Welcome everyone to another episode of Behind the Knife.

This is this is current Chabra from Annals of Surgery.

I'm excited to announce another episode of the Annals of Surgery and

Behind the Knife Collaboration and this time we have the pleasure of working with Dr Michael Brun, who is

professors of surgery and chief of MIS at Washington University in St. Louis

School of Medicine. He's here to discuss with us a new set of guidelines that recently

came out and are being published simultaneously in animals of surgery and

surgical endoscopy. These guidelines are the safe, closeestectomy,

multi-society practice guideline and state-of-the-art consensus

conference on prevention of bioll duct injury during colestectomy.

And so he's here with us to talk about what they've found in that consensus conference and how we can make sure that we're performing

laboratory colesisectomy safely. We're going to do a little bit of a different format this time around. We're going to do this in an

oral board's format and so that we can give you our listeners safe oral boards friendly answers that you can use in your own examinations to talk about laparoscopic colds to sectomy as we discuss these new guidelines

and how to safely perform cold

desistectomy in your everyday practice.

So we're happy to have Dr. Brunier.

Thank you for joining us. So I'll get us started. Dr. But thanks for joining us. We have a 45 year old woman who presents to the ER with acute right upper quadrant pain and nausea. She's had 48 hours of pain and nausea,

non-bloody and non-bullious amasis times three and a subjective fever. Provitals are as follows.

He's a temperature of 101.8, a heart rate of 100,

a respiratory rate of 15, and a blood pressure of 120 over 80.

She's tender in the right upper quadrant.

On her lab, she's got a white count of 14,000

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