GB
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.
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...
After Removal of the GB From Its Bed, Are These...
Video case: adhesions between the liver and diaphragm during laparoscopic cholecystectomy, we did adhesiolysis to be able to complete the dissection of the GB from its bed. Here I want to ask if it is...
After Securing the Cystic Duct and Artery You...
Adhesions between the liver and diaphragm during laparoscopic cholecystectomy, after securing the cystic duct and artery, proper retraction of the fundus can't be achieved to remove the GB from its bed...
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.
Traction Not Essentially on the Fundus
In huge distended GB traction on the fundus can be displaced to be on the body to achieve a suitable view of the porta hepatis.
Lap Cholecystectomy, Choledochotomy and Choledochoscopy...
Surgical video case: a 79-year-old female was diagnosed with GB and CBD stones, and underwent lap chole and choledochotomy and choledochoscopy for stones. She was discharged on POD 3.
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