Two prevention strategies for preventing bile duct injury in laparoscopic surgery for cholecystolithiasis

doi:10.3877/cma.j.issn.1674-3946.2021.03.005

Abstract

Abstract:

In order to prevent bile duct injury in laparoscopic surgery for cholecystolithiasis, two safe surgical strategies were proposed. For the non-difficult gallbladder, the ampullary clock positioning method was used as the navigator. High vigilance was given to the ampullary at 9 points to 12 points and the ampullary at 3 points of high hepatic duct injury, and the neck of the gallbladder was taken as the warning boundary, the cystic duct was disintegrated along the neck and properly handled. For the difficult operative conditions with high risk, we applied the laparoscopic gallbladder disabled technique by the three-step treatment mode instead of complete removal of the gallbladder as a whole viscera.

Key words: Cholecystitis, Cholecystolithiasis, Cholecystectomy, laparoscopic, Gall Bladder ampulla and clock positioning method, Gallbladder disabled technique

Peizhong Shang, Xiaowu Li, Jianjun Miao, bing Liu. Two prevention strategies for preventing bile duct injury in laparoscopic surgery for cholecystolithiasis[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(03): 255-258.

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