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WJOLS


                                              Scarless Cholecystectomy with Standard Laparoscopic  Instruments in Selected Patients












          A                         D                         A                        C











          B                         E                         B                        D
                                                              Figs 5A to D: (A) Irrigation and suction and control of hemostasis,
                                                              (B and C) gallbladder extraction through supraumbilical port,
                                                              (D) result of scarless cholecystectomy

                                                              cholecystectomy performed with standard instruments is
                                                              technically feasible and safe. It also provides good cosmetic
                                                              result. Further validation of these approaches, however, awaits
                                                              randomized clinical trials and accurate comparison with outcomes
          C                         F
                                                              of the more conventional approaches.
          Figs 3A to F: (A and B) Dissection of cystic pedicle, (C) clipping of
          anteriorly located cystic artery, (D) ensuring the anatomy of cystic
          duct, (E) application of Hem-o-lok clips overcystic duct, (F) cutting of  ACKNOWLEDGMENTS
          cystic duct
                                                              The author thank the staff of operating room (number one) of
                                                              Imam Khomeini Hospital, Tehran, Iran for their cooperation.

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          World Journal of Laparoscopic Surgery, September-December 2011;4(3):129-131                       131
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