PMC7293458_01
Pathway for surgical team protection.
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SARS-COV-2 and to provide protection for hospital personnel (Fig. 1). Special precautions were taken for patient transportation from the ward to the OR, and back to the ward.
A-B. Intraoperative picture showing lysis of dense inflammatory adhesions and evidence of acute gangrenous cholecystitis (A). Intraoperative image showing stapling of the infundibulum after clipping of the cystic artery, opening of the gallbladder, and cystic duct identification. (B).
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Because a retrograde approach was deemed at risk, the gallbladder was opened and the infundibulum was transected with a stapler after identifying the cystic duct from inside (Fig. 2).
A-B. Macroscopic aspect of the gallbladder (A); microphotograph showing acute cholecystitis with extensive ulceration, full-thickness necrosis, hemorrhage, and widespread fibroblastic proliferation.
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Pathology confirmed transmural gallbladder necrosis (Fig. 3).