Cargando…

Spiral Cystic Duct: Beware

Laparoscopic cholecystectomy (LC) is currently the most popular operation performed for gallbladder disease. Our objective is to emphasize the superiority of the “critical view technique” over the “infundibular technique” in case of inflammation or aberrant anatomy. We present a case of a 21-year-ol...

Descripción completa

Detalles Bibliográficos
Autores principales: Elakkary, Ehab, Ching, Karen, Jacobs, Michael J.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015778/
https://www.ncbi.nlm.nih.gov/pubmed/17575770
_version_ 1782195601046241280
author Elakkary, Ehab
Ching, Karen
Jacobs, Michael J.
author_facet Elakkary, Ehab
Ching, Karen
Jacobs, Michael J.
author_sort Elakkary, Ehab
collection PubMed
description Laparoscopic cholecystectomy (LC) is currently the most popular operation performed for gallbladder disease. Our objective is to emphasize the superiority of the “critical view technique” over the “infundibular technique” in case of inflammation or aberrant anatomy. We present a case of a 21-year-old female who was taken to the operating room for LC. The critical view technique was performed with anterolateral infundibular retraction, and the infundibulum and body were dissected along the peritoneal reflection on both sides of the gallbladder. The cystic duct and infundibulum were funnel shaped and spiraled from lateral to posteromedial rotation. Aberrant anatomy is commonly seen during LC. We have routinely espoused the critical view technique or the use of intraoperative cholangiogram and believe that it should be applied to aid in the identification of the cystuc duct (CD). We avoid the infundibular technique, because it may be a contributing factor to common bile duct (CBD) injury.
format Text
id pubmed-3015778
institution National Center for Biotechnology Information
language English
publishDate 2006
publisher Society of Laparoendoscopic Surgeons
record_format MEDLINE/PubMed
spelling pubmed-30157782011-02-17 Spiral Cystic Duct: Beware Elakkary, Ehab Ching, Karen Jacobs, Michael J. JSLS Case Reports Laparoscopic cholecystectomy (LC) is currently the most popular operation performed for gallbladder disease. Our objective is to emphasize the superiority of the “critical view technique” over the “infundibular technique” in case of inflammation or aberrant anatomy. We present a case of a 21-year-old female who was taken to the operating room for LC. The critical view technique was performed with anterolateral infundibular retraction, and the infundibulum and body were dissected along the peritoneal reflection on both sides of the gallbladder. The cystic duct and infundibulum were funnel shaped and spiraled from lateral to posteromedial rotation. Aberrant anatomy is commonly seen during LC. We have routinely espoused the critical view technique or the use of intraoperative cholangiogram and believe that it should be applied to aid in the identification of the cystuc duct (CD). We avoid the infundibular technique, because it may be a contributing factor to common bile duct (CBD) injury. Society of Laparoendoscopic Surgeons 2006 /pmc/articles/PMC3015778/ /pubmed/17575770 Text en © 2006 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Elakkary, Ehab
Ching, Karen
Jacobs, Michael J.
Spiral Cystic Duct: Beware
title Spiral Cystic Duct: Beware
title_full Spiral Cystic Duct: Beware
title_fullStr Spiral Cystic Duct: Beware
title_full_unstemmed Spiral Cystic Duct: Beware
title_short Spiral Cystic Duct: Beware
title_sort spiral cystic duct: beware
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015778/
https://www.ncbi.nlm.nih.gov/pubmed/17575770
work_keys_str_mv AT elakkaryehab spiralcysticductbeware
AT chingkaren spiralcysticductbeware
AT jacobsmichaelj spiralcysticductbeware