@Lamboozler We spoke recently about an unfortunate case and you were extremely polite and helpful, in spite of the obvious pressures on your time. The most pleasant interaction I’ve had with neurosurgery oncall for years. A pleasure to meet someone taking the talk and walking the walk.
@helpatologist@GWebster_endo@drkeithsiau@manuknayar I would explain, offer ercp but make sure they understood the risks. If they said whatever you think I would leave it and offer review in 3 months. I think the patient needs to make a positive choice for asymptomatic stones
Open cholecystectomy is definitely not a complication of a laparoscopic approach. In fact if you can’t do open you definitely shouldn’t be doing laparoscopic cholecystectomy IMHO otherwise what do you do when you have a problem?
@villesallinen@gastrocirs@martin_rutegard@salo75@SAGES_Updates Oral antibiotics and consultant hot clinic outpatient management and in-hours conversion to operative intervention if required. Not best practice but it is realistic surgery at present. We need to operate as little as possible just now. Normal service will resume eventually