[Experience in laparoscopic cholecystectomy by exposing common hepatic duct using blunt dissection to prevent bile duct injury].
OBJECTIVE
To introduce an effective method for preventing bile duct injury in laparoscopic cholecystectomy.


METHODS
From January 2003 to October 2005, laparoscopic cholecystectomy was performed on 629 patients, 335 males and 294 females, aged 46.3 (14 - 81). The common hepatic duct was exposed by blunt dissection routinely before transecting the cystic duct.


RESULTS
No bile duct injury occurred. 7 cases were converted to open procedure, 5 cases for severe abdominal adhesion, one for internal fistula of bile duct to intestinal tract, and another 1 for gall bladder cancer. 2 patients had postoperative complications, one with raw surface bleeding, and the other with incision bleeding.


CONCLUSIONS
Exposing common hepatic duct by blunt dissection in laparoscopic cholecystectomy can prevent intraoperative bile duct injury. Such procedure is simple, easy to learn and easy to apply.
Cai
Xiu-jun
XJ
Department of General Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou 310016, China.
Gu
Xiao-jing
XJ
Wang
Yi-fan
YF
Yu
Hong
H
Liang
Xiao
X
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001652:Bile Ducts / Q000293:injuries; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged