caseandmanagementconsiderationsoflowgradecysticductstumpdysplasiaafterlaparoscopiccholecystectomy