[Intraoperative ultrasonography, dissection with ultra-shears and trans-cystic choledochoscopy during laparoscopic approach in obstructive lithiasis icterus case].
The authors present the case of a 48 years old male with lithiasis obstructive icterus who was operated by laparoscopic transcystic approach with choledochoscopy. This minimally invasive technique was very spectacular trough the using of laparoscopic ultrasonography, dissection with Ultra-Shears device and transcystic choledochoscopy. Careful watching of abdominal laparoscopic view and transcystic choledochoscopic view is the particularity of laparoscopic transcystic management of choledocholithiasis. This metod don't let us to explore the biliary tract before the junction between common bile duct and cystic duct.
Secţia chirurgie generală, Spitalul Sf. Dr. Cosma şi Damian, Str. Arh. Ioan Mincu nr. 7, sector 1, Bucureşti.
L
L
Alecu
G
G
Corodeanu
I
I
Costan
C
C
Lungu
A
A
Staicu
D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002769:Cholelithiasis / Q000000981:diagnostic imaging* / Q000601:surgery*; D004210:Dissection; D016145:Endoscopy, Digestive System; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014463:Ultrasonography