Lap Chole

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Sizable LNs in Porta Hepatis

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If you are going to do lap chole for chronic calcular cholecystitis, and you find - preoperatively undetectable - sizable porta hepatis LNs with right lobe hepatic focal lesions. What do you do? The hepatic...

Porta Hepatis LN Biopsy

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If you find a sizable porta hepatis LN like this on doing lap chole. Will you remove it for histopathologic examination?

CCC with LC

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If you are confronted with liver cirrhosis (Child A) in the case of lap chole. Do you prefer to convert to total open chole, do subtotal lap chole, do subtotal open chole, or proceed to total lap chole?

Rt Hypochondrial Port May Be Inserted Before...

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Video case: Rt hypochondrial port may be inserted before the complete insertion of the epigastric port in lap chole to guide its proper position in the redundant falciform ligament. 

Accidental GB Perforation During Lap Chole

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Video case laparoscopy: accidental GB perforation during lap chole can be managed with the use of loop “Roeder’s knot” even in difficult situations such as friable GB which is difficult...

Fused Liver Lobes May Add Difficulty to Lap Chole...

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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.

Is it Also a Portal Vein Anomaly in the next...

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Surgical video case: on doing my next successive case for lap chole I found this view. What's your opinion?

Extensive Intraperitoneal Adhesions

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Surgical video case: If you encounter adhesions like these on your first port entry for Lap Chole in a patient with a previous laparotomy (exploration) 17 yrs ago for acute abdomen with no available operative...

Tough GB Can be Retracted with Sutures

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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

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With laparoscopic cholecystectomy, patient may return to work sooner, have less pain after surgery, and have a shorter hospital stay and a shorter recovery time. Surgery to remove the gallbladder with...

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