September 1992

Laparoscopic Cholecystectomy: Difficult Cases & Creative Solutions

Author Affiliations

Durham, NC


By Avram M. Cooperman, 192 pp with illus, $100, St Louis, Mo, Quality Medical Publishing Inc, 1992.

Arch Surg. 1992;127(9):1141. doi:10.1001/archsurg.1992.01420090153027

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Avram Cooperman applies the savvy of an experienced biliary surgeon to the endoscopic technique of cholecystectomy. He first reviews the basics of the technique, and then shows how to extract difficult gall-bladders as well as how to get out of trouble in some cases. He emphasizes the use of an endoscope through the sideports and traditional strategy in open cholecystectomy, such as retrograde dissection. He highlights some illustrative cases with comments from authorities such as Nathaniel Soper, Robert Fitzgibbons, Douglas Olsen, and David Nagorney.

A drawback of the book is the fuzzy photographs probably created from videotapes, some obvious limitations in instrumentation, and a cystic artery that looks awfully like the right hepatic artery in several of the drawings. The worst drawback, however, is that the book is too short! It is enjoyable reading, particularly with the illustrative cases, but the book ends too soon. This criticism is meant as

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