bile duct injuries
Mechanism how Traction Distorts the Biliary Confluence
“Tenting” or cephalad/anterior traction on Hartmann’s pouch or the cystic duct changes the geometry of Calot’s triangle and the cystic duct–CBD junction. This pulls the cystic...
Don't Encroach Upon the CBD
I open the cystic duct logitudinally to retrieve impacted cystic duct stones. On applying my loop to secure the distal end of the cystic duct, it was distal to the distal end of the longitudinal opening...
Laparoscopic Remnant Cholecystectomy for Calculi...
Laparoscopic subtotal cholecystectomy is an acceptable method of preventing bile duct injuries in "difficult" gallbladders. However, in some cases of hourglass gallbladder, misinterpretation...
Critical View of Safety in Acute Gangrenous Cholecystitis
Surgical video: laparoscopic cholecystectomy has a 0.3% to 0.5% morbidity rate due to major biliary injuries. The majority of surgeons have routinely performed the so-called “infundibular”...
The Critical View of Safety During Laparoscopic...
Laparoscopic cholecystectomy is the gold standard for treatment of gallbladder stones with incidence of bile duct injuries (BDI) (0.3-0.8 %). Bile duct injuries (BDI) is associated with devastating,...
The Critical View of Safety (CVS)
Laparoscopic cholecystectomy was introduced into wide practice about 1990, with demonstrated benefit to patients. However, it was associated with a sharp increase in major bile duct injuries. Biliary...
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