Laparoscopic lumen-guided cholecystectomy in face of the difficult gallbladder

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SUMMARY

    Subtotal cholecystectomy does not guarantee cystic duct control and leaves a gallbladder remnant, risking bile leak, retained stones and the need for post-operative endoscopic retrograde cholangiopancreatography (ERCP). Fundus-first University of Dundee Medical School, Dundee, Scotland approach reportedly has a high rate of ductal injury and of course conversion-to-open is associated with the risks of open surgery and prolonged post-operative recovery. The operations were performed by six Upper GI and HPB surgical consultants across a defined geographical region with a population of approximately 400,000 people. LLC vs. non‑LLC . . .

     

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