Laparoscopic ‘D2 first’ approach for obscure gallbladders

Laparoscopic cholecystectomy has a reported incidence of 4%–15% of conversion to an open procedure and one of the main reasons behind the conversion is a gallbladder (GB) wrapped with dense adhesions. It is prudent to convert the procedure to an open operation in patients with particularly dense adh...

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Autores principales: Gadiyaram, Srikanth, Nachiappan, Murugappan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Association of Hepato-Biliary-Pancreatic Surgery 2021
Materias:
How-I-Do-It
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8639302/
https://www.ncbi.nlm.nih.gov/pubmed/34845125
http://dx.doi.org/10.14701/ahbps.2021.25.4.523
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author Gadiyaram, Srikanth
Nachiappan, Murugappan
author_facet Gadiyaram, Srikanth
Nachiappan, Murugappan
author_sort Gadiyaram, Srikanth
collection PubMed
description Laparoscopic cholecystectomy has a reported incidence of 4%–15% of conversion to an open procedure and one of the main reasons behind the conversion is a gallbladder (GB) wrapped with dense adhesions. It is prudent to convert the procedure to an open operation in patients with particularly dense adhesions when the GB is not visible, preventing safe dissection which carries a potential risk of duodenal or colonic injury. The technique described, namely laparoscopic ‘D2 first’ approach, enables the completion of laparoscopic procedure in patients with ‘obscure’ GBs.
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spelling pubmed-86393022021-12-13 Laparoscopic ‘D2 first’ approach for obscure gallbladders Gadiyaram, Srikanth Nachiappan, Murugappan Ann Hepatobiliary Pancreat Surg How-I-Do-It Laparoscopic cholecystectomy has a reported incidence of 4%–15% of conversion to an open procedure and one of the main reasons behind the conversion is a gallbladder (GB) wrapped with dense adhesions. It is prudent to convert the procedure to an open operation in patients with particularly dense adhesions when the GB is not visible, preventing safe dissection which carries a potential risk of duodenal or colonic injury. The technique described, namely laparoscopic ‘D2 first’ approach, enables the completion of laparoscopic procedure in patients with ‘obscure’ GBs. The Korean Association of Hepato-Biliary-Pancreatic Surgery 2021-11-30 2021-11-30 /pmc/articles/PMC8639302/ /pubmed/34845125 http://dx.doi.org/10.14701/ahbps.2021.25.4.523 Text en Copyright © 2021 by The Korean Association of Hepato-Biliary-Pancreatic Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle How-I-Do-It
Gadiyaram, Srikanth
Nachiappan, Murugappan
Laparoscopic ‘D2 first’ approach for obscure gallbladders
title Laparoscopic ‘D2 first’ approach for obscure gallbladders
title_full Laparoscopic ‘D2 first’ approach for obscure gallbladders
title_fullStr Laparoscopic ‘D2 first’ approach for obscure gallbladders
title_full_unstemmed Laparoscopic ‘D2 first’ approach for obscure gallbladders
title_short Laparoscopic ‘D2 first’ approach for obscure gallbladders
title_sort laparoscopic ‘d2 first’ approach for obscure gallbladders
topic How-I-Do-It
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8639302/
https://www.ncbi.nlm.nih.gov/pubmed/34845125
http://dx.doi.org/10.14701/ahbps.2021.25.4.523
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