Presented by Michael J Pucci at the Your Session: Prevention of Bile Duct Injury held during the 2017 SAGES Annual Meeting in Houston, TX on Wednesday, March 22, 2017
Keyword(s): advanced biliary procedure, age, antibiotics, argon beam coagulator, bail out, BDI, bile duct injury, bile leak, biliary injury, biliary tree, bilous, CCX, chronic cholecystitis, cirrhotic, convert, critical view of safety, CVS, cystic duct, cystic plate, difficult gallbladder, drain, ductal identification, endocatch, epigastrum, exit strategies, experience, fulgurate, fundus, gallbladder, gallbladder cancer, gangrene, gangrenous gallbladder, hepatoduodenal ligament, hidden gallbladder, impacted stone, inflammation, inflammatory mass, infundibulum, lack of progress, laparoscopic, laparoscopic cholecystectomy, laparoscopic needle drivers, laparoscopists, laparoscopy, ligate, longitudinal, male, meta-analysis, midline laparotomy, minimally invasive surgeons, Mirizzi syndrome, misidentification, necrosis, necrotic, open cholecystectomy, open subtotal cholecystectomy, operative, optics, percutaneous cholecystostomy, perioperative complications, portal pedicle, ports, prevention, purulent, retraction, risk factors, Rouvieres sulcus, safety, self-retainer, stomach, subcostal incision, subtotal fenestrating cholecystectomy, suction irrigator, suture ligate, suturing, systematic review, total cholecystectomy, tranhepatic biliary drainage catheters, transverse, ultrasonic shears, vasculobiliary injuries
Simple method to handle the dificult GB–1:32 J Laparoendosc Adv Surg Tech A 2017
Bail out–2:58
Importance of a definitive method–3:54
Fixing the problem & keeping the pt safe–4:20
When to stop–5:27
Evidence of trouble ahead (obvious)–6:12
Video clip–6:50
Evidence of trouble ahead (more subtle)–7:21
Video clip–8:13
When you’ve decided to stop–9:01
Lap vs open chole–9:30 JAMA Surg 2015
When to convert–10:55
Fenestrating subtotal CCX–11:47
The “how-to”–12:09
Complicated gallbladder equipment–12:23
Video clip–13:01
Tips for success–14:01
Conversion–14:43
Open CCX–15:20
Beware! Beware! Beware!–15:47 HPB 2012
Total open CCX approaches–16:43
Open subtotal cholecystectomy–17:45
Summary–18:19