Article ; Online: Antegrade cholecystectomy before ligating the elements. A technique that reduces complications.
2019 Volume 90, Page(s) 162–164
Abstract: Background: In open surgery, the most common approach is Retrograde approach ("fundus first"), while is less frequent in laparoscopic cholecystectomy. Antegrade access, is obtained by putting in traction the infundibulum and reaching up to the fundus ... ...
Abstract | Background: In open surgery, the most common approach is Retrograde approach ("fundus first"), while is less frequent in laparoscopic cholecystectomy. Antegrade access, is obtained by putting in traction the infundibulum and reaching up to the fundus right before clipping the cystic. Our study analyzes a number of surgical procedures performed by surgeons with long experience in laparoscopy. Methods: From 2002 to 2017, 2020 laparoscopic cholecystectomies were performed at our Institution. The operative technique used since 2002 is the following: incision of the visceral peritoneum from the infundibulum away from Calot's triangle along the gallbladder bed up to the fundus and then to the infundibulum. Results: No bile duct injuries happened. Average operative time was 38 min. 30 conversions to an open procedure (1.5%) occurred, in patients with cholecystitis and cirrhosis Postoperative stay was mean 2 days with no delayed complications on follow up. Conclusions: Gallbladder antegrade dissection for laparoscopic cholecystectomy may be an easier approach and may reduce the time of surgery. So it may be used as the standard procedure and not only be used for complicated cholecystectomies. Key words: Difficult cholecystectomy, Laparoscopy, Antegrade dissection, Cholecystectomy, Cholecystitis, Fundus first. |
---|---|
MeSH term(s) | Cholecystectomy, Laparoscopic/methods ; Cholecystitis/surgery ; Humans ; Postoperative Complications/prevention & control |
Language | English |
Publishing date | 2019-06-10 |
Publishing country | Italy |
Document type | Journal Article |
ZDB-ID | 418927-9 |
ISSN | 2239-253X ; 0003-469X |
ISSN (online) | 2239-253X |
ISSN | 0003-469X |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.B 50: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.