It was a hefty male. And Gall bladder was difficult. Dense adhesion all around. Cystic duct was identified and clipped. Rest was a total mess. Only ant wall of gb was removed. Stone spilled.
Lesson learnt.... One should try to develop the plane between liver and gall bladder with Maryland . Too early use of hook may result in loss of plane.
Friday, February 8, 2013
21st lap chole
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