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A Journal on Surgery
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877
Minerva Chirurgica 2000 January-February;55(1-2):45-8
Gasless laparoscopic cholecystectomy. Treatment of choice in a high surgical risk patient
Catani M., De Milito R., Chiaretti M., Abati G., Rengo M
Disadvantages related to CO2 pneumoperitoneum in high risk patients (anaesthesiologic 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.