cystic duct
If the Cystic Duct is Short and a Stone is Impacted...
If the cystic duct is short and a stone is impacted in the neck of the GB you can secure the duct only just distal to the stone leaving a reasonable cystic duct stump, then divide between the secured...
After Securing the Cystic Duct and Artery You...
Adhesions between the liver and diaphragm during laparoscopic cholecystectomy, after securing the cystic duct and artery, proper retraction of the fundus can't be achieved to remove the GB from its bed...
Critical View of Safety
The critical view of safety is a "window" crossed by two structures: the cystic duct and artery. This is achieved by exposing the base of the liver bed and dissecting Calot's triangle free of...
Skletonizing Cystic Duct and Artery to Make Critical...
Surgical video case: dissection and exposure of the Calot's triangle with skletonization of the cystic duct and artery. Careful dissection was used to identify the cystic duct, artery and anterior surface...
Acute Cholecystitis Impact of Blunt Dissection
In some cases, laparoscopic cholecystectomy (LC) may be difficult to perform in patients with acute cholecystitis (AC) with severe inflammation and fibrosis. The Tokyo Guidelines 2018 (TG18) expand the...
Biliary Peritonitis For Duct of Luschka Bile...
The possible reasons for bile leakage following laparoscopic cholecystectomy are the injury of the common bile duct, the insufficient treatment of cystic duct (non competent or non closing, or spontaneously...
Dissection of Cystic Duct Below Rouvier Sulcus...
Dissection of the cystic duct is usually above the plane of Rouvier Sulcus, but in some cases like this, you may encounter the cystic duct below this plane. Careful cautious dissection of the cystic duct...
Milking the Cystic Duct to Remove Stones Then...
Surgical video case: open the cystic duct and do milking to retrieve stones and test for its patency and the patency of the CBD if no choledochoscope is available.
Where to Apply Your Clip or Ligature in Lap Cholecystectomy
In some cases of Lap Chole you may find difficulty to determine exactly where to apply your distal clip or ligature on the cystic duct as in this video, what's the sharp landmark for your exact site to...
Laparoscopic CBD Exploration, Right Hepatic Duct...
After the confluence of the cystic duct and the CBD were exposed, an incision was made along the superior wall of the common bile duct. The choledochoscope was inserted into the lumen of the CBD through...
Transcholedochoscopic Basketing of CBD Stones
Surgical video case: after the confluence of the cystic duct and the CBD were exposed, an incision was made along the superior wall of the common bile duct. The choledochoscope was inserted into the lumen...
Test for Patency of the Cystic Duct and CBD
Small stones, gravels, mud, or white bile if encountered on the division of the cystic duct, I do this maneuver. What's your opinion my dear professors?
Critical View of Safety During Acute Cholecystitis
The cause of most major bile duct injuries is misidentification of ductal structures. In the “classical” injury, the common bile duct is thought to be the cystic duct and is divided. Division...
Acute Cholecystitis
Acute cholecystitis is inflammation of the gallbladder that develops over hours, usually because a gallstone obstructs the cystic duct.
Rouviere's Sulcus
Rouviere's sulcus is a 2-5 cm fissure on the liver between the right lobe and caudate process. The benefit of finding the Rouviere's sulcus during laparoscopic cholecystectomy is supported by the fact...
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