laparoscopic cholecystectomy

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A Challenging Case of Laparoscopic Cholecystectomy:...

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This video presents a challenging laparoscopic cholecystectomy in a patient with acute-on-chronic cholecystitis associated with gallbladder hydrops. Recurrent inflammation resulted in a markedly thickened...

Concommitant Incisional Hernia with Laparoscopic...

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Do you prefer to repair a concomitant hernia during laparoscopic cholecystectomy? Which type of hernia can be managed during Lap Chole? This is a post-open appendectomy incisional hernia, is it better...

Live Anatomy Cholangiogram Duct Diagram

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During a laparoscopic cholecystectomy, the anatomy a surgeon sees is shaped by angles, traction, inflammation, fat, and perspective. The view is dynamic, sculpted by how you lift the fundus, retract Hartmann’s...

Modern Approach to a Complex Gallstone Problem

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33 years old patient referred for acute severe cholangitis with an elarged CBD and  8 mm stone. Multiple Stones in the gallbladder. The Problem: Why This Wasn't Standard 1. Acute Cholangitis: This...

Laparoscopic cholecystectomy and intraoperative...

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Cholecystocholedocholithiasis is relatively common, accounting for up to 15% of the incidence. A single-event resolution is an excellent option for resolving both pathologies. The rendezvous technique...

Prevention of Postoperative Bleeding During Laparoscopic...

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During laparoscopic cholecystectomy, the gallbladder bed is a potential source of postoperative bleeding. To prevent delayed hemorrhage or hemoperitoneum, meticulous hemostasis is crucial. Bleeding can...

Laparoscopic Cholecystectomy

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The author use anatomical considerations to describe his own technique for laparoscopic cholecystectomy with a minimum risk of common bile duct injury.  

LNs Along the CBD

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During laparoscopic cholecystectomy if you encountered LNs along the CBD, do you prefer to take a biopsy or not? 

Rt Copula Lesion Detected Intraoperatively During...

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During laparoscopic cholecystectomy if you encountered a hard (? calcified) lesion in the Rt Copula like this, with a possible mediastinal shift to the left. Of course these are intraoperative findings,...

Cystic Duct Stump Measurement

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Post-cholecystectomy syndrome refers to a wide spectrum of conditions that pose a challenging diagnostic dilemma. Cystic duct remnant, defined as a residual duct greater than 1 cm in length, may, in the...

Safe Laparoscopic Cholecystectomy

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Major biliary or vasculobiliary injury is associated with significant morbidity. As prevention is the best strategy, the concept of a culture of safe cholecystectomy has been recently introduced...

The Anatomy of Rouviere's Sulcus as Seen...

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Although Rouviere's sulcus is being increasingly mentioned as the first landmark to be seen so as to begin dissection during laparoscopic cholecystectomy to prevent bile duct injuries, the anatomy of...

White Bile in Gallbladder Hydrops

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"White bile in gallbladder hydrops" is a relatively rare finding and usually indicates long-standing obstruction of the cystic duct. In this condition, bile becomes trapped within the gallbladder...

Left-sided Gallbladder Laparoscopic Cholecystectomy

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Left-sided gallbladder is a rare anatomical anomaly. It is associated with various anatomical variations of the biliary way and intrahepatic portal supply. Most of the time, it is discovered as an incidental...

Accessory Right Hepatic Artery and Its Implications...

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Accessory hepatic artery is an incidental finding during hepatobiliary, pancreatic surgery and may be found during hepatic transplantation surgery on angiogram. This artery should be carefully identified...

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