Proper management of the cystic duct guided by clock positioning for ampulla of gallbladder and laparoscopic gallbladder disabled technique

doi:10.3877/cma.j.issn.1674-3946.2019.03.006

Abstract

Abstract:

Iatrogenic bile duct injury in laparoscopic cholecystectomy could happen when common bile duct was mistakenly cut off as the cystic duct. In order to enhance the ability of the surgeon to recognize various forms of the cystic duct, the cystic duct is divided into 11 categories and 33 types from different perspectives. Guided by clock positioning method for ampulla of gallbladder and the new concept of gallbladder disabled technique, the primary objective and core technique of proper management of the cystic duct are highlighted, so as to establish an effective surgical safety strategy to avoid bile duct injury.

Key words: Cholecystitis, Cystic Duct, Cholecystectomy, laparoscopic, Positioning method on an imaginary clock for ampulla of gallbladder, Gallbladder disabled technique

Peizhong Shang, Yong Liu, Jianjun Miao, Xiaowu Li, bing Liu, Jie Zhang. Proper management of the cystic duct guided by clock positioning for ampulla of gallbladder and laparoscopic gallbladder disabled technique[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(03): 235-238.

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