Fundus First Approach:
- Difficult and cirrhotic livers fundus first approach.
- benefit with Fundus first approach is that there is no need to retract heavy liver.
Subtotal Cholecystectomy:
- Remove all stones.
- Can try closing the gallbladder with sutures.
- Even leaving open and placing a subhepatic drain to form a controlled fistula which should closed on their own.
Myoma screw retraction:
- OBGYN instrument
- Can be used to screw into tough gb that you can't grasp.
Bleeding:
- Place a 5th port to perform pringles
Be Wary of Posterior segmental Hepatic duct on the liver bed:
- Stay as close to wall of gb as possible.
- Posted from iPhone
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