Totally Laparoscopic Management of Gallstone Ileus – 3 ports

Saied Froghi, Mr1, Andy Williams, Dr1, Tammy Lo, Miss2, Catherine King, Dr1, Jonathan Van Dellan, Mr1, Simon Monkhouse, Mr1. 1East Surrey Hospital, 2Bedford Hospital NHS Trust

Management of gallstone ileus has historically been through open incisions. However, with the advance of laparoscopic techniques the trend is more skewed towards minimally invasive approach. Here we describe a case of gallstone ileus that was managed totally laparoscopically with good patient outcomes. A seventy-seven years old lady presented with small bowel obstruction secondary to a large gallstone, detected on CT scan. Patient underwent a totally laparoscopic approach with minimal number of port insertion to retrieve the stone. Post operatively patient did not have any complications. In our video we describe an eight step approach to laparoscopic management of gallstone ileus. The technique allows for rapidly locating the stone and safely removing it with minimal contamination. The technique is safe and aims to achieve resolution of obstruction through a minimally invasive approach. 

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