16.9.2006

Apparently easy case in a 50 years old woman. Actually very difficult due to unexpected empyema;  the pus was aspirated. The grasp at the neck was difficult; broke a grasper. The CD was very short;  the wall of the gallbladder was very adherent to the liver bed; the liver bled badly to cause hypotension; the liver sinus had to be sutured when it could not be controlled by cautery. The port was enlarged to remove the gallbladder and the big hard stone (2 cm) separately in a bag ( the stone could not be grasped).

Another lap chole in a 50 years old female was not so difficult ; but the big stone in neck when held in spoon forceps broke the spoon forceps; the port had to be enlarged to remove the gall bladder.