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Successful chemical cholecystectomy: a laparoscopic guided technique.
  1. A Cuschieri,
  2. A A Abd el Ghany,
  3. M P Holley
  1. Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, Scotland.


    A laparoscopic guided technique of percutaneous chemical destruction of the gall bladder is described. The procedure entails the creation of a percutaneous access cholecystostomy for stone removal/fragmentation. After endoscopic occlusion of the cystic duct, the alkali corrosive, sodium carbonate was instilled into the gall bladder for 10-15 minutes. The treatment was applied in 11 animals with three deaths because of technical mishaps and eight survivors, in five of which a histologically confirmed complete destruction of the gall bladder (chemical cholecystectomy) was achieved without damage to the rest of the biliary tract or liver parenchyma.

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