Laparoscopic cholecystectomy: fundus-down approach

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
P K RajL Urban

Abstract

Laparoscopic cholecystectomy (LC) is the primary treatment of gallstone disease. Although refinements have made it safer, bile duct injury remains more common than with the open approach. The major difference in these techniques is that open cholecystectomy approaches the gallbladder from the fundus downward, whereas conventional laparoscopic cholecystectomy proceeds in the reverse direction. A handful of fundus-down techniques appear in the literature. The use of special instruments or port sites is common. We present a technique that is safe and utilizes instruments familiar to the surgeon performing conventional LC. Fifty consecutive LCs were included in the study. The variables monitored were age, comorbidities, postoperative diagnosis, pathologic diagnosis, length of operation, hospital length of stay, and complications. The average operating time for chronic cholecystitis was 1 hour, and the average time for acute cholecystitis was less than 2 hours. Except for one early case of bleeding, in which the procedure was completed using the familiar conventional method, no complications and no unusual technical difficulties were encountered. There were no differences between conventional and fundus-down LC with regard to time a...Continue Reading

References

Feb 1, 1995·Surgical Endoscopy·I G MartinM J McMahon
Jan 1, 1994·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·I B BruneS Omran
May 1, 1994·World Journal of Surgery·M R CoxJ Toouli
Feb 1, 1997·The American Surgeon·H Fallahzadeh
Dec 1, 1996·Journal of Laparoendoscopic Surgery·A KumarS P Kaushik
Feb 1, 1997·Surgical Endoscopy·D Olsen
May 1, 1998·The Australian and New Zealand Journal of Surgery·J A Windsor, J Pong

❮ Previous
Next ❯

Citations

Jun 7, 2008·Journal of Hepato-biliary-pancreatic Surgery·Steven M Strasberg
May 2, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yu-Chun WangRay-Jade Chen
Nov 4, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Md Jafrul Hannan, Md Mozammel Hoque
Dec 17, 2009·BMC Surgery·Michael D Kelly
May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Nand Kishore ArvindShilpi Singh Gupta
Jan 16, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Norman Oneil Machado
May 21, 2009·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Geoffrey P Kohn, John B Martinie
Apr 4, 2015·Interventional Medicine & Applied Science·Jakub Kaczynski, Joanna Hilton
Dec 15, 2005·Digestive Diseases·Andreas Shamiyeh, Wolfgang Wayand
Aug 11, 2010·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Marco Maria Lirici, Andrea Califano

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.