New Insights in the Prevention of Complications in Laparoscopic Cholecystectomy

The aim of the investigation is to study the possibilities of using external and internal phenotypic signs of connective tissue dysplasia to prognosticate atypical structure of Calot triangle area in order to prevent intraoperative injury of extrahepatic bile ducts and determine the risk group based on a possible iatrogenic injury of extrahepatic bile ducts and the branches of hepatic artery in the zone of the operation.

Materials and Methods. There have been examined 146 patients with anomalies in Calot triangle area compared to classical anatomy revealed intraoperatively and 60 patients with such abnormalities. All the patients were thoroughly examined in order to reveal external phenotypic signs of abnormalities. The presence of internal features was revealed by instrumental technique.

Conclusion. External and internal connective tissue dysplasia can serve as indicators of possible anomalies in anatomical structures of Calot triangle. The research findings let to add techniques aimed at the prevention of intraoperative complications in laparoscopic cholecystectomy.

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Fomov G.V., Mukhin А.S., Podolinny G.I., Gorpinyuk V.P., Zvyagintsev V.V. New Insights in the Prevention of Complications in Laparoscopic Cholecystectomy. Sovremennye tehnologii v medicine 2011; (4): 79