The impossible gallbladder: aspiration as an alternative to conversion.

Natallia KharytaniukGary A BassBogdan D DumbravaPaul P HealyDylan Viani-WalshTej N TiwaryTahir AbassiMatthew P MurphyEmma GriffinThomas N Walsh

Published in: Surgical endoscopy (2019)

Laparoscopic gallbladder aspiration is a safe alternative to conversion when inflammation makes cholecystectomy impossible laparoscopically, especially in the sickest patients and for surgeons with limited open surgery experience. This approach minimises morbidity and permits laparoscopic cholecystectomy in the majority after a suitable interval or referral of predicted difficult cases to specialist hepatobiliary centres.

Keyphrases

minimally invasive
end stage renal disease
ejection fraction
newly diagnosed
oxidative stress
ultrasound guided
palliative care
primary care
peritoneal dialysis
quality improvement
patient reported outcomes