title: Cystic duct stabilization during laparoscopic exploration and stone removal.
abstract: A modification of the standard method for cystic duct stabilization is presented. A percutaneously placed suture is used to loop and stabilize the cystic duct. The suture is secured outside the abdominal wall at the skin level using a clamp. Percutaneous suture stabilization of the cystic duct provides an alternative method of common bile duct stabilization when laparoscopic choledochotomy is required. By using this method, we can easily stabilize the cystic duct without the need for additional trocars and simplify the use of the choledochoscope.
authors.affiliation: Department of Surgery, Fairview General Hospital, Cleveland, Ohio.
authors.forename: P
authors.initials: P
authors.lastname: Raj
authors.forename: A D
authors.initials: AD
authors.lastname: Greco
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D003549:Cystic Duct; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D007430:Intraoperative Care; D010535:Laparoscopy / Q000379:methods*; D013536:Suture Techniques