𝗘𝗺𝗲𝗿𝗴𝗲𝗻𝘁 𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗖𝗵𝗼𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆 𝗮𝗻𝗱 𝗧𝗿𝗮𝗻𝘀𝗰𝘆𝘀𝘁𝗶𝗰 𝗟𝗖𝗕𝗗𝗘 Patient Presentation: 🟢Acute cholecystitis with deranged LFTs 🟢Surgery performed <24 hours from admission Surgical Approach: 🔴Timing critical in acute cases 🔴Retraction of duodenum improves view 🔴Cystic artery clipped prior to IOC in this case due to confidence in anatomy 🔴3mm choledochoscope for stone... retrieval ➡️Remove scope over wire if CBD stone is larger than cystic duct 🔴Check choledochoscopy #FOAMed #MedEd #Surgery #SoMe4Surgery #gallstonesshow more

@Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @MedicalAdv @imedverse @rbarbosa91 @altaf_awan12 @ib9994 @javlatif Very well done. Very challenging situation. Glad the pt found their way to your institution. 👍

@Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @MedicalAdv @imedverse @rbarbosa91 @altaf_awan12 @ib9994 @javlatif I don’t enjoy these as a #colorectal trainee. What I really don’t enjoy is theatre #culture where this is not considered an emergency and optimal #surgical practice

@BehindTheKnife @Innov_Medicine @SAGES_Updates @MISIRG1 @MedicalAdv @imedverse @rbarbosa91 @altaf_awan12 @ib9994 @javlatif What is the size of you choledochoscope and how long is it?