Laparoscopic Cholecystectomy from the Classic Approach to Recent Updates

Laparoscopic Cholecystectomy from the Classic Approach to Recent Updates. Mohie El-Din Mostafa Madany.Abstract:The current chapter provides a comprehensive overview of complications, difficultsituations, and technical challenges related to laparoscopic cholecystectomy (LC). It revisited the classic approach, reviewing all the steps with the new advancements, and emphasizing the importance of preoperative imaging and intraoperative techniques for reducing complications. The chapter also discusses complex scenarios, including Mirizzi syndrome, cystic duct stones, GB mucocele and acute cholecystitis, underlining tailored surgical approaches and the role ofadvanced imaging. It explores critical issues such as perforated GB, short or absentcystic duct, the seatbelt effect of the cystic artery, and strategies for managingfrozen Calot’s triangle, intrahepatic GB, cirrhotic liver, and morbid obesity duringLC. The necessity of conversion to open surgery and the role of cholecystostomy,subtotal, completion, and repeat cholecystectomy in complex cases are examined.The chapter underscores optimizing patient outcomes through meticulous surgicalplanning and advanced techniques.