Safe Laparoscopic Cholecystectomy : An Illustrated Atlas book cover
1st Edition

Safe Laparoscopic Cholecystectomy
An Illustrated Atlas

  • Available for pre-order. Item will ship after September 23, 2021
ISBN 9781032005201
September 23, 2021 Forthcoming by CRC Press
176 Pages 256 Color & 10 B/W Illustrations

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Book Description

Laparoscopic cholecystectomy is a straightforward abdominal surgery performed worldwide, which can occasionally be mired with life-threatening complications when the safety principles are flouted. The tips and tricks of safety given in this book provide a complete insight into the variability of biliary anatomy, the nuances, and the technique of addressing the safety issues during routine and complicated procedures. Additionally, the book also explores the reasons for complications in real-life situations and suggests means for their avoidance. Using high-resolution video grabs, appropriately edited, an attempt has been made to explain all critical issues during laparoscopic cholecystectomy.

Key Features

  • Explains the Do’s & Don’ts of laparoscopic cholecystectomy in a concise and focused atlas form.
  • Serves as an illustrated reference to perform a safe uncomplicated cholecystectomy for postgraduate students in general surgery, surgeons practicing minimally invasive surgery and hepatobiliary surgeons.
  • Uses high quality operative videos to provide a detailed understanding of real-life situations and means to comply with safety measures.

Table of Contents

1. Introduction

2. Evaluation of Patients with Gallstone Disease

3. Surgical anatomy relevant to cholecystectomy
a. Rouviere’s sulcus
b. Cystic Lymph node
c. Cystic duct
d. Right posterior sectoral duct & subvesicle duct
e. Cystic artery
f. Right hepatic artery
g. Hepatocystic triangle and Critical View of Safety

4. Steps of laparoscopic cholecystectomy & Critical View of Safety

5. Management of cystic artery & its variations
a. Standard management
b. Early division of cystic artery
c. Right hepatic artery hump

6. Management of the cystic duct
a. Standard management
b. Wide cystic duct
c. Absent/unidentifiable cystic duct
d. Cystic duct injury
e. Cystic duct stone/s

7. Management of gallbladder bed
8. Alternative techniques in difficult situations
a. Fundus-first cholecystectomy
b. Subtotal cholecystectomy

9. Laparoscopic cholecystectomy in acute cholecystitis
10. Laparoscopic cholecystectomy in special situations
a. Overhanging liver segments
b. Stone impacted in retrocholedochal cystic duct
c. Aberrant hepatic artery
d. Mirizzi syndrome
e. Cholecystoduodenal fistula
f. Residual gallbladder: completion cholecystectomy

11. Laparoscopic cholecystectomy in cirrhosis of liver and portal hypertension

12. Laparoscopic cholecystectomy for malpositioned gallbladder
a. Midline gallbladder
b. Left sided gallbladder
i. Situs inversus
ii. True left sided gallbladder

13. Intraoperative cholangiography for the extrahepatic biliary anatomy

14. Troubleshooting during laparoscopic cholecystectomy
a. Bleeding
b. Bile leak
c. Stone spillage
d. Conversion to open cholecystectomy

15. Errors and ‘near miss’ during laparoscopic cholecystectomy
a. Common bile duct injury – ‘near miss’
b. Major biliovascular injury – ‘near miss’
c. Transected common bile duct
d. Transected common bile duct and vascular injury
e. Complex biliovascular injury

16. Summary and Recommendations

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Dr Mohammad Ibrarullah is currently serving as Professor & Senior Consultant in the Dept of Surgical Gastroenterology, Apollo Hospitals, Bhubaneswar, India.

Dr Sadiq S Sikora is currently the Director, Surgical Division, Institute of Digestive & HPB Sciences, Sakra World Hospital, Bangalore.