Laparoscopic cholecystectomy 
for cholecystitis

EDITORS : Bernard Dallemagne (MD), Ludovic Marx (MD)
Chief Editor : Jacques Marescaux (MD, FACS, Hon. FRCS, Hon. FJSES)

OBJECTIVES

To review evidence-based data about the laparoscopic approach in patients presenting with cholecystitis
To identify and address common problems encountered while performing cholecystectomy for cholecystitis
To illustrate recommended surgical techniques and variations in simple and complex procedures
To know how to minimize common postoperative complications

State of the art

Live from Ludovic Marx, MD

wasugi coomaraswamy, UNITED KINGDOM
2017-05-08 12:29
Very clear presentation . Good job!
aktham alsalihi, UNITED ARAB EMIRATES
2017-02-10 19:16
Very informative thanks a lot
Thanchanok Th, THAILAND
2017-01-19 13:57
thank you
david cateura , ANGOLA
2016-11-05 19:19
perfect
baha koc, AZERBAIJAN
2016-08-31 22:34
Great thanks
Khurram' Chaudry, PAKISTAN
2016-08-02 16:39
Optimum details.thanks
a vuong, VIET NAM
2016-07-24 13:43
Thank you so much!
humberto benitez, MEXICO
2016-04-29 03:52
Great, unexpensive, so Web surg is extraordinary Thank so much
ROSARIO IRENE ALTAMIRANO GONZALES, PERU
2016-04-26 02:12
It is a brief and extraordinary exhibition
Jose Augusto Rojas Penafiel, BRAZIL
2016-04-22 20:42
thank you very much
Christoph Schwinghammer, AUSTRIA
2016-04-04 22:43
Thanks!
abel briceño, VENEZUELA
2016-03-27 07:01
Muchas gracias,muy buen docente.
George Skroubis, GREECE
2016-03-18 14:04
Very clear and straightforward presentation!
Doan Ta, VIET NAM
2016-03-11 05:42
thanks so
much
Lucas Melo, BRAZIL
2016-02-10 00:14
thank you
Constantinos GEMOS, GREECE
2015-11-03 23:09
short and very understandable presentation
Luna Eduardo, MEXICO
2015-09-28 22:27
Nice presentation.
andrea locatelli, ITALY
2015-05-11 15:38
Really clear presentation\n
Carlos Vicuña, ECUADOR
2015-04-24 02:19
Really interesting, very important to know all the steps as the importance of being ready to use all of the instruments and technology.
Mohamed Rateb, EGYPT
2015-04-11 21:23
Logical, straightforward recommendations.
ajay choudhary, INDIA
2015-04-09 19:01
Nice information
Koba Sakhechidze, GEORGIA
2015-03-23 10:43
Thank you for interesting information
Rodrigo Angel Araya Villar, VENEZUELA
2015-03-23 04:34
En casos mas difíciles también puede hacerse mixta: retrograda y anterograda...
rodrigo rodriguez ruiz, MEXICO
2015-03-22 05:27
Excelente actualizacion.Gracias.
Sergey Minaev, RUSSIAN FEDERATION
2015-03-21 07:24
It's a very important and necessary experience for our patients
Letteron Philippe, FRANCE
2015-03-20 16:40
A good overview of technics. Thank you
jaime barajas, COLOMBIA
2015-03-19 14:44
Gracias muy buena revision
Vusal Aliyev, AZERBAIJAN
2015-02-22 02:23
Very educational presentation ! Thanks !
Robert Metaj, ALBANIA
2015-01-28 20:04
The best school for me and every surgeon in the world.
Jose Luis Banda, MEXICO
2015-01-26 05:00
Very good
Frank Lin, TAIWAN
2014-12-19 04:12
好棒棒
Haci vural Soyer, TURKEY
2014-12-10 12:23
Well done
Dhaiby Mohamad, LEBANON
2014-11-24 18:21
Браво
Muhammad Al-Zetawi, JORDAN
2014-11-18 21:45
Well done perfect
Miguel Coelho Santos, PORTUGAL
2014-11-13 18:30
Well done!\nCongratulations
Walter Robles, PERU
2014-10-03 07:07
Me gustó, directo y preciso y con buena bibliografía
marco antonio delgado garcia , NICARAGUA
2014-09-04 06:28
totalmente de acuerdo hay que tener indicaciones bien precisas para realizar la colelap y tener mucho cuido en la disección
sivaraman premkumar, INDIA
2014-09-02 18:35
Very good
hugo cesar tonelli, ARGENTINA
2014-07-21 00:39
este video tampoco arranca
wilfredo zare, PERU
2014-06-30 23:01
Excelentes videos\n
Clay M, UNITED STATES
2014-06-29 21:21
Love the references to the supporting literature!
Alvaro Bueno Delgado, SPAIN
2014-06-16 23:38
Just awesome videos ! Thanks so much.
Gustavo Coelho, BRAZIL
2014-06-09 17:11
Excellent!!!
José Bonilla, ECUADOR
2014-05-23 21:58
Muchas Gracias.
Robert Metaj, ALBANIA
2014-05-16 23:01
Thanks a lot for your lectures, they help us a lot...I am performing everyday a lap cholecystectomy... mostly cholecystitis calculosa
mohammed eid, PALESTINIAN TERRITORY, OCCUPIED
2014-05-15 03:43
Very nice videos thanks
Salvatore Condurro, ITALY
2014-05-14 18:51
Nice Videos. Useful
husen sherif, LIBYAN ARAB JAMAHIRIYA
2014-05-14 01:42
THANKS GOOD VIDEO
Rodolfo Bastet, ARGENTINA
2014-05-13 04:29
Very good video, congratulations
m'hammed filali, ALGERIA
2014-04-30 20:40
Merci pour cette présentation
omer topuz, TURKEY
2014-04-26 12:36
Very nice presentation. Thank you
Fausto Marcelo Quichimbo Sangurima, ECUADOR
2014-04-22 02:31
Congratulations. It's the best web page for the surgeons in the world.
omar moises reyes picon, MEXICO
2014-04-19 20:54
Muy interesante el tema pero como crear una traducción al español
valerio guevara, NICARAGUA
2014-04-15 19:02
Nice presentation, it is very helpful
fernao castro, PORTUGAL
2014-04-15 18:47
I have no image
IVAN BAENE, COLOMBIA
2014-04-11 02:27
EXCELENTE VIDEO
QUIERO COMPRARLOS
Acute calculous cholecystitis is an inflammation of the gallbladder wall, which is more or less associated with an infection of its content. Given the frequency of gallstones, we consider that 15% of the general population has lithiasis, which represents 90% of the causes of acute cholecystitis.
After providing a clinical diagnosis and confirming it through several imaging and biology tests, the treatment for this emergency pathology can be decided upon.
The therapeutic decision can only be made after exploring the patient's background (age, co-morbidities, etc.), the severity of the clinical situation and the means available (laparoscopy, drainage, etc.).
The aim of this presentation is to outline the current recommendations for this pathology and to explain the conventional surgical treatment for acute cholecystitis through several videos.

Standard Procedure

eric valdez pimienta, MEXICO
2017-06-22 03:43
https://www.youtube.com/watch?v=Zs4eckhaufU.
Thank you..This is my video.
congratulation.
arvind pandey, INDIA
2017-05-26 06:43
Thanks for nice viseo
aquilino ramirez lorenzo, MEXICO
2017-04-30 20:00
excelentes recomendaciones
yılmaz levent, TURKEY
2017-03-09 08:44
really thank you very much
Sergio Baldan, ITALY
2017-02-11 14:56
great explanation. thank you
Thanchanok Th, THAILAND
2017-01-19 14:15
Thank you for great video
reşit inceoglu, TURKEY
2016-11-01 11:05
This acute cholecsyitis is not a real hard case anatomicly.The dissection of calot triangle was done without diffucity.The length of cystic duct is enough to clip and the hartman pouch and cystic duct junction is well defined. So: in my opinion there is no Absulute indication for per-op choloncyography(concerning the anatomy).Except :percence of jaundice ,previous history of jaundice, chills,fever, pancreatitis, increased liver enzymes etc....
washington orellana, ECUADOR
2016-10-24 04:19
excelente procedur
washington orellana, ECUADOR
2016-10-03 04:49
MUY BUENA TECNICA.FELICITACIONES
emiliano arias, MEXICO
2016-08-22 05:52
excelente
Khurram' Chaudry, PAKISTAN
2016-08-02 17:22
Trocar innovation is effective one
Jose Lopez-Leon, VENEZUELA
2016-04-21 23:33
The metal catéter is a ver y important device to make more easy the procedure!
DR DIPAK GHOSH, INDIA
2016-04-13 04:15
Liked the innovation of cholangiography catheter , its metal tip &the process of doing a difficult thing quite easily
Christoph Schwinghammer, AUSTRIA
2016-04-04 23:27
Nice one, I like your cholangiography catheter with the metal tip and your trocar placement.
Alatib Dz, ALGERIA
2016-03-27 21:56
extra
sajad ahmad salati, SAUDI ARABIA
2016-03-05 17:27
Excellent
Armando Reque García, PERU
2016-02-12 00:47
Excelente video. Gracias.
sidney Gil, BRAZIL
2016-02-07 17:37
Good
Heewa Alshwani, SWEDEN
2016-02-07 17:22
Great
Heewa Alshwani, SWEDEN
2016-02-07 17:22
Great
Heewa Alshwani, SWEDEN
2016-02-07 17:22
Great
Montserrat Salvi, SPAIN
2016-02-05 10:57
Thank you, very interesting and didactic video
Arben Murati, ALBANIA
2016-01-26 15:46
It's fantastic work.
thank you sharing your experiences with us
Boon Lee Tan, TAIWAN
2016-01-24 15:33
Great demo!
Amanda Contente, BRAZIL
2016-01-06 18:14
very clear video, it's demonstrate the capacity to do a cholecystcetomy on an obese patient without any complications intraoperative.
abel briceño, VENEZUELA
2016-01-02 21:03
Excelente y demostrativo video.Dios los bendiga.
antonio molina, SPAIN
2015-12-31 19:50
Excelent and clear video, please may I have the name and manufacuring of the cholangiogram catheter?
AKSHAY BAHADUR, INDIA
2015-12-27 19:46
Excellent Video.
marcio andre, BRAZIL
2015-12-26 15:02
very good video
ARSHAD MAHMOOD, UNITED KINGDOM
2015-11-28 15:28
Good video.
harishwaran periyasamy, INDIA
2015-11-26 17:33
thank you for this excellent video.
DORIS BECERRA, COLOMBIA
2015-11-18 04:51
Excellent teaching ..thank you, especially about intraoperative cholangiography.
Fátima Santiago, MEXICO
2015-11-12 05:13
Excelente!
Felipe Tolentino Valladares, PERU
2015-10-19 19:54
Gracias por sus aportes, felicitaciones.
maidi mohamed, ALGERIA
2015-09-14 01:31
Ex professo
Juan Manuel Noriega, MEXICO
2015-09-08 07:07
Excellent surgery and teaching
HADI SALIM, MALAYSIA
2015-08-06 03:57
Excellent surgery, thank you Mr Mutter.
Cristobal Arturo Fabila Contreras, MEXICO
2015-07-27 00:10
Muy bien aplicadas las relaciones anatómicas en la disección, y mas seguro cuando cuentas con toda la infraestructura
Jorge luis rodriguez, ECUADOR
2015-07-22 19:34
muchas gracias, es un excelente vídeo.
Zafar Ullah Khan, OMAN
2015-07-15 20:58
Elegantly and beautifully performed procedure. Congratulations.
luis paredes villar, PERU
2015-07-14 00:14
Buen video gracias por la información
Juan Diaz, MEXICO
2015-07-03 07:01
Congrats for your contribution to surgical community in the world
William Gilkison, NEW ZEALAND
2015-05-21 03:57
Excellent
Luis Alfredo Triveño, PERU
2015-05-12 05:21
Programen los videos con traducción a español

Gracias
jorge armando Ramirez Ortega, MEXICO
2015-05-09 22:13
Great video, nice edition and explanations, in some cases we need to improvise because we don't have such sources, such like these types of catheters and automatic clips, even the radiologist take too long to be in the operative room, in this video we see how things should be done everywhere.\n
Victor E. Aguero, BRAZIL
2015-05-03 18:45
Nice case, nice presentation
oscar orella, MEXICO
2015-04-29 07:42
Very nice
AKRAM MUHAMMAD, UNITED ARAB EMIRATES
2015-04-26 07:25
Nice presentation
stefano manfroni, ITALY
2015-04-23 12:00
Excellent case of cholecystitis in hard patient (BMI 38)
ajay choudhary, INDIA
2015-04-09 19:22
Nice case sir, it will help us to proceed safely with patience in acute cases.
Han Duong Quoc, VIET NAM
2015-04-07 04:36
Very good surgery, thank you ,sir
leonardo delogu, ITALY
2015-03-28 23:01
Very nice presentation. Tank you
Koba Sakhechidze, GEORGIA
2015-03-23 10:40
Thank you. It was a very interesting presentation.\nGood luck.
Rodrigo Angel Araya Villar, VENEZUELA
2015-03-23 03:49
Interesante el recurso del puerto a la izquierda de los ligamentos falciforme y redondo para tracción del fondo vesicular...
Un caso difícil. Felicitaciones !!
donatella scaglione, ITALY
2015-03-22 23:27
Excellent video! Thanks
Cornel Cornea, ROMANIA
2015-03-22 08:15
A challenging case with didactic approach and a succesfully finale. To be viewed by all surgeons. Congratulations and thanks for sharing this experience.
Felix Antonio Santos, BRAZIL
2015-03-21 21:22
Ecellent video. Very illustrative. Thanks
Jesús Yesquén, PERU
2015-03-20 02:27
Very illustrative. Thank you.
Diego Quiñones, ECUADOR
2015-03-18 15:51
Congratulations again for the State-Of-The-Art video series. Your noble efforts and dedication to contribute in the surgeon's formation is priceless.
Omar Alejandro Ortega Valencia, COLOMBIA
2015-02-25 01:00
Congratulations for this video, this is very illustrative and your explanations are very clear. I have a question for you, teacher: Do you leave a drain in the liver bed in these cases? Thank you very much
CLIFTON WASHAYA, AUSTRALIA
2015-02-16 13:16
Fantastic dissections!
victor amar, PERU
2015-02-13 18:56
excelente video, gracias por ser instructivo.
Yamid brajin Sanchezrodriguez, MEXICO
2015-01-14 16:05
Excelente caso felicidades
jorge enrique paltín criollo, ECUADOR
2015-01-06 16:57
muy instructivo, docente congratulations
JOSE AUGUSTO DRIENDL FILHO, BRAZIL
2014-10-28 18:09
EXCELENTE!!!!!!
CONGRATULAÇÕES !!


NOVA FRIBURGO - BRASIL
Carlos Vicuña, ECUADOR
2014-09-23 09:11
Very interesting surgery, thanks for let me know more about tricks. Congrats!!
enrique alfonso bolano solano, BURKINA FASO
2014-09-08 00:55
Bela cirurgia!
sameh said, EGYPT
2014-09-02 09:56
Amazing
juan carlos, MEXICO
2014-08-26 20:51
Excelente video
LAURENTIU CORNEL RADU, ROMANIA
2014-07-24 20:42
Excellent demonstration.\n
Maria Bessa, PORTUGAL
2014-07-24 19:16
papoila
triangulo
oscar cisneros, NICARAGUA
2014-07-19 05:49
Excelente narracion y descripcion transquirurgica
Volodymyr Kulyna, UKRAINE
2014-07-10 18:38
Very good surgery, thank you for demonstration.
MARCOS RAÚL CAMACHO LÓPEZ, MEXICO
2014-07-08 00:13
Thanks for a great class.
erdem can yardımcı, TURKEY
2014-07-05 11:32
Thank you for the demonstration, very succesful video
Luis Alfredo Triveño, PERU
2014-06-23 05:55
Excellent video, but it would be better in Spanish or Potuguês
Giuseppe tornambe, ITALY
2014-06-20 00:29
Ottimo intervento
Nareshchandra Mehta, INDIA
2014-06-15 16:51
Very good surgery, thank you for demonstration
NILESH SONDARVA, INDIA
2014-06-06 13:06
Very nice presentation.. Thank you, sir
Vito Scavelli, ITALY
2014-06-05 11:36
Eccellente dimostrazione di corretta tecnica chirurgica
JAVIER JEREMIAS UC, MEXICO
2014-06-03 17:01
GRACIAS.
pablo nadalin, ARGENTINA
2014-05-31 05:31
Como siempre excelente el material y la presentación.
jose manuel ceja, MEXICO
2014-05-31 01:57
Muy bien, lo hace parecer fácil. Gracias\n
Giacomo Arcuri, ITALY
2014-05-25 19:57
Thank you ...
Edwin Morales Suarez, MEXICO
2014-05-25 16:43
Un video muy didáctico
fernando jimenez, MEXICO
2014-05-24 08:03
Great video
enrique alfonso bolano solano, BURKINA FASO
2014-05-22 01:33
Very good, thank you
hasun moohamad, THAILAND
2014-05-11 09:23
Very nice video, thank you
Isaias Chuck, GUATEMALA
2014-05-10 06:46
Muy interesante la presentación, gracias por la oportunidad de comentar
Vicent Primo Romaguera, SPAIN
2014-05-09 13:21
Really good video. Congratulations
TITO MARCELINO HUAMAN HUAYHUAPUMA, PERU
2014-05-06 12:23
EXCELENTE PRESENTACIÓN Y MUY DIDACTICO
mohammed ouazni, MOROCCO
2014-05-01 12:47
Nice video with good dissection, congratulations. ? : is the clip for the lymph vessel necessary or can we just cut it with the electro cautery hook ? Thanks
elvys guzman, ECUADOR
2014-04-29 06:32
Excelente diseccion quirurgica y muy didactico el procedimiento\n
Nareshchandra Mehta, INDIA
2014-04-27 06:16
Congratulations excellent demonstration of electro cautery hook and blunt suction cannula
RAJARSHI MITRA, FIJI
2014-04-24 21:44
An excellent dissection, showing all the important clinical steps, esp. with such a bad inflammation in the calot's triangle.
Jorge luis rodriguez, ECUADOR
2014-04-23 20:23
Muchas gracias por compartir este video tan ilustrativo
Juliano Lima, BRAZIL
2014-04-22 03:19
Congratulations for the video. It represents the dailly activities of a surgeon.
syed mohammad mushtaq, SAUDI ARABIA
2014-04-21 21:45
Thanks a lot, you are very helpful to surgical community but we want to see more as your website is a sea of information. Let it be complete in all respects, we want to see CBD injuries detected pre and post operation and how they are adressed
Marvel Gaspar, BOLIVIA
2014-04-20 04:53
I like the fineness and meticulousness with which the triangle of Calot is dissected. I consider the importance of cholangiography in these cases in that it helps and guides the surgeon when doing a cholecystectomy. Excellent professor!
omar moises reyes picon, MEXICO
2014-04-19 22:35
No puedo ver los videos
Abdelkader reguieg , ALGERIA
2014-04-19 10:15
C'est très instructif merci
Rui Quintanilha, PORTUGAL
2014-04-18 11:46
Thanks John Dave, but what I want to know is about the plastic catheter. Many thanks
Victor E. Aguero, BRAZIL
2014-04-17 21:22
Very useful videos for a surgeon
John Dave Omolida, PHILIPPINES
2014-04-16 17:42
For Rui Quintanilha: it's Olsen clamp or Kumar clamp..
valerio guevara, NICARAGUA
2014-04-15 19:12
Excellent demonstration and good direction. Thanks
Stelios Kakoyiannis, CYPRUS
2014-04-15 11:50
Excellent presentation. Thank you
Rui Quintanilha, PORTUGAL
2014-04-15 09:54
Anyone knows the name of the cholangio-catheter and the reference ?
Rui Quintanilha, PORTUGAL
2014-04-15 09:53
Excellent. This site is in fact a great help to all of us. Anyone knows the name and the reference of the colangio
izhar ahmed, SAUDI ARABIA
2014-04-15 00:14
It's an excellent dissection with nice cholangiogram procedure
Essam Almaghrabi, SAUDI ARABIA
2014-04-14 16:23
Prof.Mutter is always meticulous in his dissection thanks to him
Jeffrey Rosuman, PHILIPPINES
2014-04-14 10:11
Wish you will also do this presentation in other organ system, big big help to us who are practicing in remote areas, many many thanks God Bless
Aldo Guadagni, ITALY
2014-04-13 18:46
Good demonstration
Raoof Ali, YEMEN
2014-04-12 21:24
Very nice presentation
Early laparoscopic cholecystectomy is feasible and safe. Nowadays, it is an accepted treatment for patients suffering from acute cholecystitis. This video demonstrates a laparoscopic cholecystectomy with intraoperative cholangiography for acute cholecystitis in an obese patient.

Surgical procedures

felipe córdova, PERU
2017-05-23 20:26
great, well done.
Jorge luis rodriguez, ECUADOR
2017-05-12 01:13
Excelente material muy didáctico.Gracias
Santiago Lopez-Ben, SPAIN
2017-04-22 17:42
The case is dificult and seem to be succesfully finished but in my opinion in a educational video any element should be clipped before correct identificaction of structures (Strasberg's critical view) Nice case but not a great recommendation
Sergio Baldan, ITALY
2017-02-11 18:40
great cholecystitis
Pedro Lessa, BRAZIL
2016-11-06 00:35
Nice one
abel briceño, VENEZUELA
2016-01-02 21:12
muy buen video.Gracias.
Ali alqayem, BAHRAIN
2015-12-25 21:02
tough operation. no clear anatomy
miguel solis, GUATEMALA
2015-12-11 21:38
excelente cirugia , felicitaciones
ARSHAD MAHMOOD, UNITED KINGDOM
2015-11-28 15:40
Good one!
WAGNER ROMERO HUALCA, ECUADOR
2015-11-27 06:16
Nice explanation... A very useful video
Jorge luis rodriguez, ECUADOR
2015-07-23 00:10
es un vídeo muy ilustrativo .Gracias
luis paredes villar, PERU
2015-07-14 00:14
Buen abordaje excelente demostración
Vadiraj Hunnur, INDIA
2015-01-22 13:01
Would like to discuss the feasibility of doing a subtotal cholecystectomy in this case.
SURESH Radhakrishnan, INDIA
2014-09-16 15:17
Excellent demonstration of difficult gallbladder Surgery. Enjoyed Watching ! Thanks
Dr Ravikanth Nagarathinam Shanmugam, INDIA
2014-07-30 07:04
Difficult to identify the anatomy is not conversion worth it
jose mejias, VENEZUELA
2014-07-11 21:12
This was an excellent presentation. Probably the best part was the slowly dissection
jose manuel ceja, MEXICO
2014-05-31 02:03
Excelente disección, en algunos pasos me perdí.
Saad Albaroudi, MOROCCO
2014-05-11 20:21
C'est une excellente approche, en plus chez les patients obèses, l'adjonction d'un cinquième trocart dans la FID permet de refouler le colon et le grand épiploon qui ont souvent participé au plastron et ce après leur libération.\nMerci pour tout
Darlan Kestering, BRAZIL
2014-05-05 21:51
Very nice presentation.
rafael castillo, VENEZUELA
2014-04-26 00:07
Queria saber cual fue la indicación para la colangiografia
rafael castillo, VENEZUELA
2014-04-26 00:05
Excelente su tecnica quirurgica. muy ilustrativa.
Victor E. Aguero, BRAZIL
2014-04-17 21:14
Wonderful videos
abdulkareem hussein, EGYPT
2014-04-16 21:27
Marvelous, dangerous, for me as a watcher, some semi blindly steps have been done, lucky patient and highly skilled surgeon. Thank you
Cristhian Aspiazu Briones, ECUADOR
2014-04-16 07:26
Nicely done, convertion could have been a good option. Colangiography must be done in this case
Aldo Guadagni, ITALY
2014-04-13 19:05
Difficult case, in my opinion in this situation we must see the biliary tree to exclude complication, I miss a cholangiography
yatin ghosh, INDIA
2014-04-11 19:00
Great video
hafez bayatmakoo, IRAN, ISLAMIC REPUBLIC OF
2011-12-22 21:19
I prefer to convert such case because with such friable and fragile tissues you may endanger the patient's life with inevitable complications
Laparoscopic cholecystectomy is the gold standard for symptomatic cholecystolithiasis. Technical maturation and advances in instrumentation have enabled the application of this procedure for acute cholecystitis.
This video demonstrates the surgical approach to performing a laparoscopic cholecystectomy in an older male patient with acute cholecystitis and who has had a previous laparotomy for vascular surgery. The surgeon uses a French approach standing between the patient's legs while he optical trocar is placed supraumbilically, 3cm to the right of the midline in order to avoid the adhesions caused by the previous surgery.
An ischemic gallbladder with necrotic area and infundibular perforation was found.

Complications

Santiago Lopez-Ben, SPAIN
2017-04-22 18:19
If anybody is aware of a complex bile injury and hasn't enogh skills and experience to solve it laparoscopically or open, i believe that is much better don't convert and just drain and refer!!!!
washington orellana, ECUADOR
2017-04-09 04:55
muy interesantes videos y tecnica quirurgica.Felicitaciones.
amen mouffokes, ALGERIA
2016-05-16 15:15
thank you
Arsen Aliev, RUSSIAN FEDERATION
2016-04-22 12:33
whether stenting was performed postoperatively?
Andres Felipe Rodriguez Molina, COLOMBIA
2015-07-01 20:20
importantes videos . muchas gracias por el aporte
luis manuel triana lopez, MEXICO
2015-06-29 19:48
GREAT JOB. THANK YOU FOR THIS VIDEO.
Marco Antonio Zuniga, COSTA RICA
2015-05-24 17:14
EXCELENTE TRABAJO FELICITACIONES Y GRACIAS POR SUS APORTES.
pablo garcia, COLOMBIA
2015-05-19 04:21
Useful, illustrative and sufficiently explained.
pablo zalazar, ARGENTINA
2015-04-24 16:16
excelente video
Dr Rakesh Ashwinkumar Makwana, INDIA
2015-04-23 08:19
Never go high up while doing posterior dissection. You may equally damage CHD and Right Hepatic duct. What about follow up of patient? Did patient developed stricture?
Rodrigo Angel Araya Villar, VENEZUELA
2015-03-23 04:50
Me parece que hace una excesiva tracción del infundibulo y pierde el plano de disección...
donatella scaglione, ITALY
2015-03-22 23:38
Ottimo video , utilissimo
Cristobal Barraza Bon, MEXICO
2015-03-19 19:23
Creo que utilizó el electrocauterio en una zona de mucho riesgo de lesionar.
por otra parte, seria buena idea realizar una colangiografia transoperatoria para localizar la zona dañada
luis hurtado, PERU
2015-03-19 18:02
me parece que compartir esta informacion y videos en muy bueno y servira para mejor cada dia en la actiividad quirurgica en bien de los pacientes
ali belgasem, LIBYAN ARAB JAMAHIRIYA
2015-03-15 17:09
I think good traction and good exposure, and starting with opening of calot's triangle are important prensibles to avoid such injury
Jorge luis rodriguez, ECUADOR
2015-01-16 01:27
Muchas gracias por compartir estos exelentes videos
JoseManuel Sierra-Garcia, MEXICO
2014-12-21 06:14
In my personal practice I never use the hook with electricity to dissect this area, I strongly recommend the use of a peanut or a short piece of gauze in order to avoid lesions in the area
marco antonio delgado garcia , NICARAGUA
2014-09-04 06:29
importante, siempre la precaucion de una visión critica sobre la inserción del cístico
hugo cesar tonelli, ARGENTINA
2014-07-21 00:37
me encantaria comentar pero el video no arranca
Alvaro Bueno Delgado, SPAIN
2014-06-16 23:10
Good case to learn how careful we must be even for a colecystectomy.
pablo nadalin, ARGENTINA
2014-05-31 05:41
Podría haberse mostrado en este caso la Colangiografia Intrahoperatoria para documentar y clasificar la lesión del hepático derecho??\n
fernando jimenez, MEXICO
2014-05-24 08:13
I agree with your recommendations
Khurram' Chaudry, PAKISTAN
2014-04-18 15:11
Recommendation seems logical too

Authors

Bernard Dallemagne, MD
Hôpitaux Universitaires de Strasbourg, France
Ludovic Marx, MD
Hôpitaux Universitaires de Strasbourg, France
Didier Mutter, MD, PhD, FACS
Hôpitaux Universitaires de Strasbourg, France
Silvana Perretta, MD, PhD
Hôpitaux Universitaires de Strasbourg, France
Patrick Pessaux, MD, PhD
Hôpitaux Universitaires de Strasbourg, France
Tullio Piardi, MD
Centre Hospitalier Universitaire de Reims, France
Michel Vix, MD
Hôpitaux Universitaires de Strasbourg, France
Jacopo D'Agostino, MD
Clinique Bouchard, France
Federico Costantino, MD
Hôpitaux Civils de Colmar, France
Valerie Podelski, MD
Private practice, France

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