Transillumination of Calot's Triangle on Laparoscopic Cholecystectomy: A Feasible Approach to Achieve a Critical View of Safety

Curēus
Ramon Vidrio DuarteEduardo Vidrio Duarte

Abstract

Background Laparoscopic cholecystectomy is currently one of the most commonly performed procedures globally. Morbidity of laparoscopic cholecystectomy is low; however, bile duct injury is still a feared complication. Despite worldwide efforts, the global incidence of bile duct injury remains higher for laparoscopic cholecystectomy compared with open cholecystectomy. Despite the general belief that the learning curve and lack of laparoscopic skills represent the most common causes of bile duct injuries, the principal cause is the misidentification of biliary anatomy. The aim of our study is to determine if laparoscopic transillumination is a feasible approach to bile and vascular structures visualization during laparoscopic cholecystectomy because the only other method for real-time visualization is fluorescent cholangiography, which can be cost-prohibitive and requires specialized equipment and training. Materials and methods We performed a retrospective comparison of outcomes between the transillumination approach in 10 patients receiving laparoscopic cholecystectomy (group A) and a control group of 50 conventional laparoscopic cholecystectomy patients (group B). We compared demographic data, type of surgery, operative time, b...Continue Reading

References

Dec 1, 1991·Journal of Laparoendoscopic Surgery·A H Ata
Jan 24, 2003·Journal of Hepato-biliary-pancreatic Surgery·Steven M Strasberg
Nov 15, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·C AvgerinosC Dervenis
Jul 14, 2010·The British Journal of Surgery·T IshizawaN Kokudo
Aug 22, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Saxon J ConnorThomas J Hugh
Jul 15, 2015·World Journal of Gastroenterology : WJG·Antonio PesceStefano Puleo
Dec 25, 2015·Surgical and Radiologic Anatomy : SRA·R G AndallM Loukas
Mar 21, 2018·Surgical Endoscopy·Philip H PucherUNKNOWN SAGES Safe Cholecystectomy Task Force

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