The fear of transgastric cholecystectomy: misinterpretation of the biliary anatomy
Epublication WebSurg.com, Sep 2009;09(09). URL: http://websurg.com/doi/vd01en2613
Misinterpretation of normal anatomy and anatomical variations contribute to the occurrence of major complications like biliary injury during cholecystectomy. Performing a NOTES transgastric cholecystectomy under endoscopic view, whenever the anatomy of the biliary tract is confusing as happened in the case here presented, a temporary conversion to a laparoscopic view more familiar to the surgeon’s eye and therefore clearer, will provide a better understanding of the anatomy. The contribution of a preventive strategy in avoiding injury during NOTES procedure needs to be investigated.