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Triangle of Safety Technique : A New Approach to Laparoscopic Cholecystectomy
Joint Authors
Almutairi, Abdulrahman F. M. S.
Hussain, Yousef A. M. S.
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-06-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Backgrounds and Study Aims.
Common bile duct (CBD) injury is one of the most serious complications of laparoscopic cholecystectomy (LC).
Misidentification of the CBD during dissection of the Calot's triangle can lead to such injuries.
The aim of the authors in this study is to present a new safe triangle of dissection.
Patients and Method.
501 patients under went LC in the following approach; The cystic artery is identified and mobilized from the gall bladder (GB) medial wall down towards the cystic duct which would simultaneously divide the medial GB peritoneal attachment.
This is then followed by dividing the lateral peritoneal attachment.
The GB will be unfolded and the borders of the triangle of safety (TST) are achieved: cystic artery medially, cystic duct laterally and the gallbladder wall superiorly.
The floor of the triangle is then divided to delineate both cystic duct and artery in an area relatively far from CBD.
Results.
There were little significant immediate or delayed complications.
The mean operating time was 68 minutes, nearly equivalent to the conventional method.
Conclusions.
Dissection at TST appears to be a safe procedure which clearly demonstrates the cystic duct and may help to reduce the CBD injuries.
American Psychological Association (APA)
Almutairi, Abdulrahman F. M. S.& Hussain, Yousef A. M. S.. 2009. Triangle of Safety Technique : A New Approach to Laparoscopic Cholecystectomy. HPB Surgery،Vol. 2009, no. 2009, pp.1-5.
https://search.emarefa.net/detail/BIM-474598
Modern Language Association (MLA)
Almutairi, Abdulrahman F. M. S.& Hussain, Yousef A. M. S.. Triangle of Safety Technique : A New Approach to Laparoscopic Cholecystectomy. HPB Surgery No. 2009 (2009), pp.1-5.
https://search.emarefa.net/detail/BIM-474598
American Medical Association (AMA)
Almutairi, Abdulrahman F. M. S.& Hussain, Yousef A. M. S.. Triangle of Safety Technique : A New Approach to Laparoscopic Cholecystectomy. HPB Surgery. 2009. Vol. 2009, no. 2009, pp.1-5.
https://search.emarefa.net/detail/BIM-474598
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-474598