[Dissection of the Calot's triangle by the celioscopic approach]

Presse Med. 1993 Mar 27;22(11):535-7.
[Article in French]

Abstract

Laparoscopy seems to increase the frequency of post-cholecystectomy biliary complications. Irrespective of the instruments and techniques utilized, dissection of Calot's triangle must be performed in compliance with the classical rules of bile duct surgery. These rules are: always keep in contact with the gallbladder; completely dissect the Calot's triangle area which must not contain more than one biliary tract element; never dissect the cystic duct beyond the right border of the hepatic choledochus; never section an element that is not identified with certainty; systematically perform a peroperative transcystic cholangiography, in particular to detect the anatomical variants of the extra-hepatic biliary ducts.

Publication types

  • English Abstract

MeSH terms

  • Cholecystectomy, Laparoscopic / methods*
  • Humans