Visual identification of the cystic duct-CBD junction during laparoscopic cholecystectomy (visual cholangiography): an additional step for prevention of CBD injuries.
Despite advances in technical skills, common bile duct (CBD) injury during laparoscopic cholecystectomy is not an uncommon major complication. We describe a technical step that can be taken during the dissection of the triangle of Calot to allow the junction between the cystic duct and CBD to be clearly visualized. This is a safe and simple maneuver that mimics the one done in open surgery. Its routine application serves as an additional safety measure to prevent injury to the common bile duct.
Katkhouda
N
N
Department of Surgery, University of Southern California School of Medicine, Los Angeles 90033-4612, USA.
Mavor
E
E
Mason
R J
RJ
D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods*; D003135:Common Bile Duct / Q000033:anatomy & histology* / Q000293:injuries; D003549:Cystic Duct / Q000033:anatomy & histology*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control