Laparoscopic technique in enlarged cystic duct.
The risk of dislodgment of endoclips placed during laparoscopic cholecystectomy in enlarged cystic duct is higher with minor bile leak. From January 2000 to April 2004, we performed 1013 procedures; in 12 patients we have showed a enlarged duct ligated with 4 laparoscopic cholecystectomy endoclips after a 180 degrees rotation of the gallbladder during a retrograde cholecystectomy. We haven't registered complications and all the cases were discharged the first postoperative day. The method is safe and economically sound.
Dell'Abate
P
P
University of Parma--Italy, School of Medicine Institute of General Surgery and Organ Transplant.
Del Rio
P
P
Soliani
P
P
Arcuri
M F
MF
Sianesi
M
M
D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000601:surgery*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D003549:Cystic Duct / Q000473:pathology* / Q000601:surgery*; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies