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Laparoscopic cholecystectomy
Demetrius E M Litwin1, Mitchell A Cahan
1Department of Surgery, University Campus, 55 Lake Avenue North, The University of Massachusetts Medical School, Worcester, MA 01655, USA. litwind@ummhc.org
The Surgical Clinics of North America
|November 11, 2008
Abstract:
Laparoscopic cholecystectomy (LC) has supplanted open cholecystectomy for most gallbladder pathology. Experience has allowed the development of now well-established technical nuances, and training has raised the level of performance so that safe LC is possible. If safe cholecystectomy cannot be performed because of acute inflammation, LC tube placement should occur. A systematic approach in every case to open a window beyond the triangle of Calot, well up onto the liver bed, is essential for the safe completion of the operation.