Laparoscopic Cholecystectomy Beyond the Basics


SAGES Webinar on January 21

introductory review–3:04
The difficult GB by Dr. James G Bittner IV–5:24
predictors of difficult LC–6:19

Keyword(s): 12mm epigastric trocar, 4 Fr, ABD, aberrant anatomy, aberrant ducts, abnormal anatomy, abscess, absorbable sutures, ACS, active fistula, acute cholangitis, acute cholecystitis, acute inflammation, advanced MIS fellowship, adverse events, age, AHPBA guidelines, American Journal of Surgery, American Surgeon, ampulla of Vater, anastomotic strictures, anatomic classification, anatomical landmarks, anatomical variations, anesthesia consult, Annals of Surgery, Annals of the Royal College of Surgeons of England, anterior view, ANZ Journal of Surgery, application, Archives of Surgery, armamentarium, arteriogram, ASA class, ascending cholangitis, atraumatic grasper, autotome, balloon biliary extraction, barbs, basket removal, BDS, Belgium, benign disease, best practice, best practices program, bifurcation, bile, bile duct obstruction, bile leak resolution, biliary cirrhosis, biliary colic, biliary drainage, biliary enteric anastomotic technique, biliary fistula, biliary injury, biliary stent, biliary stricture, biliary surgery, biliary tree, bioloma, bipolar, bipolar vessel sealer, BJS, bleeding, blood supply, BMI, bowel, burn, burst pressure, cannulation, cannulation rates, case series, CBD decompression, CBD disease, CBD injury rate, CBD management, CBDS extraction, Charlson Comorbidity Score, cholangiocarcinoma, cholangiogram catheter, cholangiography, cholangitis, choledochocholedocostomy, choledocholithiasis, choleduodenal fistula, cholelithiasis, choloenteric fistula, cirrhosis, cirrhotic pts, clinical findings, clinical work-up, clip occlusion, clipless lap chole, closed suction drains, co-morbidities, coaching, coagulate, cohort study, colonoscope, colonoscopy, common hepatic duct, comparative study, complications, concomitant, confluence, congenital variation, conservative management, contrast, conventional technique, conversion rate, coronal plane, CPT codes, critical view of safety, critical view technique, CT angio, CT drainage, culture of safety, current technology, cystic artery, cystic duct, cystic duct closure, cystic duct leakage, cystic duct occlusion, cystic stump leaks, death, decision making algorithm, decompressed biliary tree, decompression, definitive tx, dehiscence, delayed repair, desaturation, diagnostic procedures, dilated biliary tree, dilating balloons, direct visualization, disease severity, distal duct, distention, DM, dorsal view, double barrel anastomosis, drain, duct of Luschka, ductal structure, duodenal injuries, duodenal ostomy reconstruction, duodenal perf, duodenoscope, duodenum, Dutch Society of Surgery, dx, dx & severity assessment, E3 injury, E4 type injury, E5 injury, EAES guidelines, early detection, early repair, electrocautery, electrolytes, elevator, embolization, emergency operation, end organ dysfunction, endo-GIA stapler-cutter, ENDOLOOP, endoscope perf, endoscopic biliary stent placement, endoscopic biliary stone removal, endoscopic management, endoscopic options, endoscopic sphincterotomy, endoscopic technique, endoscopic therapy, endoscopists, energy, ENSEAL, ERCP, ERCP complications, ERCP indications, evidence based, external fistula tract, extracorporeal tie, extrahepatic, extravasation, FACS survey, fibrotic GB, fibrous tissue, fistula, fistulagram, fluids, gastroscope, GB, GB attack, GB bed, GB fossa, GB neck, GB pathology, general surgeons, general surgery, general surgical practice, GI lab, gold standard, guidelines, guidewire, Harmonic Scalpel, hemobilia, hepatectomy, hepatic infarction, hepatic parenchyma, hepatic vasculature, hepatobiliary fellows, hepatobiliary system, hepatocystic triangle, Hepatogastroenterology, HIDA scan, hilar, hilar plate, HJ, hx of bleeding disorder, hydrox, hyperbilirubinemia, hypoalbuminemia, iatrogenic injuries, iatrogenic injury, illness acuity, immune mediator response, impacted calculi, impacted stone, in situ, incidence, independent predictors, infection, inflammation, infundibular technique, infundibulum, infundibulum junction, instrumentation, interventional radiologists, intestinal injuries, intracorporeally, intrahepatic gallbladder, intrahepatic GB, intrahepatic leak, intrahepatic strictures, intraluminal pressure, intraop cholangiography, intraop management, intraop teaching, IOC, ischemic strictures, isolated ducts, JACS, JAMA, jaundice, jejunum, Journal of GI Surgery, Journal of Hepato-biliary-pancreatic Sciences, Journal of hepato-biliary-pancreatic Surgery, Journal of Laparoendoscopic & Advanced Surgical Techniques, L hook Bovie, laceration, lap approach, lap clips, lap partial chole, laparoscopic surgery, laparotomy, late strictures, LC, LC safety, LCBDE, learning curve, leukocytosis, LFTs, ligation, liver, liver bed, liver damage, liver ischemia, liver necrosis, liver resection, liver transplant, locking clips, long strictures, loop suture, low power setting, magnifying loops, male gender, malignant, malignant strictures, malpractice litigation, management strategies, manual insertion, massive bleeding, mechanical injury, mechanical lithotripsy, medical costs, Medicare analysis database, medication reaction, mentor, metallic clips, migration, Minverva Chirurgica, Mirizzi syndrome, MIS fellowship, MIS fellowships, misidentification, mobilize, morbidity, morphine, mortality, MR, MRA, MRCP, MRI, mucosa, multicenter study, multicenter survey, multivariate analysis, National Hospital Discharge sample, nationwide inpt sample, needle aspiration, NEJM, Netherlands, non-invasive imaging, nonmalignant, nonresectable pancreatic cx, NOTES, NSQIP, obesity, obesity epidemic, observational data, obstructing lesion, OC, off-label indication, op time, open surgery, operative approach, operative indication, operative training, ostomy, outreach repairs, overgrowth, oversew, pain, palliating biliary obstruction, palpate, pancreatic lesion, pancreatitis, Parade Magazine, partial thickness injury, pathology, PEG, perc drain, percutaneous, perf, performance assessment, periampullary diverticuli, pericholecystic fluid, periop complications, pharmacologic maneuvers, photo documentation, plastic biliary stent, polypectomy, pop based studies, portal HTN, post surgical complication, post transplant population, pre-tied ligatures, preliminary report, preop predictive factors, preop testing, preventable complication, preventable error, prevention, prevention strategies, previous upper abdominal surgery, prospective analysis, prospective cohort, prospective randomized study, protocol, proximal filling, pseudoaneurysm, pt characteristics, pt transfer, PTC, public health, QI, radial force, radiologist, rate of injury, rationale, referral, referral base, regression analysis, repeat dilation, residents in training, responsibility, retrograde cholangiogram, retroperitoneal perf, reusable clip applier, Reverse Calots, RHA, right hepatic artery, risk factors, risk management, risk of death, risk tolerance, risk-taking preference, robotic, Rouvieres sulcus, Roux limb, RUQ, safe access techniques, safe use of electrosurgery, safe use of surgical energy, safety, SAGES 1989 meeting, SAGES 2005 Grand Rounds, SAGES guidelines, SAGES president elect, SAGES resident education committee, Saudi Medical Journal, Seldinger technique, self expandable metal stents, sensitivity, sentinel event, sepsis, severity grading, short strictures, side viewing scope, side-to-side anastomosis, SILS, simulation, situs inversus totalis, skeletonize, small tear, Southern Surgeons Club, specificity, sphincter of Oddi, spontaneous healing, SSAT guidelines, standard of care, stenosis, stent replacement, stenting, stents, stone, stone formation, strictures, stump leak, subhepatic drain, subtotal cholecystectomy, supportive measures, surgeon case volume, surgeon characteristics, surgeon expertise, surgeon limitations, Surgical Anatomy & Technique: A Pocket Manual, surgical endoscopy, surgical experience, surgical intervention, surgical interventions, surgical management, surgical technique, surgical tx, survival, suture ligature, Sweden, Swedish Inpt Registry, Swiss Association of laparoscopic & thoracoscopic surgery database, systematic review, teaching program, team, technical strategies, technically challenging, tension, tension free, tertiary care centers, TG13 diagnostic criteria, therapeutic test, thermal injuries, thermal injury, thermal spread, time out, tissue contact, tissue handling, titanium clips, Tokyo Internation Consensus 2013, top down technique, training environment, transampullary, transcystic cholangiography, transcystic exploration, transected, transections, transvaginal, Trendelenburg, Triangle of Calot, tricks, trocar, Tropical Gastroenterology, tube, U-tube, U.S., ultrasonic, US, variant anatomy, vascular anatomy, vascular injuries, vasculobiliary injuries, vasular studies, VBI, ventral hernia repair with mesh, vessel sealing device, Vitamin K, wall thickness, Washington University classification of lap & open biliary injuries, WBC, window, wire perf, working instruments, World Journal of Surgery, x-ray imaging

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