Open cholecystectomy in the laparoendoscopic era - 20/08/11
, Rowan W. Parks, M.D., F.R.C.S.(Ire) b, O. James Garden, M.D., F.R.C.S.(Ed) b
Corresponding author. Tel.: +1-650-849-1910; fax: +1-650-852-3430.Abstract |
Laparoscopic cholecystectomy has all but replaced the traditional open approach. Hence open cholecystectomy (OC) is principally reserved for cases in which laparoscopy fails, leaving fewer surgeons with experience in the procedure required for the most challenging cases. This review of OC includes discussion of the indications for a primary open approach, conversion from laparoscopy, technical aspects of OC, and alternatives (cholecystostomy and subtotal cholecystectomy). Strategies for safe OC must be formally addressed in residency programs.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Open cholecystectomy, Cholecystostomy, Conversion, Surgical training, Subtotal cholecystectomy, Open common bile duct exploration
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Vol 195 - N° 1
P. 108-114 - gennaio 2008 Ritorno al numero
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