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...
Main Authors: | , , |
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Format: | Article |
Language: | English |
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Hindawi Limited
2024-01-01
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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. |
first_indexed | 2024-04-24T23:50:15Z |
format | Article |
id | doaj.art-d4658699d7af44609db9f3d43209690a |
institution | Directory Open Access Journal |
issn | 2090-6919 |
language | English |
last_indexed | 2024-04-24T23:50:15Z |
publishDate | 2024-01-01 |
publisher | Hindawi Limited |
record_format | Article |
series | Case Reports in Surgery |
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 |
work_keys_str_mv | AT claireufongene caseandmanagementconsiderationsoflowgradecysticductstumpdysplasiaafterlaparoscopiccholecystectomy AT sarankunaprayoon caseandmanagementconsiderationsoflowgradecysticductstumpdysplasiaafterlaparoscopiccholecystectomy AT juanmestre caseandmanagementconsiderationsoflowgradecysticductstumpdysplasiaafterlaparoscopiccholecystectomy |