A method for performing laparoscopic cholecystectomy in complicated forms of acute cholecystitis

摘要

A method of performing laparoscopic holedistektomii in complicated forms of acute cholecystitis, characterized in that the presence of dense subhepatic infiltration or suspected Mirrizzi syndrome operate intraoperative Duodenoscopy installing nazobiliarnogo drainage lumen of the common bile duct, wherein when performing laparoscopic cholecystectomy, producing instrumental palpation choledoch determine its lumen of the tubular structure nazobiliarnogo drain serving as the anatomical landmark in time is spent Nia operation and avoids damage to the bile duct during the mobilization of the gallbladder.