63 y/o Lady - on CT scan 5cm Adrenal Tumor, 3cm Liver Cyst and VERY Symptomatic Cholecystitis. Total of 6 trocars - One umbilical 11mm for optics and extraction, one 5mm for Ultracision and Ligasure, four 3mm for handling the rest... Surgery was performed without a SINGLE CLIP or STAPLER - Only Ultracision, Ligasure and knots were used. After adrenalectomy surgery was stoped for almost 15min when we change the positioning for a proper cholecystectomy approach. Minilaparoscopic Hybrid Clipless Left Adrenalectomy Minilaparoscopic Clipless Cholecystectomy. Minilaparoscopic Unroofing of Liver Cyst. Total Surgical Time - 150min Total Anesthesia Time - 220min.
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