Download Laparoscopic Cholecystectomy: An Evidence-Based Guide by Ferdinando Agresta, Fabio Cesare Campanile, Nereo Vettoretto PDF

By Ferdinando Agresta, Fabio Cesare Campanile, Nereo Vettoretto

This publication, written via specialist surgeons, deals a accomplished and up to date assessment of all elements of laparoscopic cholecystectomy. insurance contains the symptoms for surgical procedure, anesthesia, surgical method, and the prevention and administration of issues, with huge connection with the most recent medical facts and review of some great benefits of the laparoscopic process, for instance when it comes to results and day surgical procedure. New applied sciences, together with SILS, NOTES, robot surgical procedure, and miniaturized tools, are reviewed. the educational curve and coaching also are broadly mentioned, and anyone bankruptcy is dedicated to the perspectives of foreign specialists within the box. Readers will locate the booklet to be an awesome advisor to this most advantageous approach, which keeps to conform a few two decades after the nationwide Institutes of overall healthiness Consensus convention first released thoughts relating to symptoms for laparoscopic cholecystectomy.

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Laparoscopic Cholecystectomy: An Evidence-Based Guide

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Additional info for Laparoscopic Cholecystectomy: An Evidence-Based Guide

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Such an “antegrade” strategy was already well recognized as a safe technique for “open” cholecystectomy, especially for difficult situations. The possibility to reduce the risks of damage to the structures in or around Calot’s triangle makes this choice particularly popular to reduce the conversion rate for acute cholecystitis (LoE4) [32, 33] and other situations with dense peri-infundibular adhesions or difficult anatomy. The technique involves the dissection of the gallbladder from the liver bed before the dissection of the Calot’s triangle is completed.

May indicate increasing physician awareness of the disease and appropriateness of the CCK-HIDA scintigraphy as a predictor of postoperative success after cholecystectomy [143, 150, 153] [LoE4]. In 2003 DiBaise et al. [155] [LoE3] in their systematic review concluded that the quality evidence of the 23 papers selected was lacking precluding a definitive recommendation regarding its use. In 2010 the Rome Committee stated that CCK-HIDA scintigraphy is not a standardized test and may be conducted differently in different institutions.

Alas, it does not seem to prevent biliary injuries, even if it helps their immediate identification (LoE4) [19]. Strasberg, in the early 1990s, introduced the “critical view of safety” (CVS) which involves the dissection of the entire infundibulum from all the fatty tissue, both in its dorsal and ventral aspects (LoE2) (Fig. 5) [20]. These principles have been unattended until recent years, in which a standardization of the technique, together with some consistent data confirming Strasberg’s hypothesis, has been published (LoE4) [21, 22].

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