Literature DB >> 27011478

Calot's Triangle: Proposal to Rename it as Calot's Region and the Concept of 'Ducto-Arterial Plane'.

Sunil Kumar1, Mohit Kumar Joshi2.   

Abstract

The anatomical description of the area requiring dissection during cholecystectomy is incomplete and incorrect. We carefully observed the anatomy of this region for over 20 years in various biliary pathologies and present our view. Describing this area in the form of triangles is incorrect. There exists a definite plane between the two folds of peritoneum in this region, wherein the cystic duct and the cystic artery traverse. The description of the "triangles" that require dissection during cholecystectomy are not strictly geometrical triangles; hence, the area bounded by these so-called triangles should be renamed as "Calot's region." The surgeons should take advantage of the existence of a definite "ducto-arterial plane" in the Calot's region and dissect it sharply to avoid ductal and vascular injuries.

Entities:  

Keywords:  Bile duct; Calot’s triangle; Cholecystectomy; Cystic artery; Cystic duct; Triangle of cholecystectomy

Year:  2014        PMID: 27011478      PMCID: PMC4775686          DOI: 10.1007/s12262-014-1057-y

Source DB:  PubMed          Journal:  Indian J Surg        ISSN: 0973-9793            Impact factor:   0.656


  8 in total

Review 1.  Anatomical variations of the extrahepatic biliary tree: review of the world literature.

Authors:  M Lamah; N D Karanjia; G H Dickson
Journal:  Clin Anat       Date:  2001-05       Impact factor: 2.414

2.  Extrahepatic biliary anatomy at laparoscopic cholecystectomy: is aberrant anatomy important?

Authors:  Marco Larobina; Peter D Nottle
Journal:  ANZ J Surg       Date:  2005-06       Impact factor: 1.872

Review 3.  Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis.

Authors:  F Keus; J A F de Jong; H G Gooszen; C J H M van Laarhoven
Journal:  Cochrane Database Syst Rev       Date:  2006-10-18

4.  Laparoscopic cholecystectomy: the Dundee technique.

Authors:  L K Nathanson; S Shimi; A Cuschieri
Journal:  Br J Surg       Date:  1991-02       Impact factor: 6.939

Review 5.  Laparoscopic cholecystectomy.

Authors:  Demetrius E M Litwin; Mitchell A Cahan
Journal:  Surg Clin North Am       Date:  2008-12       Impact factor: 2.741

Review 6.  Laparoscopic cholecystectomy: the European experience.

Authors:  J Perissat
Journal:  Am J Surg       Date:  1993-04       Impact factor: 2.565

7.  Calot's triangle revisited.

Authors:  J M Rocko; J M Di Gioia
Journal:  Surg Gynecol Obstet       Date:  1981-09

Review 8.  Open, small-incision, or laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis. An overview of Cochrane Hepato-Biliary Group reviews.

Authors:  Frederik Keus; Hein G Gooszen; Cornelis Jhm van Laarhoven
Journal:  Cochrane Database Syst Rev       Date:  2010-01-20
  8 in total
  1 in total

Review 1.  Cholecystectomy, porta hepatis stripping, and omental bursectomy.

Authors:  Joo-Hyuk Son; Suk-Joon Chang
Journal:  Gland Surg       Date:  2021-03
  1 in total

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