Etiology of "difficult" laparoscopic cholecystectomy

Sazhin, V P; Сажин, И В; Подъяблонская, И А; Karlov, D. I.; Nuzhdikhin, A. V.; Айвазян, С.А.

doi:10.17116/hirurgia2016161-66

Cited by 8 publications

(7 citation statements)

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“…Some anatomic landmarks have been reported as the reference during the LCBDE, such as the gallbladder neck, gallbladder triangle, and cystic lymph node, et al [ 4 , 6 , 7 ] However, in case of severe tissue adhesions in the hilar region, or tissue edema in Calot's triangle caused by previous surgical operation, or subacute inflammation, these landmarks are difficult to be revealed. Rouviere's ditch is a good anatomic landmark for gallbladder, but not all the patients could show Rouviere's ditch clearly.…”

Section: Discussionmentioning

confidence: 99%

Application of “three lines and one plane” as anatomic landmarks in laparoscopic surgery for bile duct stones

Wang

Zhou²,

Hou³

et al. 2018

Medicine

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To investigate the clinical application ofthe “three lines and one plane” concept as the anatomic landmarks during laparoscopic common bile duct exploration (LCBDE).From January 2014 to February 2017, 148 cases of LCBDE performed in the General Surgery Department of the 2nd affiliated Hospital of Anhui Medical University were recruited, and analyzed in this study. “Three lines and one plane” was applied as anatomical landmarks during LCBDE, and the perioperative clinical outcomes were analyzed.No serious operational complications occurred in all the patients in this study. Two cases (1.4%) was converted to open operation. Two other cases (1.4%) suffered post-operative bile leakage and were cured by conservative treatment. All patients recovered uneventfully.Anatomical landmarks of “three lines and one plane” is benefit in helping surgeons to build a three-dimensional (3D) anatomical construction, and avoiding the operative injury of the bile duct, and vessels.

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Section: Discussionmentioning

confidence: 99%

Application of “three lines and one plane” as anatomic landmarks in laparoscopic surgery for bile duct stones

Wang

Zhou²,

Hou³

et al. 2018

Medicine

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“…In recent years, laparoscopic technique has been significantly developed and widely used for the treatment of general surgical diseases. Gastric perforation repair with laparoscope has the advantages of elaborate operation and little surgery trauma [8][9][10]. Surgery trauma caused by operation will activate the body's inflammatory reaction leading to a massive synthesis and release of inflammatory mediators.…”

Section: Discussionmentioning

confidence: 99%

Curative effect of laparoscopic surgery on acute gastric perforation

Yi-jun¹

2017

JAD

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“…Laparoscopic procedures are currently on the rise. In the former SU, a primary gastrectomy (2/3-3/4 of the stomach), antrectomy with vagotomy, or a simple suture (depending on the patient's condition) have been usually performed [114][115][116][117][118]. Another surgical procedure with no analogy in the contemporary international practice is the thoracotomy with the lung denervation for bronchial asthma [119][120][121][122] referred to as "the most recognized method" in the guidelines by the Ministry of Health [120].…”

Section: Medical Aspectsmentioning

confidence: 99%

The Russo-Ukrainian Conflict: Social, Psychological and Medical Perspectives

Jargin

2023

Preprint

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Paranoid individuals have restricted abilities to test their beliefs for reality. Among them are writers touting mysterious theories. Certain war instigators are paranoid in their tendency to present themselves as liberators, world saviors etc. Paranoiacs may be aggressive against delusional goals. Some mentally healthy people are susceptible to paranoid appeals, a predisposing condition being fear of strangers and projection of hatred upon them. The projection mechanism in some individuals is the aberration of shame. Being unable to tolerate shame, they project it onto others. Repressed shame may cause aggression. This review applies the above considerations to the conflict in Ukraine. Among others, the lack of knowledge about other countries, misleading propaganda, suppressed envy and shame contribute to hostility against welfare states. Some topics discussed here are associated with shame, reflected by the comparatively low life expectancy and world highest abortion rate in Russia. In this connection, drawbacks of the healthcare are discussed here. If the global power shifts to Russia, it will come along with losses of certain values. The quality of many services, products and foodstuffs will decline. Autocratic management style will spread also in the healthcare and science. If the world is becoming multicentric, armed conflicts of various magnitudes may become permanent. There would be a vicious circle of overpopulation and homicide. International tensions provide motives for the birth rate elevation: the demographic growth is believed to strengthen defenses and sovereignty. Pro-natalist policies are conspicuous in Russia these days. Environmental damage and exhaustion of non-renewable resources are proportional to the population size. The only thinkable alternative is a global leadership centered in most developed parts of the world. Among advantages of globalization are the ecological and demographic management, prevention of conflicts and warfare. Large projects could be accomplished by the globalized humankind to improve the life quality of billions, creating many jobs, being a reasonable alternative to excessive military expenditures. Confidence-building measures, international trust and reliability are needed. Instead of machismo and militarism, propaganda should popularize the image of scrupulous and hardworking people. Ukraine must become a testing ground for the international cooperation.

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Etiology of "difficult" laparoscopic cholecystectomy

Abstract: Technical variants of laparoscopic cholecystectomy for various "difficult" intraoperative situations are suggested.

Cited by 8 publications

References 0 publications

Application of “three lines and one plane” as anatomic landmarks in laparoscopic surgery for bile duct stones

Application of “three lines and one plane” as anatomic landmarks in laparoscopic surgery for bile duct stones

Curative effect of laparoscopic surgery on acute gastric perforation

The Russo-Ukrainian Conflict: Social, Psychological and Medical Perspectives

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