TY - JOUR
T1 - Gallbladder and gallstone removal, open versus closed laparoscopy, and pneumoperitoneum
AU - Fitzgibbons, Robert J.
AU - Annibali, Riccardo
AU - Litke, Bradley S.
PY - 1993/4
Y1 - 1993/4
N2 - Surgeons need to be aware of the various options available to remove enlarged gallbladders or gallstones lost during laparoscopic cholecystectomy. Every attempt should be made to recover stones that have escaped from a ruptured gallbladder during laparoscopic cholecystectomy, short of converting to laparotomy. Initial access to the peritoneal cavity can be safely accomplished using either a closed or an open technique. Ideally, surgeons should become facile with both procedures. Carbon dioxide (CO2) gas has emerged as the most practical agent for pneumoperitoneum during laparoscopic cholecystectomy. Surgeons should be knowledgeable about the physiologic and pathologic effects of CO2 gas.
AB - Surgeons need to be aware of the various options available to remove enlarged gallbladders or gallstones lost during laparoscopic cholecystectomy. Every attempt should be made to recover stones that have escaped from a ruptured gallbladder during laparoscopic cholecystectomy, short of converting to laparotomy. Initial access to the peritoneal cavity can be safely accomplished using either a closed or an open technique. Ideally, surgeons should become facile with both procedures. Carbon dioxide (CO2) gas has emerged as the most practical agent for pneumoperitoneum during laparoscopic cholecystectomy. Surgeons should be knowledgeable about the physiologic and pathologic effects of CO2 gas.
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U2 - 10.1016/S0002-9610(05)80949-3
DO - 10.1016/S0002-9610(05)80949-3
M3 - Article
C2 - 8480890
AN - SCOPUS:0027236750
VL - 165
SP - 497
EP - 504
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 4
ER -