SAGES launched its member-generated Wiki in 2010 and it quickly grew into a resource accessed by more than 2,500 people/month seeking advanced and accurate definitions of all types of minimally invasive surgery and diseases treated by minimally invasive surgery.
As part of the recent overhaul to SAGES web properties, the SAGES Wiki has been moved to a new home on the SAGES site. In addition to moving more than 75 member-generated articles back to the main SAGES web site, we have also completely changed the way members can interact with the Wiki:
- It’s easier than ever to become a contributor! Simply log in with your member account and head over the Wiki pages. Use the “Create A New Wiki” button on the right sidebar to add your own article.
- If you see a way to improve an existing article, simply click the Edit tab at the top of the article and make your edits.
- Want to discuss an article? All logged-in SAGES members can now comment on an article using the Discussion tab at the top of the article and post away.
Recommended Wiki: Avoiding Pitfalls in Cholecystectomy
Introduction The performance of a laparoscopic cholecystectomy can be technically challenging. Success depends on multiple factors including: patient anatomy, patient co-morbidities, pathologic changes in the gallbladder and surrounding tissue, pre-operative interventions attempted, and the individual surgeon's ability. Anticipating the attendant challenges, even during routine cases, can help to avoid several known complications associated with this procedure. Pitfalls to avoid The ultimate cause of injury is misidentification of the visualized structures. Poor visualization can be due to: Pre-operative Pitfalls Pathologic changes Acute Cholecystitis Severe gallstone pancreatitis Chronic inflammation with dense scarring The presence of large stones within the junction of the neck of the gallbladder and the cystic duct (Hartmann's pouch) Choledocho-enteral fistula Gangrenous changes to the gallbladder wall with adhesion formation to surrounding structures Patient co-morbidities Obesity Liver cirrhosis - anticipate difficult gallbladder retraction and exposure Diabetes - despite minimal symptoms the disease may be very severe Previous abdominal surgery,…
Category: Hepatobiliary
Tags: bile duct, cholecystectomy, patient safety