Gasless laparoscopic cholecystectomy. Selective intervention in a high surgical risk patient
Catani, M.; De Milito, R.; Chiaretti, M.; Abati, G.; Rengo, M.
Minerva Chirurgica 55(1-2): 45-48
2000
ISSN/ISBN: 0026-4733 PMID: 10832283 Document Number: 523233
Disadvantages related to CO2 pneumoperitoneum in high risk patients (anesthesiologic classification in III and IV ASA), have led to the development of the abdominal wall retractor, a device designed to facilitate laparoscopic surgery without conventional pneumoperitoneum. A case of a patient with acute cholecystitis, well-compensated liver cirrhosis, and high respiratory and cardiologic risk (ASA III class), submitted to laparoscopic cholecystectomy with gasless technique is reported.