PubMed · 9296758
[Difficult laparoscopic cholecystectomy].
Abstract
The study analyses different situations encountered throughout the authors personal operative experience, susceptible to generate technical and tactical difficulties during laparoscopic cholecystectomy such as: postoperative perivisceritis, obesity, difficult liver mobilization, lipomatosis, acute and scleroatrophic cholecystitis, "porcelain gallbladder". They also point out different causes capable of generating important bleeding during the operation: cirrhosis, accidental adhesion tearing, anatomical arterial variations. Above all, the study presents the possible technical and tactical solutions which they applied when dealing with the already mentioned critical situations.
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R Palade, D Vasile, M Grigoriu, H Roman, I Caplan. [Difficult laparoscopic cholecystectomy].. https://pubmed.ncbi.nlm.nih.gov/9296758/
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