gallbladder
Laparoscopic Tube Cholecystostomy Is Still Useful...
Surgical video case: the preferred treatment for acute cholecystitis is laparoscopic cholecystectomy. Conversion to open operation may be necessary in cases where the anatomy is unclear or complications...
Your Suture For Traction Of The GB In Acute Cases
Your suture for traction of the GB in acute cases should be away from the gangrenous friable area of the GB to avoid its tear.
If the Cystic Duct is Short and a Stone is Impacted...
If the cystic duct is short and a stone is impacted in the neck of the GB you can secure the duct only just distal to the stone leaving a reasonable cystic duct stump, then divide between the secured...
Gangrenous Cholecystitis
Gangrenous cholecystitis (GC) is defined as necrosis and perforation of the gallbladder wall as a result of ischemia following progressive vascular insufficiency. GC is a severe complication of cholelithiasis.
Stone in Cystic Duct Diverticulum in 7 yrs Old...
Surgical video case: cystic duct stones are commonly encountered nowadays by me. This 7 yrs old boy with gallstones had a cystic duct stone inside a diverticulum. It is better to put your clip or ligature...
Fused Liver Lobes May Add Difficulty to Lap Chole...
Surgical video case: is it common to encounter fused liver lobes during Lap Chole? Fused liver lobes may add difficulty to lap chole as it interferes with the smooth retraction of the GB fundus.
Bisegmentectomy IVb-V
Surgical video: this is a case of a liver bisegmentectomy IVb-V performed for the treatment of gallbladder cancer discovered after a cholecystectomy.
POCUS - Gallbladder Ultrasound Anatomy
This video reviews a suggested scanning sequence that can be used to image the gallbladder. Additionally sonographic anatomy is reviewed.
Tough GB Can be Retracted with Sutures
During lap chole if you can't grasp the fundus of GB, you can take one suture in the fundus for retraction of the fundus, and if there is a need for more retraction, a second suture can be done in the...
Laparoscopic Cholecystectomy in Acute Cholecystitis
Gallbladder disease is among the leading causes for hospital admission for acute abdomen among adults and the most common indication for abdominal surgery in the elderly. Laparoscopic cholecystectomy...