Congenital cystohepatic duct found during laparoscopic cholecystectomy.

This case shows the need for in-depth knowledge also on congenital biliary anomalies that can become subject to iatrogenic damage. The patient is 44-years old with echographically proven cholelithiasis with complaints of intermittent pain in the right upper quadrant. During laparoscopic cholecystectomy, after identification of cystic duct and cystic artery, after their clipping and resection and subsequent mobilization of the gallbladder from the liver parenchyma, a bile duct was opened.

Sigmoid stenosis caused by diverticulosis mimicking advanced colorectal cancer.

Stenosis is a rare complication of acute diverticulitis, difficult to differentiate from colon cancer. We present a 63-year-old woman with right lumbar pain radiating to the back. A sigmoid stenosis was detected by magnetic resonance imaging.

SINGLE-ACCESS TRANSUMBILICAL LAPAROSCOPIC APPENDECTOMY USING CURVED REUSABLE INSTRUMENTS: AN INITIAL REPORT OF THREE CASES.

Introduction: The continuous evolution of laparoscopic surgery and the ambition of better cosmetic results raise the need for less invasive procedures. The umbilicus represents a natural scar and constitutes a well-healing site of access to the peritoneal cavity. Single-access Transumbilical Laparoscopy (SATL) is gaining popularity and can be an alternative surgical treatment for acute appendicitis.

Comparative analysis of the four-port and three-port trocar access of the conventional laparoscopic cholecystectomy--review of the literature.

Introduction: The presented analysis focuses on the first stage in the development of the laparoscopic technique forsurgical removal of the gall-bladder. The scope of the study starts with the period of its introduction in the clinical practice of the laparoscopic cholecystectomy and ends with the recognition of the three-port technique for surgical intervention.

Aim: The aim of this analysis is to review the studies, focused on the indications applying different techniques of conventional laparoscopiccholecystectomy, to summarize their advantages and disadvantages and to pinpoint the future guidelinesfor the development of the surgical techniques.

COMPARATIVE ANALYSIS OF THE FOUR-PORT AND THE THREE-PORT TROCAR ACCESS AND THE SINGLE PORT ACCESS IN LAPAROSCOPIC CHOLECYSTECTOMY--REVIEW OF THE LITERATURE.

Introduction: In the last few years, the search for less invasive procedures led to the development of the innovative technologies of SILS (Single incision laparoscopic surgery) and NOTES (Natural orifice translumenal endoscopic surgery). Lately, SILS's popularity increased in the same manner as the laparoscopic cholecystectomy did in the early 90's of the last century.

Aim: The aim of this analysis is to review the studies, focused on the indications for applying the different techniques of the single-port laparoscopic cholecystectomy, their advantages and disadvantages and the future guidelines for the development of the new trocar access surgical techniques.