cystic duct
Management of the Difficult Gallbladder
This video was part of the Video Loop during the SAGES 2020 Virtual Meeting. Topic: Biliary Management of the Difficult Gallbladder. Suhail Zeineddin, MD, Paul Anthony, R Del Prado, MD, FACS (Maricopa...
Is It Justified to Dissect The Terminal End of...
To avoid missing a small stone impacted at the distal end cystic duct, is it justified to dissect the terminal end of the cystic duct like this? I ask for the opinion of the experts.
Completion Cholecystectomy & CBD Exploration
Surgical video case: on dealing with cystic duct stump or gallbladder stump in case of completion cholecystectomy, the cystic duct is identified by heister valve. It is a sure landmark for cystic duct....
Live Anatomy Cholangiogram Duct Diagram
During a laparoscopic cholecystectomy, the anatomy a surgeon sees is shaped by angles, traction, inflammation, fat, and perspective. The view is dynamic, sculpted by how you lift the fundus, retract Hartmann’s...
Cystic Duct Draining Into the Right Hepatic Duct
Cystic duct draining into the right hepatic duct is a very important anatomical variation to understand, especially for safe laparoscopic cholecystectomy. Normally, the cystic duct joins the common...
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...
Modern Approach to a Complex Gallstone Problem
33 years old patient referred for acute severe cholangitis with an elarged CBD and 8 mm stone. Multiple Stones in the gallbladder. The Problem: Why This Wasn't Standard 1. Acute Cholangitis: This...
Mirizzi Syndrome Type I
Mirizzi syndrome is a rare complication of chronic gallstone disease. It happens when a large gallstone or cluster of stones gets stuck in the gallbladder or cystic duct. This causes swelling that can...
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...
Cystic Duct Remnant as a Rare Cause for Post-Cholecystectomy...
Surgical video case: post-cholecystectomy syndrome is a group of disorders resulting from complications of laparoscopic cholecystectomy. The patients exhibit a heterogeneous group of symptoms, such as...
Two and Only Two Structures Should be Seen Entering...
Bile duct injury rates have increased since the introduction of laparoscopic cholecystectomy, occurring in about 3 per 1,000 procedures performed. Critical View of Safety (CVS) method of identification...
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...
Value of Routine Milking of Cystic Duct During...
Surgical video case: cystic duct stones although they are occasionally encountered during laparoscopic cholecystectomy and are not detected easily by preoperative investigations however it is worthy to...
Robotic Cholecystectomy ICG and IOC; Aberrant...
During an elective cholecystectomy, the standard use of ICG-NIR cholangiofluorescence enabled us to recognize a rare anatomical variation of the right posterior hepatic duct draining into the cystic duct...
Half-cut Skill on the Cystic Duct and Milking...
Surgical video case: to decrease the incidence of residual stones in the cystic duct and subsequently lower the chances of stone migration into the common bile duct (CBD), as well as to prevent intractable...
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