Gallbladder and gallstone removal, open versus closed laparoscopy, and pneumoperitoneum
| Autor: | Robert J. Fitzgibbons, Bradley S. Litke, Riccardo Annibali |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Insufflation
medicine.medical_specialty Intra operative medicine.medical_treatment Pneumoperitoneum Cholelithiasis Laparotomy medicine Humans Laparoscopy Laparoscopic cholecystectomy Intraoperative Care medicine.diagnostic_test business.industry General surgery Gallbladder General Medicine Gallstones Carbon Dioxide medicine.disease United States Surgery medicine.anatomical_structure Cholecystectomy Laparoscopic business Pneumoperitoneum Artificial |
| Zdroj: | The American Journal of Surgery. 165:497-504 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/s0002-9610(05)80949-3 |
| Popis: | Surgeons need to be aware of the various options available to remove enlarged gallbladders or gallstones lost during laparoscopic cholecystectomy. Every attempt should be made to recover stones that have escaped from a ruptured gallbladder during laparoscopic cholecystectomy, short of converting to laparotomy. Initial access to the peritoneal cavity can be safely accomplished using either a closed or an open technique. Ideally, surgeons should become facile with both procedures. Carbon dioxide (CO2) gas has emerged as the most practical agent for pneumoperitoneum during laparoscopic cholecystectomy. Surgeons should be knowledgeable about the physiologic and pathologic effects of CO2 gas. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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