MINILAP CHOLECYSTECTOMY: MODIFIED APPROACH: REPLY

A New Modified Layout for Laparoscopic Cholecystectomy

OBJECTIVE The aim of this study is to present an economic and convenient modification of the layout for laparoscopic cholecystectomy, utilizing a three-port technique. METHODS The surgeon stands on the left side of the patient, while the assistant stands between the patient's legs. The scrub nurse stands on the right side of the patient facing the surgeon. The assistant also operates the came...

Case Report: Modified Laparoscopic Subtotal Cholecystectomy: An Alternative Approach to the “Difficult Gallbladder”

BACKGROUND Laparoscopic cholecystectomy is a commonly performed surgical procedure. In certain situations visualization of the Callot triangle can become difficult due to inflammation, adhesions, and sclerosing of the anatomy. Without being able to obtain the "critical view of safety" (CVS), there is increased risk of damage to vital structures. An alternative approach to the conventional conve...

Laparoscopic cholecystectomy with suprapubic approach.

BACKGROUND The laparoscopic cholecystectomies performed through single site surgery, despite undoubted aesthetic results, are costly and technically difficult to be performed. The suprapubic approach presents as a simpler and cheaper alternative with good aesthetic results. AIM To report the experience of Garavelo Hospital on laparoscopic cholecystectomy with suprapubic approach. METHODS De...

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Modified subtotal cholecystectomy: a procedure for the difficult gall bladder.

Modified subtotal cholecystectomy involves removal of the gall bladder after circumferential division of the neck. Either the impacted stone or the surgeons finger was used as a guide to identify the neck. The stump cavity in the neck is obliterated with interrupted sutures to prevent recurrent stone formation. Indications for this procedure are obscure anatomy, due either to the severe inflamm...