International Journal of General Medicine (Oct 2022)
Hydrodissection in Laparoscopic Cholecystectomies for Gangrenous Gallbladders
Abstract
Shahini Ananth1 *, Kayla K Umemoto1 *, Dinesh Vyas2,3 1California Northstate University College of Medicine, Elk Grove, CA, USA; 2Department of Surgery, California Northstate University College of Medicine, Elk Grove, CA, USA; 3Department of Surgery, Adventist Hospital, Stockton, CA, USA*These authors contributed equally to this workCorrespondence: Dinesh Vyas, Department of Surgery, California Northstate University College of Medicine, 9700 W Taron Dr, Elk Grove, CA, 95757, USA, Tel +1 314 680-1347, Email [email protected]: To improve the quality of patient care for cholecystectomies for gangrenous gallbladders, multiple innovations have been introduced including laparoscopic and robotic surgery. However, laparoscopic cholecystectomies for gangrenous gallbladders performed by blunt dissection still represents one of the most technically challenging general surgery procedures, with a high rate of iatrogenic complications and suboptimal measures for key surgical parameters such as length of stay, operating time, and blood loss. For this reason, the novel use of surgical techniques such as hydrodissection, which involves the expulsion of normal saline streams at a predetermined pressure, for cholecystectomies for gangrenous gallbladders are of utmost importance. In this manuscript, we explore the application of hydrodissection in cholecystectomies for gangrenous gallbladders.Keywords: laparoscopic, cholecystectomy, gallbladder, GB, hydrodissection, HD
