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All the latest news from The Gallstone Clinic

iWantGreatCare certificate of excellence

Mr Christian Macutkiewicz was awarded the iWantGreatCare certificate of excellence in 2021 for delivering outstanding care.

Publications & keynotes

Mr Christian Macutkiewicz was invited as a distinguished guest at Royal Australasian College of Surgeons (RACS) 2019 Annual Scientific Congress in Bangkok, Thailand.

Mr Macutkiewicz was invited to give three major talks at the congress:

1. The Difficult Gallbladder
Mr Macutkiewicz discusses what factors increase the risk of a difficult gallbladder operation. He then discusses the strategies on how to perform a safe cholecystectomy in these high risk patients and how to stay out of trouble during the operation.

2. Delayed Gastric Emptying

Mr Macutkiewicz discusses a common complication after pancreas surgery. Delayed gastric emptying is when the stomach cannot empty properly after surgery. The factors associated with this condition and the management strategies were discussed along with the latest research and randomised trials on how to reduce its incidence.

3. β€œHow I do it” Masterclass: The Difficult Gallbladder and Bile Duct

Mr Macutkiewicz teaches the techniques needed to perform a cholecystectomy in the difficult gallbladder and bile duct scenario. Over 110 delegates signed up for this breakfast masterclass at the congress where Mr Macutkiewicz discussed strategies for safe cholecystectomy, how to control difficult bleeding, safe subtotal cholecystectomy strategies and presented videos of difficult gallbladders and how to perform them.

4. Chairman: Liver and Pancreas Trauma

Mr Macutkiewicz chaired a session discussing the latest guidelines on liver and pancreatic trauma.

My piece in today's Daily Mail on sphincter of oddi - an agonising condition that caused this lady to lose eight stone. Thanks as ever to @SurgeryHPB for his expertise!
https://www.dailymail.co.uk/health/article-11252051/Woman-left-agony-lost-shocking-EIGHT-stone-routine-gallbladder-operation.html

I much prefer fenestrating rather than reconstituting but both better than bile duct injury. Fundus-first needs to be careful as can invite injury to right hepatic duct. Beware! #difficult #cholecystectomy @GallstoneThe https://twitter.com/Cirbosque/status/1500853570844995585

The Hepatocystic triangle is what we should all be referring to in our operation notes and teaching our #trainees for a safe #cholecystectomy #surgery #gallstones @GallstoneThe @roux_group @ASiTofficial @Dukes_Club @ASGBI_MA https://twitter.com/dagopaam/status/1506060688061460481

WTF@dagopaam

Hepatocystic triangle vs Calot's triangle.
@Cirbosque @MISIRG1 @mpauforero 2

@kmahawar @T4UGIS So I (mostly) agree with this. However, if a duct of Lushka or gallbladder fossa leak is easily seen that can be sutured, then these can be sorted out laparoscopically and avoid an ERCP. As with all these things, timing is key! Early laparoscopy is low risk with high gain

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Practice manager

Emma Massoules
Email: info@thegallstoneclinic.com
Tel: 0161 949 9890

Spire Manchester
170 Barlow Moor Road
Manchester
M20 2AF

Clinics available Monday-Saturday as well as Virtual consultations.