[Difficult laparoscopic cholecystectomy].
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.
Palade
R
R
Clinica Chirurgie, Spitalul Universitar Bucureşti.
Vasile
D
D
Grigoriu
M
M
Roman
H
H
Caplan
I
I
D000208:Acute Disease; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002764:Cholecystitis / Q000150:complications / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D012307:Risk Factors