fit of the method, as it alerts you to possible danger of injury.
6. Ask for help. Get help from another surgeon when the dissec-
tions or conditions are difficult. When it is practical to obtain, the
advice of a second surgeon is helpful under conditions in which the
dissection is stalled, the anatomy is unclear or under other conditions
deemed difficult by the surgeon.
Continually improving techniques
Though rare, the reality is that BDIs still occur during lap choles. Any
technique or technology that can help eliminate the risk of injury to
the common bile duct structure is worth considering.
OSM
5 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A Y 2 0 1 9
Dr. Docimo (sdocimo@gmail.com) is an assistant professor of surgery and
director of the Gastro-paresis Center at the Renaissance School of Medicine at
Stony Brook (N.Y.) University.
