Controlled traction-a key for safe laparoscopic cholecystectomy

Authors

  • Mallikarjuna Manangi Department of General Surgery, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India
  • Dharini Dharini Department of Plastic and Reconstructive Surgery, Vardhaman Mahaveer Medical College, New Delhi, India
  • Tanvi Sunil Kumar Department of General Surgery, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India
  • Ramya M. Vishweshwara Department of General Surgery, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20210404

Keywords:

Laparoscopic cholecystectomy, Technique, Dissection from liver bed, Safe Cholecystectomy

Abstract

Laparoscopic cholecystectomy (LC) is one of the most common laparoscopic procedures performed. The technique of LC has witnessed numerous modifications according to surgeon’s preferences to improve the ergonomics, surgical ease, safety and outcome. Dissection of the gall bladder from the liver bed is one of the troublesome steps. We aim to describe a unique method which is technically easy to perform and provides excellent exposure as well. A total of 206 patients underwent laparoscopic cholecystectomy at our Institute over a year from January 2017 to 2018. The technique of torquing the gallbladder to dissect it off its bed is surgeon friendly with advantages of instrumentation and visualization.

Author Biographies

Mallikarjuna Manangi, Department of General Surgery, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India

Associate Professor,
Department of General Surgery,
Bangalore Medical College and Research Institute, Bangalore,India

Dharini Dharini, Department of Plastic and Reconstructive Surgery, Vardhaman Mahaveer Medical College, New Delhi, India

Senior Resident,
Department of Plastic and Reconstructive Surgery

Tanvi Sunil Kumar, Department of General Surgery, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India

Resident,
Department of General Surgery

Ramya M. Vishweshwara, Department of General Surgery, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India

Resident,
Department of General Surgery

References

Lityanski GS. Kurt Semm and the fight against skepticism: Endoscopic haemostasis, laparoscopic appendectomy and Semm’s impact on the ‘laparoscopic revolution’ JSLS. 1998;2:309-13.

Littnski GS. Highlights in the History of Laparoscopy. Frankfurt, Germany: Barbara Berneret Verla. 1996:165-8.

NIH Consensus conference. Gallstones and laparoscopic cholecystectomy. JAMA. 1993;269:1018‐24.

Pham TH, Hunter JG. Gall bladder and Biliary System In: Brunicardi FC, Anderson DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB et al editors. Schwartz’s Principles of Surgery. 10th ed. Mc Graw Hill Education. 2015.

Auyong ED, Soper NJ. Cholecystitis and Cholelithiasis in: Zinner MJ, Ashley SW, editors. Maingot’s Abdominal Operations. 12th ed. Mc Graw Hill Medical. 2013.

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Published

2021-01-29