TY - JOUR
T1 - The Difficult Gallbladder
T2 - A Safe Approach to a Dangerous Problem
AU - Fernando Santos, B.
AU - Michael Brunt, L.
AU - Pucci, Michael J.
N1 - Publisher Copyright:
© 2017, Mary Ann Liebert, Inc.
PY - 2017/6
Y1 - 2017/6
N2 - Laparoscopic cholecystectomy is a common surgical procedure, and remains the gold standard for the management of benign gallbladder and biliary disease. While this procedure can be technically straightforward, it can also represent one of the most challenging operations facing surgeons. This dichotomy of a routine operation performed so commonly that poses such a hidden risk of severe complications, such as bile duct injury, must keep surgeons steadfast in the pursuit of safety. The "difficult gallbladder" requires strict adherence to the Culture of Safety in Cholecystectomy, which promotes safety first and assists surgeons in managing or avoiding difficult operative situations. This review will discuss the management of the difficult gallbladder and propose the use of subtotal fenestrating cholecystectomy as a definitive option during this dangerous situation.
AB - Laparoscopic cholecystectomy is a common surgical procedure, and remains the gold standard for the management of benign gallbladder and biliary disease. While this procedure can be technically straightforward, it can also represent one of the most challenging operations facing surgeons. This dichotomy of a routine operation performed so commonly that poses such a hidden risk of severe complications, such as bile duct injury, must keep surgeons steadfast in the pursuit of safety. The "difficult gallbladder" requires strict adherence to the Culture of Safety in Cholecystectomy, which promotes safety first and assists surgeons in managing or avoiding difficult operative situations. This review will discuss the management of the difficult gallbladder and propose the use of subtotal fenestrating cholecystectomy as a definitive option during this dangerous situation.
KW - Laparoscopic cholecystectomy
KW - difficult gallbladder
KW - subtotal fenestrating cholecystectomy
UR - http://www.scopus.com/inward/record.url?scp=85020446740&partnerID=8YFLogxK
U2 - 10.1089/lap.2017.0038
DO - 10.1089/lap.2017.0038
M3 - Review article
C2 - 28350258
AN - SCOPUS:85020446740
SN - 1092-6429
VL - 27
SP - 571
EP - 578
JO - Journal of Laparoendoscopic and Advanced Surgical Techniques
JF - Journal of Laparoendoscopic and Advanced Surgical Techniques
IS - 6
ER -