title: [Gasless laparoscopic cholecystectomy. Selective intervention in a high surgical risk patient].
abstract: Disadvantages related to CO2 pneumoperitoneum in high risk patients (anesthesiologic classification in III and IV ASA), have led to the development of the abdominal wall retractor, a device designed to facilitate laparoscopic surgery without conventional pneumoperitoneum. A case of a patient with acute cholecystitis, well-compensated liver cirrhosis, and high respiratory and cardiologic risk (ASA III class), submitted to laparoscopic cholecystectomy with gasless technique is reported.
authors.affiliation: Università di Roma La Sapienza.
authors.forename: M
authors.initials: M
authors.lastname: Catani
authors.forename: R
authors.initials: R
authors.lastname: De Milito
authors.forename: M
authors.initials: M
authors.lastname: Chiaretti
authors.forename: G
authors.initials: G
authors.lastname: Abati
authors.forename: M
authors.initials: M
authors.lastname: Rengo
mesh_terms: D000208:Acute Disease; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002764:Cholecystitis / Q000150:complications / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D017202:Myocardial Ischemia / Q000150:complications; D012131:Respiratory Insufficiency / Q000150:complications; D012307:Risk Factors