This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Steven Strasberg during the Masters Biliary: Help! Severe Acute Cholecystitis – How to Recognize, And What To Do! on April 14 2018
Keyword(s): aberrant anatomy, adhesions, anatomy, antrum, bailout, BDI, bile duct injury, CBDE, colon, common bile duct exploration, conversion, COSIC, critical view of safety, culture of safety in cholecystectomy, CVS, cystic plate, difficult open cholecystectomy, dissection, dome, experience, expertise, fibrosis, gallbladder, hemorrhage, hepatocystic triangle, Honda technique, inflammation, intraoperative cholangiography, IOC, laparoscopic cholecystostomy, laparoscopic fenestrating cholecystectomy, laparoscopic subtotal cholecystectomy, male, malignancy, masters biliary, omentum, open cholecystectomy, portal pedicle, portal vein, residents, right upper quadrant, RUQ, severe acute cholecystitis, skills, surgical judgement, TG18, Tokyo, Tokyo guidelines, top down, top down cholecystectomy, total cholecystectomy, training, WBC, white blood cell count
3 steps to avoidance of biliary injury–18 sec
What can be done laparoscopically when CVS can’t be reached–1:39
How to do the very difficult cholecystectomy–3:32
What to do after conversion when CVS can’t be reached–3:54
Citation–5:45 J Hepatobiliary Pancreat Surg 2009
Conversion–6:44 J Hepatobiliary Pancreat Sci 2018
Reasons for conversion–9:29
Predictors of conversion in acute cholecystitis–9:44
Conversion & top down cholecystectomy–12:51
Conclusion–13:23