[Gasless laparoscopic cholecystectomy. Selective intervention in a high surgical risk patient].
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.
Catani
M
M
Università di Roma La Sapienza.
De Milito
R
R
Chiaretti
M
M
Abati
G
G
Rengo
M
M
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