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Helic, Bakir, Larisa Helic, and Hajrudin Osmic. "Reasons for laparosopic cholecystectomy conversion in a small general hospital." South-East European Endo-Surgery Journal 2, no. 2 (2024): 169–75. http://dx.doi.org/10.55791/9g5bqk64.

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Background: Laparoscopic cholecystectomy is one of the most common procedures in abdominal surgery. This procedure is the gold standard for the treatment of symptomatic cholelithiasis and acute cholecystitis. However, thedifficulty and possibility of safely performing laparoscopic cholecystectomy vary considerably due to the variety of local findings and the course of the procedure. If it is not possible to complete the procedure safely by laparoscopy, due to intraoperative complications or to avoid the occurrence of complications, it is necessary to convert laparoscopic cholecystectomy to ope
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Mohammad Osama, Sarfaraz Khan, and Nawazish Ali. "Laparoscopic surgery; Stepping into a clip-less cholecystectomy era." Journal of the Pakistan Medical Association 75, no. 07 (2025): 1175–76. https://doi.org/10.47391/jpma.22656.

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Dear Editor, The introduction of laparoscopy to the surgical art is not new. Over the past few decades, operative laparoscopy has experienced remarkable advancements, enabling numerous complex procedures to be performed through this minimally invasive approach. Following its initial challenges, laparoscopic surgery has matured, evolving into a phase of gradual refinement, making it challenging to predict its future trajectory and long-term outcomes. However, in a resource limited country like Pakistan, the full implementation and acceptance of this new surgical technique comparable to the conv
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Ahmad, F., RN Saunders, GM Lloyd, DM Lloyd, and GSM Robertson. "An Algorithm for the Management of Bile Leak Following Laparoscopic Cholecystectomy." Annals of The Royal College of Surgeons of England 89, no. 1 (2007): 51–56. http://dx.doi.org/10.1308/003588407x160864.

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INTRODUCTION The management of bile leaks following laparoscopic cholecystectomy has evolved with increased experience of ERCP and laparoscopy. The purpose of this study was to determine the impact of a minimally invasive management protocol. PATIENTS AND METHODS Twenty-four patients with a bile leak following laparoscopic cholecystectomy were recorded consecutively between 1993 and 2003. Between 1993–1998, 10 patients were managed on a case-by-case basis. Between 1998–2003, 14 patients were managed according to a minimally invasive protocol utilising ERC/biliary stenting and re-laparoscopy if
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Alamiri, Majeed H., and Muthanna K. Adwan. "Relation between Gallbladder Wall Thickness, Assessed by Sonography, and Difficulties in Laparoscopic Cholecystectomy." Journal of the Faculty of Medicine Baghdad 57, no. 2 (2015): 114–18. http://dx.doi.org/10.32007/jfacmedbagdad.572337.

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Background: Laparoscopic cholecystectomy is the standard treatment for symptomatic gallbladder disease. Preoperative prediction of a difficult laparoscopic cholecystectomy can help the surgeon to prepare better for intraoperative risk and the risk of conversion to open cholecystectomy.Objectives: Evaluation of the influence of gallbladder wall thickness, assessed by sonography preoperatively, on the outcome of laparoscopic cholecystectomy and to evaluate any intra- or postoperative complications in relation to them.Patients and Methods: This prospective clinical trial conducted in Department o
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CASTRO, Paula Marcela Vilela, Denise AKERMAN, Carolina Brito MUNHOZ, Iara do SACRAMENTO, Mônica MAZZURANA, and Guines Antunes Alvarez. "Laparoscopic cholecystectomy versus minilaparotomy in cholelithiasis: systematic review and meta-analysis." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 27, no. 2 (2014): 148–53. http://dx.doi.org/10.1590/s0102-67202014000200013.

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INTRODUCTION: A introdução da técnica laparoscópica em 1985 foi um fator importante na colecistectomia por representar técnica menos invasiva, resultado estético melhor e menor risco cirúrgico comparado ao procedimento laparotômico. AIM: To compare laparoscopic and minilaparotomy cholecystectomy in the treatment of cholelithiasis. METHODS: A systematic review of randomized clinical trials, which included studies from four databases (Medline, Embase, Cochrane and Lilacs) was performed. The keywords used were "Cholecystectomy", "Cholecystectomy, Laparoscopic" and "Laparotomy". The methodological
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Umman, Philip, Clyde R. Menezes, Ashish Bosco, and Nandakumar Menon. "An ergonomic modification of the American position for laparoscopic cholecystectomy in a rural setting." International Surgery Journal 6, no. 8 (2019): 2982. http://dx.doi.org/10.18203/2349-2902.isj20193354.

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Laparoscopic cholecystectomy (LC) is the gold standard for the treatment of symptomatic gallstone disease. As a result of the significant investments in setting up a laparoscopy unit and training nursing staff in laparoscopic techniques, the cost of laparoscopic surgery is higher. However, the urban poor and rural population of India stand to benefit most from laparoscopy, owing to the shorter recovery times and reduced post-operative pain. The American and French positions have been described for laparoscopic cholecystectomy. Studies on ergonomics in laparoscopy deal mainly with issues relate
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Fitzgibbons, Robert J., Stephen Schmid, Robert Santoscoy, et al. "Open Laparoscopy for Laparoscopic Cholecystectomy." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 1, no. 4 (1991): 216???222. http://dx.doi.org/10.1097/00129689-199112000-00002.

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Putri, Dilla, Santoso Jaeri, Agung Aji Prasetyo, and Sigit Adi Prasetyo. "The Difference of Length of Stay, Surgical Site Infection, Post Surgical Pain, and Bile Leak in Laparoscopic Cholecystectomy and Open Cholecystectomy." DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) 10, no. 2 (2021): 112–17. http://dx.doi.org/10.14710/dmj.v10i2.29402.

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Background: The incidence of cholesistolithiasis is increased due to the changes of diet to the western diet. The cholecystectomy is one of the treatments for cholecystolithiasis. It can be divided into laparoscopic cholecystectomy and laparotomy cholecystectomi. The previous study demonstrated that the laparoscopic cholecystectomy was better than laparotomy cholecystectomy for postoperative length of stay, surgical site infection, postoperative pain, and bile leak in cholecystolithiasis, but there is no official data and research yet in Indonesia Objective: To determine the difference of post
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Ghimire, Roshan, Dhiresh Maharjan, and Prabin Thapa. "Early Re- Laparoscopy in Suspected Bile Duct Injuries after Laparoscopic Cholecystectomy." Birat Journal of Health Sciences 6, no. 1 (2021): 1396–400. http://dx.doi.org/10.3126/bjhs.v6i1.37645.

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Introduction: Management of patients with suspected bile leak or bile duct injury after laparoscopic cholecystectomy is challenging. Early laparoscopy in these groups of patients will benefit in terms of diagnostic as well therapeutic purpose.
 Objective: This study is done to assess utility of early re-laparoscopy in suspected bile duct injury in early postoperative period following laparoscopic cholecystectomy.
 Methodology: It is a descriptive study of all consecutive patients who underwent diagnostic as well therapeutic re-laparoscopy when required in suspected bile duct injury i
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Musina, Yulia Sergeevna, Olga Borisovna Nuzova, Natalia Ivanovna Kolosova, and Ilya Iosifovich Kagan. "THE USE OF MATHEMATICAL MODELING TO DETERMINE THE ANGLE OF SPATIAL ORIENTATION OF THE VIEWING LAPAROSCOPY DURING CHOLECYSTECTOMY." Journal of Experimental and Clinical Surgery 11, no. 4 (2018): 237–41. http://dx.doi.org/10.18499/2070-478x-2018-11-4-237-241.

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Relevance. Treatment of patients with calculous cholecystitis is an important task of modern surgery. Laparoscopic cholecystectomy become the "gold standard" for the treatment of cholelithiasis. The safety of laparoscopic cholecystectomy can be ensured by rational approach to the placement of laparaports.
 The aim of the study is to improve the results of laparoscopic cholecystectomy on the basis of determining the optimal angle of spatial orientation of the viewing laparoscope during cholecystectomy with the help of mathematical modeling.
 Materials and methods. Clinical studies wer
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11

Penninckx, F., R. Aerts, R. Kerremans, and P. R. Koninckx. "Laparoscopic Cholecystectomy: Some Advantages or Just an Artifice of New Technology?" HPB Surgery 3, no. 4 (1991): 291–95. http://dx.doi.org/10.1155/1991/67569.

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Twelve selected patients undergoing cholecystectomy were operated in a prospective randomised study by laparoscopy (CO2 laser) or by classic surgery. Our preliminary results suggest that laparoscopic cholecystectomy is of clinical benefit as compared to classic cholecystectomy since it reduces the surgical trauma, limiting weight loss and shortening the hospital stay.
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Balbaloglu, H., and I. Tasdoven. "Can Gallbladder Wall Thickness and Systemic Inflammatory Index Values Predict the Possibility of Conversion from Laparoscopy to Open Surgery?" Nigerian Journal of Clinical Practice 26, no. 10 (2023): 1532–37. http://dx.doi.org/10.4103/njcp.njcp_216_23.

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ABSTRACT Background/Objective: This study aims to develop an objective marker that predicts the risk of conversion from laparoscopy to open surgery using gallbladder wall thickness and inflammatory index values. Materials and Methods: A total of 2,920 cholecystectomy patients were screened, including those whose operations were converted to open and those who underwent laparoscopy. A total of 700 cholecystectomy patients who met the study criteria were included in the study. The same team of surgeons performed all operations. The conversion probability from laparoscopic to open cholecystectomy
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Emara, Mohamed H., Hassan E. Elbatae, Reda F. Ali, Mohammed H. Ahmed, Mohamed Said Radwan, and Abdulhamid Elhawary. "Laparoscopy-Assisted Endoscopic Retrograde Cholangiopancreatography: New Insight in Management of Iatrogenic Bile Duct Injury." Middle East Journal of Digestive Diseases 14, no. 4 (2022): 473–77. http://dx.doi.org/10.34172/mejdd.2022.309.

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Bile duct injury (BDI) is a severe and sometimes life-threatening complication of cholecystectomy. Several series have described a 0.5% to 0.6% incidence of BDI during laparoscopic cholecystectomy. We received an emergency call from the operating theater by the surgery team to assess an iatrogenic BDI in a 58-year-old man with cirrhosis who presented for laparoscopic cholecystectomy. After many trials by endoscopic retrograde cholangiopancreatography (ERCP) the guide wire passed to the peritoneal cavity and failed to pass proximally. Laparoscopy resumed, and the surgeon tried to pass the flexi
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Mamta, Kumar Vikas, and Uddin Masleh. "A Meta-Analysis Comparing Laparoscopic and Open Cholecystectomy in Elderly Patients." International Journal of Pharmaceutical and Clinical Research 15, no. 11 (2023): 1463–66. https://doi.org/10.5281/zenodo.11238260.

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<strong>Background:</strong>&nbsp;Limited conclusive evidence exists to support routine laparoscopic cholecystectomy in elderly patients. Biases and data limitations affect outcomes like mortality and morbidity. Some studies suggest laparoscopic benefits, but most have methodological flaws. Open surgery remains common for acute biliary disorders in the elderly. Emerging research hints at laparoscopy advantages. Evidence-based approaches must consider age, comorbidities, and gallbladder disease complexity.&nbsp;<strong>Objective:</strong>&nbsp;Assess evidence on routine laparoscopic cholecystec
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Zubaidi, Ahmad Mohmmad. "Single-Port Laparascopic Cholecystectomy: Scarless Cholecystectomy." Minimally Invasive Surgery 2012 (2012): 1–5. http://dx.doi.org/10.1155/2012/204380.

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Objective. Single-incision laparoscopic surgery is a new advanced technology to further minimize the invasiveness of laparoscopy through a single small incision hidden in the umbilicus. The objective is to describe short and long-term outcomes of SILS cholecystectomy.Methodology. Patients with gallbladder pathologies were unselectively enrolled and were prospectively studied between April 2009 and April 2010 and completed a post-operative follow-up for 12 months.Results. There were 22 women and 8 men. Mean age was 46 years. Twenty-one patients had biliary colic, seven had acute cholecystitis,
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Dr., Faraz Ahmed Dr. Fara Ashraf Dr. Saqib Nisar. "CAUSES OF CONVERSION OF LAPROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 12 (2018): 17081–85. https://doi.org/10.5281/zenodo.2528351.

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<strong><em>Objective:</em></strong><em> To evaluate the possible risk factors responsible for the conversion of laparoscopic surgery to open cholecystectomy.</em> <strong><em>Study Design:</em></strong><em> Descriptive case series.</em> <strong><em>Location and Duration:</em></strong><em> In the West Surgical Ward of Mayo Hospital Lahore for one year duration from July 2017 to July 2018. </em> <strong><em>Methodology:</em></strong><em> We retrospectively evaluated the medical records of 305 patients with gallbladder disease. We studied all data of patients treated for inflammatory gallbladder
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Yamakanamardi, Soundarya, Nikhil Naithottu G, and T. Kempraj. "Failure of Laparoscopic Cholecystectomy Preoperative Factors as Predictors." New Indian Journal of surgery 12, no. 4 (2021): 265–69. http://dx.doi.org/10.21088/nijs.0976.4747.12421.11.

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Introduction: Laparoscopic cholecystectomy is the gold standard procedure for gall stone disease. Few cases of acute calculous cholecystitis require conversion to open procedure which can increase the morbidity and financial burden to patient. Hence, through this study we are trying decide regarding the parameters which would help to assess the patient preoperatively and predict the outcome of laparoscopic cholecystectomy. Aims and Objectives: To assess the preoperative parameters to predict conversion of laparoscopic cholecystectomy to open cholecystectomy in patients with acute calculous cho
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Uysal, Erdal, Türkay Kırdak, Pınar Sarkut, Ekrem Kaya, and Nusret Korun. "Is the frequency of simultaneous umbilical hernia repairs in laparoscopic and open cholecystectomy similar?" Journal of Clinical and Investigative Surgery 6, no. 2 (2021): 153–56. http://dx.doi.org/10.25083/2559.5555/6.2.11.

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The aim of this study was to compare the frequency of umbilical hernia repair during open and laparoscopic cholecystectomies. Consecutive patients who underwent laparoscopic and open cholecystectomy between January 1993 and June 2005 were retrospectively reviewed. Among those, cases of patients who underwent simultaneous cholecystectomy and umbilical hernia repair were included in the study, and the distribution of hernia repairs via laparoscopic and open cholecystectomy were investigated. In addition, patients who underwent umbilical hernia repair only during the study period were also screen
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Ayesha, Aezaz Asma Shaheen Muhammad Zubair. "THROUGH JUDGING WALL'S BULKINESS OF GUTS-BLADDER, THE PROPHECY REGARDING HARD LAPAROSCOPIC CHOLECYSTECTOMY: A NON-RANDOMIZED STUDY." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 11 (2018): 11406–10. https://doi.org/10.5281/zenodo.1477659.

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<strong><em>Objective:</em></strong><em> A technical problem of laparoscopic surgery is wall&rsquo;s bulkiness of guts bladder &amp; to verify is it common, transfusion to open cholecystectomy with patient. </em> <strong><em>Methods: </em></strong><em>Carried out forthcoming &amp; comprehensive research at surgical Department in Services hospital Lahore during session October 2016 &ndash; November 2017. We did include 65 patient of laparoscopy surgery. We did ultra-sound of all patients a day before operation &amp; noted the bulkiness of guts bladders (3mm) for analyzing complex operation. We
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Fedorov, I. V., A. N. Chugunov, L. E. Slavin, D. A. Slavin, and V. I. Fedorov. "For the 30th anniversary of laparoscopic cholecystectomy: problems remain." Kazan medical journal 100, no. 3 (2019): 537–41. http://dx.doi.org/10.17816/kmj2019-537.

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The review describes perioperative complications of laparoscopic cholecystectomy. Over the past 30 years, laparoscopy has become the «gold standard» for cholecystectomy and one of the most frequently performed procedures in abdominal surgery. Nevertheless, despite the advantages of the method, it has an «Achilles heel» - the frequency of iatrogenic damage to the extrahepatic bile ducts is 3-5 times higher than with an open cholecystectomy. This complication has a negative effect on the survival of patients after surgery, leads to deterioration in the quality of life and is a major source of le
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Safoyev, Baqodir Barnoyevich Ibodov Ixtiyor Baxtiyorovich. "EFFECTIVENESS MODERN MININVASIVE LAPAROSCOPIC CHOLECYSTECTOMY DURING THE COMPLICATION OF ACUTE CHOLECYSTITIS." ilm-fan 1, no. 25 (2023): 4–5. https://doi.org/10.5281/zenodo.8429716.

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Laparoscopic surgical procedures can today be performed in almost all hospitals and the experiences of surgeons are increasing day by day. Cholecystectomy is especially one of the laparoscopic treatments that many surgical assistants firstly learn and apply. The validity of laparoscopic cholecystectomy (LC) is today indisputable in symptomatic gallbladder stones, other benign gallbladder diseases and early stage malignancy according to certain authors.[1&ndash;3] It is already the most common and widely applied laparoscopic intervention today.Acute cholecystitis is an inflammatory disease that
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Sundbom, M., and J. Hedberg. "Use of Laparoscopy in Gastrointestinal Surgery in Sweden 1998–2014: A Nationwide Study." Scandinavian Journal of Surgery 106, no. 1 (2016): 34–39. http://dx.doi.org/10.1177/1457496916630645.

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Background and Aims: One by one, minimally invasive alternatives to established gastrointestinal procedures have become clinical routine. We have studied the use of laparoscopy in four common procedures—cholecystectomy, appendectomy, reflux surgery, and bariatric surgery—as well as in major resectional gastrointestinal surgery in Sweden. Materials and Methods: The National Patient Registry was used to identify all in-hospital procedures performed in patients above the age of 15 during 1998–2014, meeting our inclusion criteria. For each group, the annual number of procedures and proportion of l
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Supe, Avinash. "Asymptomatic gall stones – revisited." Tropical Gastroenterology 32, no. 3 (2011): 196–203. https://doi.org/10.4103/trog_20113203_196.

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India has a large burden of individuals harboring asymptomatic gallstones. Based on Markov model decision and cost analysis, selective and concomitant cholecystectomy is recommended for special indications like hemolytic disorders and stones in endemic areas. Expectant management should be adopted in all others. The evolution of laparoscopy should not alter the indications of cholecystectomy. Since more than 90% patients with asymptomatic gallstones remain clinically “silent”, routine laparoscopic cholecystectomy is not indicated for the vast majority of subjects with asymptomatic cholelithias
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Ullah, A. K. M. Ahsan, Saad Mohammed, Alamgir Haider, Mostafa Mamoon Warid, and Samia Mostari. "Migration of Metallic Clip in to the Common Bile Duct after Laparoscopic Cholecystectomy – A Case Report." Scholars Journal of Applied Medical Sciences 11, no. 02 (2023): 362–65. http://dx.doi.org/10.36347/sjams.2023.v11i02.014.

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Cholecystectomy is now-a-days done mostly by laparoscopy rather than open procedure. Post- cholecystectomy complications are not uncommon but somewhat it seems post laparoscopic cholecystectomy complications are not fewer in comparison to open. Among various complications, post-cholecystectomy clip migration is one of the rare ones. It can happen anytime but mostly occurring around 2 years of operation. Clinical presentation varies, as described in literatures but mostly presents with choledocholithiasis. Here we present such a case in a 25-year-old lady who was a bit challenging due to unusua
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Khowaja, Sehar, Hamza Fawad, Muhammad Ali Qureshi, Muhammad Rashid, Javaid Sajjad Hashmi, and Aziz Ullah. "Anatomical Changes after Gall Bladder Surgery in Patients Come in Tertiary Care Hospital a Clinical Study for Awareness of Disease in our Population." Pakistan Journal of Medical and Health Sciences 16, no. 4 (2022): 646–47. http://dx.doi.org/10.53350/pjmhs22164646.

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The aims and objectives of this study were to find out the anatomical changes among patients after gall bladder surgery and to provide awareness of disease in our population. Laparoscopic cholecystectomy is a safe and effective treatment option for gallstone disease that can be performed at tertiary care hospital with minimal morbidity. The findings of current study described that a significant(p&lt;0.05) changes in mean standard deviation of BMI, Systolic BP, diastolic BP and serum levels of cholesterol, triglyceride, LDL and HDL after six months of cholecystectomy in both male and female wer
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Bouchagier, Konstantinos, Evangelos Solakis, Serafeim Klimopoulos, Theano Demesticha, Dimitrios Filippou, and Panagiotis Skandalakis. "A Rare Case of Iatrogenic Diaphragm Defect following Laparoscopic Cholecystectomy Presented as Acute Respiratory Distress Syndrome." Case Reports in Surgery 2018 (2018): 1–3. http://dx.doi.org/10.1155/2018/4165842.

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Laparoscopic cholecystectomy is considered as the gold standard in the treatment of gallbladder disease. Laparoscopy presents significant advantages including decreased hospital stay, better aesthetic results, faster rehabilitation, less pain, reduced cost, and increased patient satisfaction. The complications’ prevalence is low; however, the overall serious complication rate seems to be higher compared to open cholecystectomy, despite the increasing experience. Diaphragmatic injury following laparoscopic cholecystectomy is an extremely rare complication, and a high index of clinical suspicion
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Dra, Sumia. "CONVERSION OF LAPAROSCOPIC TO OPEN CHOLECYSTECTOMY." Libyan Journal of Medical Research 18, no. 1 (2024): 228–33. http://dx.doi.org/10.54361/ljmr18-1.23.

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Background: Globally, gallstone disease (GS) is a significant health issue, especially for adults although cholecystitis is common, there is an evidence of variance in its diagnosis and course of therapy, including surgery. In place of open cholecystectomy, laparoscopic cholecystectomy is now the preferred course of treatment for symptomatic cholelithiasis. In situations where laparoscopic cholecystectomy is dangerous; a surgeon may be forced to change from laparoscopy to an open procedure. The aim of the study was to clarify the benefits and role of minimally invasive surgery in comparison to
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Begum, Mst Mamtaz, Mohammad Farid Hossain, and Agatha Prianka Rozario. "Surgical Outcomes of Needlescopic Cholecystectomy Versus Laparoscopic Cholecystectomy- A Comparative Study in A Specialized Hospital in Bangladesh." SAS Journal of Surgery 10, no. 02 (2024): 178–83. http://dx.doi.org/10.36347/sasjs.2024.v10i02.010.

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Background: Needlescopic cholecystectomy (NSC) and laparoscopic cholecystectomy (LC) are both minimally invasive surgical techniques used for the removal of the gallbladder in patients with gallbladder disease, primarily gallstones. The comparison of surgical outcomes between needlescopic cholecystectomy (NSC) and laparoscopic cholecystectomy (LC) has been a subject of interest among surgeons and researchers. Aim of the study: The aim of the study was to compare the surgical outcomes of needlescopic cholecystectomy versus laparoscopic cholecystectomy. Methods: This was a prospective observatio
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Nagula, Sunil, Dilip Sudhati, Yugal D. Jain, and Ravi V. Patel. "Subtotal Cholecystectomy in Preventing Major Complications in Difficult Cholecystectomy Cases: A Comprehensive Single Center Study." Medical Journal of Dr. D.Y. Patil Vidyapeeth 17, no. 2 (2023): 392–96. http://dx.doi.org/10.4103/mjdrdypu.mjdrdypu_811_22.

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ABSTRACT Background: Cholecystectomy is a commonly performed laparoscopic surgery but because of variability in anatomy, surrounding inflammation and fibrosis because of recurrent attacks of cholecystitis, can be a potentially difficult surgery. Laparoscopic total cholecystectomy in difficult gall bladder cases sometimes can cause severe complications. Laparoscopic subtotal cholecystectomy can be a bridge and a safe and feasible option between open subtotal cholecystectomy and laparoscopic cholecystectomy. Aim: To study indications, morbidity and clinical outcomes in patients undergoing subtot
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Hajrah Hilal Ahmed, Muhammad Jamaluddin, and Wajeeha Khalid. "An Uncommon and a Rare Presentation of Acute Appendicitis with Calculus Cholecystitis in a 12-Year-Old Girl: A Case Report." ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE 24, no. 3 (2019): 265–68. http://dx.doi.org/10.58397/ashkmdc.v24i3.13.

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Acute appendicitis is very common general surgical emergency in teenagers while cholecystitis is common in middle-aged females but cholecystitis at the age of twelve year is very rare and along with acute appendicitis is even rarer. We describe a case of 12-year-old female who came to the outpa- tient department of Abbasi Shaheed Hospital with the complain of on and off pain in the right iliac fossa for the last one year. Abdominal examination was positive for rebound tenderness in right iliac fossa at the McBurney's point. Computed Tomography scan of whole abdomen showed gallstones with norma
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Drahman, Aizat, Kaushi Arulpragasam, Lilach Leibenson, and Frank Sardelic. "A Case of Gallstones Causing Pelvic Pain." Case Reports in Surgery 2021 (July 19, 2021): 1–3. http://dx.doi.org/10.1155/2021/5553994.

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Introduction. Assessing abdominal pain, particularly in women of reproductive age, requires thorough history taking, clinical examination, and investigations to obtain an accurate diagnosis. Both surgical and gynecological causes need to be considered, particularly previous relevant surgical history. Presentation of case. We report a case of pelvic pain secondary to multiple gallstones found within the pelvic cavity postlaparoscopic cholecystectomy. Thorough investigations have been conducted without any obvious cause found. The pain was debilitating and largely affecting the patient’s quality
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D. San Martín, Pablo. "Surgical technique: "initial experience in videolaparoscopic percutaneous hybrid cholecystectomy (vphch)"." Journal of Clinical Surgery and Research 5, no. 5 (2024): 01–05. https://doi.org/10.31579/2768-2757/125.

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Introduction. Since the first laparoscopic cholecystectomy, less and less invasive techniques have been developed. Currently, it is possible to introduce multiple instruments into the abdominal cavity, with smaller and smaller diameters, and Hybrid Percutaneous Videolaparoscopic Cholecystectomy, a mini-laparoscopic technique, results in less visible scars. Material and methods. A technical modification of laparoscopic cholecystectomy using percutaneous accesses with trocars, needles for the assembly of laparoscopic instruments in association with traditional instruments is described. Results A
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Faris, Adnan Mohammed Baawad Ahmed Hamdan A. Alqarni Abdulrahman Abdullah Alzahrani Atif Abdullah Fayez Alasmari Abdullah Saleh Alsuhaibani Aminah Hussain AlAli Abrar Fahad Alotaibi Ali Ahmed Jumah Sara Saleh Basha Aseel Hummam Attar. "SURGICAL APPROACHES TO GALLBLADDER DISEASES; A SYSTEMATIC REVIEW OF RECENT LITERATURE." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 11 (2018): 11430–36. https://doi.org/10.5281/zenodo.1477766.

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<strong><em>Introduction:</em></strong><em>One of the major, most common health issues in the United States, Europe, and around the world is gallbladder disease. About 6.3 million and 14.2 million, men and women, respectively, suffer from a gallbladder disease in the United States alone. Most patients who have gallstones stay asymptomatic for a long time. However, it is still important to address their disease, and prevent it from turning into a symptomatic disease.</em> <strong><em>Aim of work:</em></strong><em>We will discuss the most recent approaches to gallstone disease treatment, and we
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Zaiets, S. M., M. O. Dudchenko, and D. M. Ivashchenko. "LAPAROLIFTING IN PERFORMING LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH COVID-19." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 21, no. 4 (2021): 28–32. http://dx.doi.org/10.31718/2077-1096.21.4.28.

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Starting in March 2020, when doctors faced the onset of the coronavirus disease (SARS-CoV-2) pandemic, the surgical service faced new challenges: the growth in abdominal emergencies and the presence of the COVID-19 as a concomitant disease. Respiratory infection requires finding ways to improve the performance of surgical laparoscopic interventions, since all patients have respiratory disorders. One method that can help is laparolifting or "gasless laparoscopy." The aim of the study was to investigate the efficacy and safety of the gasless laparoscopy (laparolifting) method for endoscopic chol
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BEHZAD, HEMMATPOOR, MAHVAR TAYEBEH, MAKHSOSI BEHNAM REZA, and Saeb Morteza. "LAPAROSCOPIC CHOLECYSTECTOMY;." Professional Medical Journal 20, no. 05 (2013): 699–706. http://dx.doi.org/10.29309/tpmj/2013.20.05.1513.

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Background: shoulder pain after laparoscopic procedure is a frequent complication encountered in surgery ward. Severaltreatments have been proposed to reduce it. This study aimed to evaluate the efficacy of preoperative administration of gabapentin inpreventing and attenuating Post Laparoscpoic Shoulder Pain (PLSP) after laparoscopic cholecystectomy. Design: In a randomised,double blinded placebo controlled study. Setting: Woman's Hospital, Kermanshah University of Medical Sciences. Period: April 2011 toMarch 2012. Material and methods: 90 patients of ASA physical status I-II undergoing electi
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Elnabi, Mahmoud H., Ramy A. Hassan, Hamada F. A. Soliman, and Moamen S. Abdelgawaad. "Laparoscopic completion cholecystectomy for patients with residual gallstone disease: a single-center experience." Egyptian Journal of Surgery 42, no. 3 (2023): 635–41. http://dx.doi.org/10.4103/ejs.ejs_123_23.

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Background The incidence of residual gallbladder after cholecystectomy procedures may reach 2.5%. That remnant part of the gallbladder may harbor or develop stones, leading to recurrent symptoms. Surgical excision is recommended in such patients. Herein, we describe our experience regarding laparoscopic management of patients with residual gallbladder or cystic duct stump stones. Patients and methods We retrospectively reviewed the data of 24 patients with previous diagnosis, who were managed by laparoscopy in our tertiary-care setting. Relevant preoperative, intraoperative, and postoperative
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Diez, J., R. Delbene, and A. Ferreres. "The Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Abdominal Surgery." HPB Surgery 10, no. 6 (1998): 353–56. http://dx.doi.org/10.1155/1998/35456.

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A retrospective study was carried in 1500 patients submitted to elective laparoscopic cholecystectomy to ascertain its feasibility in patients with previous abdominal surgery. In 411 patients (27.4%) previous infraumbilical intraperitoneal surgery had been performed, and 106 of them (7.06%) had 2 or more operations. Twenty five patients (1.66%) had previous supraumbilical intraperitoneal operations (colonic resection, hydatid liver cysts, gastrectomies, etc.) One of them had been operated 3 times. In this group of 25 patients the first trocar and pneumoperitoneum were performed by open laparos
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Mondal, Samiron Kumar, and Sharmistha Roy. "Bilioenteric Fistula - Not any more a contraindication for Laparoscopic Cholecystectomy." Bangladesh Critical Care Journal 3, no. 1 (2015): 7–8. http://dx.doi.org/10.3329/bccj.v3i1.24094.

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Background: Bilioenteric fistulas include cholecystoduodenal fistula, cholecystocolic fistula, and cholecystogastric fistula. They are known but rare complication of cholecystitis. Previously presence of any cholecystoenteric fistula was an indication to convert laparoscopic cholecystectomy to open operation1. But with time and experience new techniques, new technology and expertise has developed in the laparoscopic field and now the scenario is changed. This is our experience in a tertiary care diabetic hospital where we encountered 21 cases of cholecystoenteric fistula during laparoscopic ch
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Paw, Patrick, and Jonathan M. Sackier. "Complications of Laparoscopy and Thoracoscopy." Journal of Intensive Care Medicine 9, no. 6 (1994): 290–304. http://dx.doi.org/10.1177/088506669400900604.

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Laparoscopy was first performed at the turn of the century, but it was not until the introduction of laparoscopic cholecystectomy that the procedure became widely adopted by general surgeons. Since then, traditional open procedures, including cholecystectomy, exploratory laparotomy, colectomy, hernia repair, and appendectomy, are being widely performed laparoscopically. The advantages of laparoscopic surgery, including less postoperative pain due to smaller surgical incisions, shorter hospital stay, quicker return to preoperative activity, and superior cosmesis, resulted in widespread populari
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Gelbard, Rondi, Desmond Khor, Kenji Inaba, et al. "Role of Laparoscopic Surgery in the Current Management of Mirizzi Syndrome." American Surgeon 84, no. 5 (2018): 667–71. http://dx.doi.org/10.1177/000313481808400517.

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Mirizzi syndrome (MS) is an uncommon complication of cholelithiasis caused by extrinsic biliary compression by stones in the gallbladder infundibulum or cystic duct. The purpose of this study was to evaluate the outcomes associated with a laparoscopic approach to this disease process. This is a 10-year, retrospective study conducted at two academic medical centers with established acute care surgery practices. Patients with a diagnosis of MS confirmed intraoperatively were included. Eighty-eight patients with MS were identified with 55 (62.5%) being type 1. Twenty six (29.5%) patients, all typ
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Khan, Aurangzeb, Zulfiqar Ali Shar, Munawer Latif Memon,, Abdul Rasheed Zai, and Sadaf Chandio. "Comparison of Clipped Laparoscopic Cholecystectomy and Clipless Laparoscopic Cholecystectomy in Context of Biliary Leakage." Pakistan Journal of Medical and Health Sciences 17, no. 1 (2023): 263–65. http://dx.doi.org/10.53350/pjmhs2023171263.

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Objective: To compare the outcome of clipped laparoscopic cholecystectomy and clipless laparoscopic cholecystectomy in context of biliary leakage. Study Design: Cross-sectional analytical study Place and Duration of Study: Department of Surgery Unit-II, Benazir Bhutto Hospital Rawalpindi from 1st September 2021 to 31st August 2022. Methodology: One hundred and twenty patients were included in the study and divided into two major groups. The biochemical analysis and ultrasonography was performed post 8 hours fasting. Group one had those cases which underwent clipped laparoscopic cholecystectomy
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Pokharel, Nabin, Prakash Sapkota, Binay Khatri Chhetri, Rajan Shakhya, and Sunil Thapa. "Experience of Laparoscopic Cholecystectomy at Lumbini Medical College Teaching Hospital." Journal of Lumbini Medical College 1, no. 1 (2013): 25. http://dx.doi.org/10.22502/jlmc.v1i1.8.

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&#x0D; Introduction: The difficult gallbladder is the most common difficult laparoscopy being performed by generalsurgeons all over the world and the potential one that places the patient at significant risk. The present study aimed to study all the cases of laparoscopic cholecystectomy conducted in current setup at Lumbini Medical College and Teaching Hospital, to compare the results with the published literature and also analyze the complications and ways to decrease the incidence of conversion to open procedure.&#x0D; &#x0D; Methods: Five hundred twenty five patients age 10-90 years, male:f
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Modher Khalaf, Ahmed, Hazim Jabbar Kashtal, and Amir Hinbis Masawod. "Three Ports Versus Four Ports Laporoscopic Cholecystectomy." Diyala Journal of Medicine 20, no. 1 (2021): 17–21. http://dx.doi.org/10.26505/djm.20015610915.

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Background: A four trocar laparoscopic cholecystectomy become the standard procedure since the first laparoscopic procedure was reported. But laparoscopic cholecystectomy has gained many steps such as reduction in port number and size. Objective: To compare Clinical results from three ports versus the traditional four ports in laparoscopic cholecystectomy. Patients and Methods: A prospective randomized clinical trial of 100 patients was done on those who were admitted for elective laparoscopic cholecystectomy in Baquba teaching hospital, between April 2014 and March 2015, patients were classif
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Dhiman, A., B. Ram, A. K. Gupta, J. Gupta, and S. Kumari. "Complications and Duration of Hospital in Patients with Cholelithiasis and Choledocholithiasis: A Longitudinal Descriptive Study." Himalayan Journal of Medicine and Surgery 02, no. 02 (2021): 1–4. https://doi.org/10.47310/hjms.2021.v02i02.011.

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Introduction: Generally, in well-equipped centres of the world, ERCP followed by laparoscopic cholecystectomy is recommended as a safe and cost-effective procedure. However, various centres advocate laparoscopic cholecystectomy with common bile duct (CBD) exploration or a Rendezvous technique where endoscopy and laparoscopy are performed simultaneously. They both have a similar efficacy profile with the added benefit of saving time. Material and Methods: This longitudinal descriptive study was carried out from 1-August-2018 to 31-July-2019. Detailed history was taken, thorough clinical examina
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Rakan, Alqahtani, Ghnnam Wagih, Alqahtani Mohammad, Qatomah Abdulrahman, AlKhathami Awdah, and Alhashim Adel. "ROLE OF MALE GENDER IN LAPAROSCOPIC CHOLECYSTECTOMY OUTCOME." International Journal of Surgery and Medicine 1, no. 2 (2015): 38–42. https://doi.org/10.5455/ijsm.20150903081650.

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Laparoscopic cholecystectomy (LC) is one of the most commonly performed laparoscopic procedures. Problems occurring during laparoscopic cholecystectomy include bile duct injury, conversion to open operation, and other postoperative complications. Male gender is a risk factor for LC conversion rate.Our goal is to determine the effect of male gender on the outcome of laparoscopic cholecystectomy for Chronic Cholecystitis. We have done that through a retrospective clinical trial was carried out at our Hospital to evaluate the sex difference as predictor for difficult laparoscopic cholecystectomy.
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Dongare, Dhanashree, Girish S. aundattikar, and Payal Gupta. "Comparison of ventilation with and without positive end expiratory pressure during anesthesia for laparoscopic surgeries." Indian Journal of Clinical Anaesthesia 8, no. 1 (2021): 45–48. http://dx.doi.org/10.18231/j.ijca.2021.009.

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Respiratory dynamics are significantly altered during laparoscopic surgeries. Anesthesiologists should be well versed with the benefits as well as limitations of positive end expiratory pressure (PEEP) during laparoscopy. They can then judiciously use the same in different patient populations. In this study we have compared the effects of ventilation with and without PEEP of 10 cm on blood gases, airway pressures and hemodynamic parameters during laparoscopy. 60 patients, from American Society of Anesthesiologists (ASA) physical status I and II, in the age group of 18 to 60, posted for laparos
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CONDE, Lauro Massaud, Pedro Monnerat TAVARES, Jorge Luiz Delduque QUINTES, Ronny Queiroz CHERMONT, and Mario Castro Alvarez PEREZ. "Laparoscopic management of cholecystocolic fistula." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 27, no. 4 (2014): 285–87. http://dx.doi.org/10.1590/s0102-67202014000400013.

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INTRODUCTION: Cholecystocolic fistula is a rare complication of gallbladder disease. Its clinical presentation is variable and nonspecific, and the diagnosis is made, mostly, incidentally during intraoperative maneuver. Cholecystectomy with closure of the fistula is considered the treatment of choice for the condition, with an increasingly reproducible tendency to the use of laparoscopy. AIM: To describe the laparoscopic approach for cholecystocolic fistula and ratify its feasibility even with the unavailability of more specific instruments. TECHNIQUE: After dissection of the communication and
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Trindade, Felipe Andrade de Lima, Abiel Reyfe da Silva Canuto, Antônio Cavalcante da Trindade, et al. "Innovations that robotic surgery has brought in cholecystectomy surgery: An integrative review." International Journal of Advanced Engineering Research and Science 9, no. 10 (2022): 463–72. http://dx.doi.org/10.22161/ijaers.910.51.

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The objective of this writing is to clarify the changes that robotic cholecystectomy brought to the patient and its repercussions when compared to conventional laparoscopy. The present study is an integrative literature review that seeks to describe the innovations that this surgery brought to cholecystectomy, performing a search in the Virtual Health Library and PubMED based on the guiding question: "Are there benefits of robotic surgery over the laparoscopic technique in patients undergoing cholecystectomy?", with the descriptors "Robotic Surgical Procedure", Cholecystectomy and Outcomes Stu
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LIMA, GERALDO JOSÉ DE SOUZA, RODRIGO FABIANO GUEDES LEITE, GUSTAVO MUNAYER ABRAS, LIVIO JOSÉ SURETTI PIRES, and EDUARDO GODOY CASTRO. "Minilaparoscopy-assisted transumbilical laparoscopic cholecystectomy." Revista do Colégio Brasileiro de Cirurgiões 43, no. 3 (2016): 209–13. http://dx.doi.org/10.1590/0100-69912016003008.

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ABSTRACT The role of laparoscopy in the modern surgery era is well established. With the prospect of being able to improve the already privileged current situation, new alternatives have been proposed, such as natural orifice endoscopic surgery (NOTES), the method for single transumbilical access (LESS - Laparo-endoscopic single-site surgery) and minilaparoscopy (MINI). The technique proposed by the authors uses a laparoscope with an operative channel like the flexible endoscope used in NOTES. All operative times are carried out through the umbilical trocar as in LESS, and assisted by a minila
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Nicolau, Alexandru Eugen. "The Emergency Hospital Bucharest to the Forefront of the Emergency Laparoscopic Surgery Development." Jurnalul de Chirurgie 17, no. 2 (2021): 99–106. http://dx.doi.org/10.7438/jsurg.2021.02.03.

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The use of laparoscopy in traumatic and non-traumatic abdominal surgical emergencies is unanimously accepted due to the well-known advantages of minimally invasive surgery. In the period 1961-1966 in the Clinical Emergency Hospital of Bucharest (CEHB) the first diagnostic laparoscopes were performed in the acute surgical abdomen, respectively in the obstructive jaundice by dr. Gh.Popovici, respectively dr.C.Petrescu.In the modern era, the first laparoscopic cholecystectomy was performed in 4 dec. 1993 by A.E.N.In 1994 the first laparoscopic appendectomies, gynecological emergencies, exploratio
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