DIFFICULT CHLECYSTECTOMY

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DIFFICULT CHLECYSTECTOMY

• By Dr.Ahmed Kensarah
• Consultant and associat prof.in general surgery

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Difficult Laparoscopic Cholecystectomy

• The difficult gallbladder is the most difficult
  laparoscopic surgery being performed by general
  surgeons all over the world and the potential one
  that places thepatient at significant risk.

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DIFFICULT LAP. CHOLE

• Factors affecting the conversion completion rate
  of lap chole.
• Patient having absolute cntraindication to lap
  chole like
• - cardiovascular and
  pulmonarydisease
• 
  conversion had to be done due to several reasons
  low in experienced hand -

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Difficult cholecystectomy in

• Acute cholecystitis