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Copyright ©The Author(s) 2016.
World J Gastroenterol. Mar 7, 2016; 22(9): 2657-2667
Published online Mar 7, 2016. doi: 10.3748/wjg.v22.i9.2657
Table 2 Modifications in operative laparoscopic techniques in non-hepatic abdominal surgery in liver cirrhosis who underwent cholecystectomy and hernia repair
Ref.Modified techniqueObjective and advantage
Laparoscopic cholecystectomy
Friel et al[77], 1999Use of open technique using Hassan’s trocarPrevent inadvertent puncture of umbilical varix
Shiff et al[78], 2005Placement of the trocar in the right paramedian position
Clark et al[79], 2001Use of additional portsFacilitate laparoscopic technique and prevent complications in cases of severe gallbladder inflammation
Performance of retrograde cholecystectomy
Clark et al[79], 2001Modified subtotal cholecystectomy
Palanivelu et al[80], 2006
Friel et al[77], 1999Mechanical compression from introduced surgical sponges (i.e., oxidized cellulose)Facilitate haemostasis
Application of ultrasonic energy via harmonic scalpel
Use of argon beam coagulator through an operative port
Laparoscopic hernia repair
Belli et al[81], 2006Minimally invasive and tension-free laparoscopic techniquePrevent inadvertent puncture of collateral veins
Prevent recurrence rates and wound infections
McAlister et al[82], 2003Dual mesh prosthesis: fixation of mesh in a preperitoneal spacePrevent recurrence rates and mesh migration
Sterile fashion of mesh insertionPrevent wound infections