title: [Difficult laparoscopic cholecystectomy].
abstract: The study analyses different situations encountered throughout the authors personal operative experience, susceptible to generate technical and tactical difficulties during laparoscopic cholecystectomy such as: postoperative perivisceritis, obesity, difficult liver mobilization, lipomatosis, acute and scleroatrophic cholecystitis, "porcelain gallbladder". They also point out different causes capable of generating important bleeding during the operation: cirrhosis, accidental adhesion tearing, anatomical arterial variations. Above all, the study presents the possible technical and tactical solutions which they applied when dealing with the already mentioned critical situations.
authors.affiliation: Clinica Chirurgie, Spitalul Universitar Bucureşti.
authors.forename: R
authors.initials: R
authors.lastname: Palade
authors.forename: D
authors.initials: D
authors.lastname: Vasile
authors.forename: M
authors.initials: M
authors.lastname: Grigoriu
authors.forename: H
authors.initials: H
authors.lastname: Roman
authors.forename: I
authors.initials: I
authors.lastname: Caplan
mesh_terms: D000208:Acute Disease; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002764:Cholecystitis / Q000150:complications / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D012307:Risk Factors