gallbladder

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Mirizzi Syndrome Type I

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Mirizzi syndrome is a rare complication of chronic gallstone disease. It happens when a large gallstone or cluster of stones gets stuck in the gallbladder or cystic duct. This causes swelling that can...

Variation of the Gallbladder Vasculature Double...

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Instead of the "classic" single cystic artery, arising usually from the right hepatic artery, occasionally two distinct cystic arteries supplying the gallbladder. This duplication can manifest...

Two and Only Two Structures Should be Seen Entering...

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Bile duct injury rates have increased since the introduction of laparoscopic cholecystectomy, occurring in about 3 per 1,000 procedures performed. Critical View of Safety (CVS) method of identification...

Liver Sinusoid LC

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Laparoscopic cholecystectomy is one of the most frequently performed procedures in gastrointestinal surgery worldwide. Bleeding complications due to vascular injuries represent an important cause of morbidity...

Critical View of Safety in Laparoscopic Cholecystectomy

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To avoid vasculobiliary injuries, the Critical View of Safety (CVS) technique is strongly recommended during dissection of the hepatocystic triangle. It entails three basic steps as follows: (1) complete...

Laparoscopic Cholecystectomy [short video]

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This is a simple case of a laparoscopic cholecystectomy with a good quality video.  

Calot's Dissection in Impacted Stone Close...

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Inflamed gallbladder was dissected to attain critical view of safety.  

In Absent Cystic Duct, Short Cystic Duct, or...

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In absent cystic duct, short cystic duct, or unclear cystic duct junction with the CBD, you can ligate the infundibulocystic junction more proximal towards the GB, to re-assess the cystic duct stump properly...

Distended GB and CBD with Varicosities

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42 yrs old female presented with severe agonizing pain in the right hypochondrium with tender palpable GB. Typical presentation of acute cholecystitis. Because she was diabetic, I decided to operate upon...

To Fenestrate or Not - A Pro Con Debate

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This talk was presented at the Masters HPB: difficult gallbladders - things just went from bad to worse session by L. Michael Brunt MD on Thursday, March 30, 2023 during the SAGES 2023 Annual Meeting...

Arterial Dissection in a Case of Chronic Fibrotic...

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Accurate identification of the anatomy of the cystic artery is important. Uncontrolled arterial bleeding during laparoscopic cholecystectomy is a serious problem and may increase the risk of bile duct...

Arterial Dissection in a Case of Chronic Fibrotic...

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Accurate identification of the anatomy of the cystic artery is important. Uncontrolled arterial bleeding during laparoscopic cholecystectomy is a serious problem and may increase the risk of bile...

Liver Hemangioma Adjacent to the Gallbladder

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Surgical technique video: hemangiomas of the liver are the most common type of benign liver tumor. Liver hemangiomas rarely cause symptoms. Liver hemangiomas adjacent to gallbladder may cause severe bleeding...

Madany Triangle is Safe in Case with Caterpillar...

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Madany triangle is safe as a critical view of safety even in a case with Caterpillar hump of Rt hepatic artery. We abolish the seat belt effect of the cystic artery and its branches on the proximal part...

Step by Step Laparoscopic Cholecystectomy

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Surgical education: step by step laparoscopic cholecystectomy. Step 1: Dissection of the hepatocystic triangle. Step 2: Establishing the critical view of safety. Step 3: Cystic artery is clipped...

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