context different approaches are routinely applied in the treatment of concomitant cholecystocholedocholithiasis. most patients are treated by preoperative endoscopic sphincterotomy followed by laparoscopic cholecystectomy in a two-stage approach. however one-stage approach carrying out intraoperative endoscopic sphincterotomy (ioes) is emerging as a minimally invasive alternative option. our r...

BACKGROUND After its introduction, laparoscopic cholecystectomy rapidly expanded around the world and was accepted the procedure of choice by consensus. However, analysis of evidence shows no difference regarding primary outcome measures between laparoscopic and small-incision cholecystectomy. In absence of clear clinical benefit it may be interesting to focus on the resource use associated wit...

Laparoscopic cholecystectomy is clearly the gold standard for symptomatic cholelithiasis. Open cholecystectomy is now reserved for difficult and problematic cases. The purpose of this paper is to propose that mini-laparotomy cholecystectomy (minicholecystectomy) can be as effective as laparoscopic cholecystectomy. This paper compares the two techniques in well-matched patients. In addition mast...

Introduction: Laparoscopic cholecystectomy (LC) is now the standard procedure for the treatment of symptomatic gallbladder stones. Although laparoscopic cholecystectomy has numerous advantages it has increased risk of injury to common bile duct, duodenum, bowel, iliac vessels, high conversion rate in acute cholecystitis and difficulty in management of simultaneous CBD stones. Ultrasonography is...

100 patients (93 females and 7 males) in ages ranging between 23 and 65 years were subjected to laparoscopic cholecystectomy for biliary colic (92 pts), acute cholecystitis (7 pts) or asymptomatic gallstones (1 pt). none had a history of icterus and in every case choledocholithiasis was excluded by means of serum alkaline phosphatase assessment and sonography (in addition to ercp in 3 pts). 3 o...

BACKGROUND Widespread adoption of minimal access techniques forced a generation of abdominal surgeons to re-learn many standard abdominal procedures. This threatened to reduce the pool of suitable "training" operations for surgical residents. METHODS Operator grade, duration of operation, acute/elective operation, conversion rate, complications, and postoperative stay were recorded prospectiv...

INTRODUCTION Laparoscopic cholecystectomy has become the gold standard for the surgical treatment of gallbladder disease. Severe inflammation makes laparoscopic dissection technically more demanding in acute cholecystitis. Conversion to open cholecystectomy due to adverse conditions is still required in some patients. AIM To evaluate predictive risk factors associated with conversion to open ...

background trocar site, incisional hernia is one of the serious complications of laparoscopic surgery. as a result, many surgeons prefer to close the fascia, especially in those sites where a trocar of 10 mm in size or larger has been inserted. on the other hand, suturing the fascia may lead to damage of other tissues, such as the intestines; hence, some surgeons prefer not to close the fascia....

Minimal access surgery began in the early 1980s with the introduction of laparoscopic fallopian tube ligation. The first laparoscopic cholecystectomy was performed 7 years later, and was rapidly embraced as the preferred method for cholecystectomy despite a lack of evidence to support the safety of the new technique. In response to several deaths and complications associated with laparoscopic c...

BACKGROUND Complete absence of a hemidiaphragm or diaphragmatic agenesis in adulthood is rare with only one previous report in the literature. Its significance in relation to performing laparoscopic procedures has not been documented previously. METHODS We report a case of previously undiagnosed diaphragmatic agenesis in adulthood precluding laparoscopic cholecystectomy and comprehensively re...