| Literature DB >> 25838927 |
Jakub Kaczynski1, Joanna Hilton1.
Abstract
We present a case of a middle-aged female who attended for a routine laparoscopic cholecystectomy as a day case surgery. At operation, she was found to have a distended gallbladder with an unusually prominent distal portion. This has made the dissection of the Calot's triangle challenging. As a result, the "critical view of safety" technique was applied. This allowed for the clear Calot's triangle visualization and identification of the cystic duct and artery. This case highlights that the knowledge of various ways of the cystic duct dissection is essential to every surgeon. Furthermore, this helps to adjust the dissection approach on an individual case bases ensuring avoidance of the common bile duct injuries.Keywords: Calot’s triangle; common bile duct injury; critical view of safety; intraoperative cholangiography; laparoscopic cholecystectomy; “hidden cystic duct”
Year: 2015 PMID: 25838927 PMCID: PMC4369147 DOI: 10.1556/IMAS.7.2015.1.4
Source DB: PubMed Journal: Interv Med Appl Sci ISSN: 2061-1617