[Dissection of the Calot's triangle by the celioscopic approach].
Laparoscopy seems to increase the frequency of post-cholecystectomy biliary complications. Irrespective of the instruments and techniques utilized, dissection of Calot's triangle must be performed in compliance with the classical rules of bile duct surgery. These rules are: always keep in contact with the gallbladder; completely dissect the Calot's triangle area which must not contain more than one biliary tract element; never dissect the cystic duct beyond the right border of the hepatic choledochus; never section an element that is not identified with certainty; systematically perform a peroperative transcystic cholangiography, in particular to detect the anatomical variants of the extra-hepatic biliary ducts.
Service de Chirurgie digestive, Hôpital St-Roch, Nice.
P
P
Fabiani
L
L
Iovine
N
N
Katkhouda
J
J
Gugenheim
J
J
Mouiel
D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D006801:Humans
Dissection du triangle de Calot par voie coelioscopique.