The difficult laparoscopic cholecystectomy: a bailout strategy

Laparoscopic cholecystectomy is one of the most frequent surgeries today. Given the procedure’s extensive adoption by surgeons across all skill levels, from novices to experts, it becomes imperative to develop guidelines to ensure its safety for patients. Since complexi- ty of surgeries differ in ea...

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Main Authors: С.М. Чуклін, С.С. Чуклін
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2024-12-01
Series:Медицина неотложных состояний
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Online Access:https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1804
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author С.М. Чуклін
С.С. Чуклін
author_facet С.М. Чуклін
С.С. Чуклін
author_sort С.М. Чуклін
collection DOAJ
description Laparoscopic cholecystectomy is one of the most frequent surgeries today. Given the procedure’s extensive adoption by surgeons across all skill levels, from novices to experts, it becomes imperative to develop guidelines to ensure its safety for patients. Since complexi- ty of surgeries differ in each person, ranging from simple to intricate cases involving a frozen Calot’s triangle, it is extremely important to perform laparoscopic surgery carefully to avert any potential harm. Given its global prevalence, even a 0.1 % complication rate translates to a significant figure. Therefore, practicing safe cholecystectomy is advocated strongly. This review presents modern approaches to laparoscopic cholecystectomy in difficult cases — bailout surgery — to prevent damage to the bile ducts and vessels. In particular, the features of subtotal cholecystectomy, fundus-first cholecystectomy, and infundibular dissection are considered.
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institution Kabale University
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publishDate 2024-12-01
publisher Zaslavsky O.Yu.
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series Медицина неотложных состояний
spelling doaj-art-9e6fc80eeef34ce5b75b5b6b225411f02025-08-20T03:32:19ZengZaslavsky O.Yu.Медицина неотложных состояний2224-05862307-12302024-12-0120868870110.22141/2224-0586.20.8.2024.18041804The difficult laparoscopic cholecystectomy: a bailout strategyС.М. Чуклін0https://orcid.org/0000-0002-3503-8450С.С. Чуклін1https://orcid.org/0000-0001-8979-721XSaint Paraskeva Medical Center, Lviv, UkraineSaint Paraskeva Medical Center, Lviv, UkraineLaparoscopic cholecystectomy is one of the most frequent surgeries today. Given the procedure’s extensive adoption by surgeons across all skill levels, from novices to experts, it becomes imperative to develop guidelines to ensure its safety for patients. Since complexi- ty of surgeries differ in each person, ranging from simple to intricate cases involving a frozen Calot’s triangle, it is extremely important to perform laparoscopic surgery carefully to avert any potential harm. Given its global prevalence, even a 0.1 % complication rate translates to a significant figure. Therefore, practicing safe cholecystectomy is advocated strongly. This review presents modern approaches to laparoscopic cholecystectomy in difficult cases — bailout surgery — to prevent damage to the bile ducts and vessels. In particular, the features of subtotal cholecystectomy, fundus-first cholecystectomy, and infundibular dissection are considered.https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1804laparoscopic cholecystectomybailout strategysubtotal cholecystectomyfundus-first cholecystectomy
spellingShingle С.М. Чуклін
С.С. Чуклін
The difficult laparoscopic cholecystectomy: a bailout strategy
Медицина неотложных состояний
laparoscopic cholecystectomy
bailout strategy
subtotal cholecystectomy
fundus-first cholecystectomy
title The difficult laparoscopic cholecystectomy: a bailout strategy
title_full The difficult laparoscopic cholecystectomy: a bailout strategy
title_fullStr The difficult laparoscopic cholecystectomy: a bailout strategy
title_full_unstemmed The difficult laparoscopic cholecystectomy: a bailout strategy
title_short The difficult laparoscopic cholecystectomy: a bailout strategy
title_sort difficult laparoscopic cholecystectomy a bailout strategy
topic laparoscopic cholecystectomy
bailout strategy
subtotal cholecystectomy
fundus-first cholecystectomy
url https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1804
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