title: Laparoscopic technique in enlarged cystic duct.
abstract: 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.
authors.affiliation: University of Parma--Italy, School of Medicine Institute of General Surgery and Organ Transplant.
authors.forename: P
authors.initials: P
authors.lastname: Dell'Abate
authors.forename: P
authors.initials: P
authors.lastname: Del Rio
authors.forename: P
authors.initials: P
authors.lastname: Soliani
authors.forename: M F
authors.initials: MF
authors.lastname: Arcuri
authors.forename: M
authors.initials: M
authors.lastname: Sianesi
mesh_terms: 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