LAPAROSCOPIC COMPLETION RADICAL CHOLECYSTECTOMY
We describe a of a case of 60 years old female who underwent laparoscopic cholecystectomy elsewhere and incidentally on histopathology was diagnosed as adenocarcinomas of gall bladder with invasion up to the serosa. She was referred to our institute for laparoscopic completion radical cholecystectomy.
Method :-
Five ports were placed with camera post at umbilicus (10mm 0 degree ) 2 working ports a 10mm port placed at midline and5mm port placed in mid clavicular line and two 5mm ports for retraction one in epigastrium and one in subcoastal region in mid clavicular line. Laparoscopic segment 4A of liver was resected with total lymph nodal cleareance of the porta with excision of the cystic duct margin.
Results :- The operation time was 120 min and blood loss was 200 ml. Pathological examination revealed deposits of adenocarcinoma with moderate sclerosis. Lymph node at porta showed 8 positive nodes with 16 lymph node harvested.
Conclusion :-Video shows that lap radical cholecystectomy is a feasible and oncological adequate treatment for carcinoma gall bladder.
Session: Podium Video Presentation
Program Number: V008