Download Laparoscopic Cholecystectomy: An Evidence-Based Guide by Ferdinando Agresta, Fabio Cesare Campanile, Nereo Vettoretto PDF

By Ferdinando Agresta, Fabio Cesare Campanile, Nereo Vettoretto

This publication, written via specialist surgeons, deals a complete and updated review of all elements of laparoscopic cholecystectomy. assurance contains the indicators for surgical procedure, anesthesia, surgical strategy, and the prevention and administration of problems, with broad connection with the newest medical proof and evaluation of the advantages of the laparoscopic procedure, for instance by way of results and day surgical procedure. New applied sciences, together with SILS, NOTES, robot surgical procedure, and miniaturized tools, are reviewed. the educational curve and coaching also are widely mentioned, and anyone bankruptcy is dedicated to the perspectives of overseas specialists within the box. Readers will locate the e-book to be an amazing advisor to this ideal process, which keeps to conform a few twenty years after the nationwide Institutes of wellbeing and fitness Consensus convention first released thoughts concerning symptoms for laparoscopic cholecystectomy.

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Additional resources for Laparoscopic Cholecystectomy: An Evidence-Based Guide

Example text

Conclusions The questions related to the surgical technique for laparoscopic cholecystectomy have been systematically studied only occasionally. However, some evidences about the different choices are available, and we should take them into consideration in our clinical practice. Although laparoscopic cholecystectomy is considered a straightforward “bread and butter” surgical operation, it can be a real challenge in several common instances. The full knowledge of the available operative strategies, their proven benefits and possible downsides, can be extremely advantageous.

A recent review by Hussain [65] [LoE4] (2011) stated that the triad of obesity, acute cholecystitis, and previous upper abdominal surgery leads to higher morbidity, a longer operating time, and a higher conversion rate (only obesity independently predicted higher conversion to open cholecystectomy in patients with acute cholecystitis) which was also stated by former studies [59, 60] [LoE4]. In conclusion, comparative data (LC in obese vs. nonobese) demonstrate that obesity per se does not increase conversion rates, mortality, and perioperative complication rates.

Generalized peritonitis 2. Septic shock from cholangitis 3. Severe acute pancreatitis 4. Cirrhosis with portal hypertension 5. Severe coagulopathy that is noncorrected 6. 10 Conclusion The diffuse ultrasound examination for various abdominal diseases increased in the last decades the diagnosis of asymptomatic gallbladder diseases. 3 to 3 % per year. Given the low incidence of symptoms development and complication rate per year in nontreated patients, prophylactic laparoscopic cholecystectomy is currently not recommended as standard treatment.

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