Anterograde laparoscopic cholecystectomy: when and why

Today largely diffused is the concept that laparoscopic cholecystectomy (LC) represents the treatment of choice for symptomatic gallstones. Nonetheless some questions have been raised on the real safety of this new method in terms of procedure-related complications. On the basis of our experience wi...

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Bibliographic Details
Published in:	Il Giornale di chirurgia Vol. 14; no. 4-5; p. 251
Main Authors:	Miscusi, G, Masoni, L, de Anna, L, Brescia, A, Gasparrini, M, Taglienti, D, Micheletti, A, Marsano, N, Montori, A
Format:	Journal Article
Language:	Italian
Published:	Italy 01-04-1993
Subjects:	Cholecystectomy, Laparoscopic - methods Cholelithiasis - surgery Humans Intraoperative Complications - prevention & control
Online Access:	Get more information
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Summary:	Today largely diffused is the concept that laparoscopic cholecystectomy (LC) represents the treatment of choice for symptomatic gallstones. Nonetheless some questions have been raised on the real safety of this new method in terms of procedure-related complications. On the basis of our experience with traditional open cholecystectomy, we have recently performed a prograde LC in those cases with difficulties in identifying the anatomical structures of the so called Calot's triangle. This alternative route can be easily performed laparoscopically and has been useful in reducing the time of the intervention in the most difficult setting and to increase the safety of the procedure. The technical details and the results are compared with those of the laparoscopic retrograde route.
ISSN:	0391-9005