A new technique may reduce bile duct injury during surgery
The shoeshine technique enhances safety in laparoscopic cholecystectomy by achieving atraumatic exposure of the hepatocystic area and improving visibility in Calot’s triangle. This method, utilized in over 2,000 cases by the authors, demonstrated effectiveness in reducing risks of bile duct injuries. By employing a blunt dissection tool along with gauze for traction, this approach facilitates hemostatic control and stability, particularly beneficial in inflamed conditions.
Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.
Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).
Appendix, Gallbladder and Surgical Emergencies3 Nov 2026
