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| Name | Difficult cholecystectomy, how to be safe and avoid a bile duct injury, Dr Datta Ram, Hyderabad |
| Video Uploader | Video From Gastro, Laparoscopic & HPB Onco surgery |
| Upload Date | This Video Uploaded At 22-01-2023 04:05:27 |
| Video Discription | Laparoscopic Cholecystectomy is one of the most commonly performed surgery world over. The incidence is gall stones is very high and so is the mees for the surgery. Most surgeons would have experienced difficulties while doing a cholecystectomy and my video is just another difficult situation. WHAT IS SAFETY DURING A CHOLECYSTECTOMY? A safe cholecystectomy is to remove the gall bladder without jeopardising the bile duct in any way. Avoiding a bile duct injury is the top priority during a cholecystectomy. WHY IT IS AO IMPORTANT TO AVOID A BILE DUCT INJURY? A bile duct injury , which is a possibility during a Cholecystectomy, can lead to bile leaks, sepsis and biliary strictures in the long term. A simple problem can become a complex Hepato biliary condition, which may be difficult to treat, hence one has to take all precautions to prevent a bile duct injury. WHEN TO EXPECT A DIFFICULT CHOLECYSTECTOMY? - acute cholecystitis - gangrene - chronic cholecystitis - male patients with acute cholecystitis - multiple previous episodes of acute cholecystitis - chronic contracted gall bladders - difficult anatomy , like bile duct variations - MIRRIZZI syndrome - Underlying cirrhosis mad portal hypertension WHATBARE THE RISK FACTORS FOR A BILE DUCT INJURY? PATHOLOGY: acute cholecystitis, lot of inflammation, chronic cholecystitis, Frozen calots triangle, ANATOMY: variations of the bile duct anatomy, SURGEON: misinterpretation of the anatomy, thermal injury, etc |
| Category | Science & Technology |
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