Why gangrenous patches appear firstly in the posterior wall of the fundus in cases of acute gangrenous cholecystitis? I ask the pathologists. In cases like this, was it better to leave the posterior wall "Subtotal Cholecystectomy" attached to the liver bed? Or to dissect it like me here with this difficulty? If you leave it, is the ablation of the mucosa with diathermy essential here? I ask the surgeons.
I operate on this male patient on the 8th day after developing his acute attack, what's the ideal time to interfere in this situation?
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