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Minerva Chirurgica 2000 January-February;55(1-2):45-8

language: Italian

Gasless laparoscopic cholecystectomy. Treatment of choice in a high surgical risk patient

Catani M., De Milito R., Chiaretti M., Abati G., Rengo M


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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.

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