PPT-Difficult Cholecystectomy

Dr V Gandhi DNB GI Surgery DNB Gen Surgery MNAMS Consultant GI amp HPB Surgeon Pune surgical Society What is safe cholecystectomy What is difficult cholecystectomy Predict difficult gall bladder. Rigid laryngoscope blades of alternate design and size from t hose routinely used this may include a rigid fiberoptic laryng oscope 2 Tracheal tubes of assorted sizes 3 Tracheal tube guides Examples include but are not limited to semirigid stylets v Airway management is really easy….. Except when it isn’t. DEFFINATION. Difficult Intubation is:. Failure to intubate with conventional laryngoscopy after an optimal/best attempt with:. Reasonable experienced . Dr Samantha Walker, Dr Tom Pike, Miss A. Kausar. East Lancashire Hospital Trust. samantha.j.walker@doctors.org.uk. •. •. 1.. Identify Problem or Issue: Why is this important. ?. Day case surgery is an ongoing and . Abdominal Surgery Curriculum. Cholecystectomy. is performed most often . laparoscopically. for symptomatic gallstones . (usually causing . cholecystitis. with fever, RUQ pain and . leukocytosis. ), . Complete Surgical Removal of Gallbladder. Performed to Prevent or Treat Inflammation or Obstruction. Cholecystectomy . with/without Cholangiography . Biliary Tract. Gallbladder, cystic duct, common bile duct, and common hepatic duct. PostgraduATE. COURSE. the . third surgery unit. ANATOMY. GB - . reservoir of bile, 7-10 cm in length and 2.5-5 cm in diameter. ,. Situated . on the inferior surface of the liver, partially covered by . Cholecystectomy. is performed most often . laparoscopically. for symptomatic gallstones . (usually causing . cholecystitis. with fever, RUQ pain and . leukocytosis. ), . pancreatitis or . acalculous. and. . Cosmesis. . after. . Single. . Incision. . Laparoscopic. . Cholecystectomy. . (SILC) . Versus. . Conventional. . Laparoscopic. . Cholecystectomy. (CLC). M.D.Huseyin. SINAN. M.D. Mehmet SAYDAM*. cholecystectomy . Single surgeon experience. . Dr. . Raad. S. Al-. Saffar. , . M.B.Ch.B. . , C.A.B.S.. . consultant laparoscopic and thyroid . surgeon. Dr.Homam. . Alaa. , . M.B.Ch.B. .. Introduction . Dr. Helena Blake. Dr. Nawal Al Khafagi. Dr. Hossam Mahrous . Croydon University Hospital . Case synopsis :. A 78 years old lady presented with abdominal pain , vomiting and not passing flatus .Examination revealed generalized abdominal tenderness more in the right iliac fossa with guarding and rebound tenderness. She had no hernias. Her past surgical history was remarkable for cholecystectomy in 1994 and Gastric bypass (Roux-en-Y) in 2016 for weight reduction. She has a past medical history of NASH and autoimmune hepatitis on azathioprine for 10 years and T2DM.. PAI. Y ELTINAY. SCUNTHORPE GENERAL HOSPITAL. HISTORY. 45 years old male had CT KUB with h/o haematuria. No renal stones but incidental lesions were identified . with-in . the anterior peritoneal cavity. Then incise the posterior peritoneal attachment behind Hartmanns pouch to separateHartmanns pouch from the liver to further stretch out Calots triangle. Laparoscopic Cholecystectomy, A clinicopathological study and management of cholelithiasis . IAIM, 2018; 5 ( 7 ): 17 - 23. Page 17 Original Research Article A clinicopathological study and management of cholelithiasis Vigna Sai Sponsored by:. SAGES. AHPBA. IHPBA. SSAT. EAES. PICO 4: Should . intraoperative biliary imaging . (e.g. intraoperative cholangiography, ultrasound) versus . no intraoperative biliary. . imaging. be used for limiting the risk or severity of bile duct injury.