safe cholecystectomy
Laparoscopic Cholecystectomy in Impacted Infundibular...
During laparoscopic cholecystectomy, impacted stones in the infundibulum or cystic duct neck can significantly increase intraoperative difficulty by distorting normal anatomy, causing grafting of adhesions,...
Adhesiolysis to Subphrenic Adhesions to Perform...
Subphrenic adhesions may interfere with proper liver retraction in laparoscopic cholecystectomy. So you may need to do adhesiolysis to them to perform safe laparoscopic cholecystectomy using the Madany’s...
Safe Laparoscopic Cholecystectomy
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...
Two and Only Two Structures Should be Seen Entering...
Bile duct injury rates have increased since the introduction of laparoscopic cholecystectomy, occurring in about 3 per 1,000 procedures performed. Critical View of Safety (CVS) method of identification...
Caterpillar (Moynihan’s) Hump Anomaly Encountered...
While performing laparoscopic cholecystectomy in a obese male of BMI 40, after obtaining critical view of safety, a large pulsating vessel presumed to be cystic arteries with overlying node was found....
Triple Arterial Blood Supply to the Gallbladder...
In the classic textbook description of hepatic artery anatomy, the common hepatic artery (CHA) arises from the celiac axis. The CHA then branches into the gastroduodenal artery and proper hepatic artery....
Step By Step Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy remains one of the most commonly performed procedures in the United States and across the world. Although the laparoscopic approach is considered safe, complications are still...
Mechanisms of Causation of Bile Duct Injury
Surgical video case: almost all bile duct injuries are iatrogenic; most occur during cholecystectomy. The visual perception error of misidentifying the common bile duct as the cystic duct is responsible...
The Critical View of Safety During Laparoscopic...
Laparoscopic cholecystectomy is the gold standard for treatment of gallbladder stones with incidence of bile duct injuries (BDI) (0.3-0.8 %). Bile duct injuries (BDI) is associated with devastating,...
Laparoscopic Cholecystectomy Fine Dissection...
The incidence of biliary injury after laparoscopic cholecystectomy has shown a declining trend though it may still be twice that as with open cholecystectomy. Major biliary or vasculobiliary injury is...
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