gallbladder
Hourglass Gallbladder
Surgical video case: gallbladder anatomy is highly variable, and surgeons must be prepared to identify anomalies of form, number, and position. Variants include gallbladder agenesis, diverticulum, duplication,...
Laparoscopic Cholecystectomy for Gangrenous Cholecystitis
Laparoscopy video case: gangrenous cholecystitis is a form of acute cholecystitis which involves gangrenous alterations in the gallbladder wall and it often follows an acute and serious course. Laparoscopic...
Laparoscopic Cholecystectomy (Fundus-First Technique)
Laparoscopic surgery is the gold standard for operative treatment of gallbladder diseases globally. This is usually done via the "duct-first" approach. However, when there is extensive fibrosis...
Accessory Liver Tissue on the Gallbladder
Liver tissue situated outside the liver with a hepatic connection is usually called an accessory liver, and that without a connection to the mother liver, is called ectopic liver tissue (choristoma)....
Stone Impacted in Hartman's Pouch
Surgical video case: opening the GB for removal of an impacted stone in Hartman's pouch may allow for stenting the cystic duct to facilitate its dissection after visualization of its internal opening....
To Evacuate the GB From Stones And Suck Its Contents...
Surgical video: in cases of acute cholecystitis with an impacted stone in the infundibulum, evacuating the GB from stones and sucking its contents to proceed to subtotal cholecystectomy may be an option...
Difficulty May Be in Dissecting the GB From its...
Surgical video case: difficult laparoscopic cholecystectomy. This video shows the difficulty of dissecting the GB from its bed. The question here is whether to complete this difficult dissection or to...
Aspiration or Suture Traction of the GB
Surgical video case: difficult laparoscopic cholecystectomy, adhesions to the omentum, falciform ligament, anterior abdominal wall, and diaphragm. The GB is distended, and its wall is so thick that...
Your Retrieval Bag Is Used To Protect The Port...
Video case surgery: your retrieval bag is used to protect the port site from contamination, traction should be applied to the GB not the retrival bag.
Mechanism of Common Bile Duct Injury
Surgical video case: the most common reason for injuring the bile duct is due to the misidentification of normal biliary anatomy. One of the technical errors include excess tenting of the cystic...
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...
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