We are currently translating the website, please come back later.
We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

Debe usted estar conectado para ver este video. Haga clic aquí para acceder a su cuenta, ¡o aquí para registrarse gratis!

Laparoscopic cholecystectomy: cystic duct stone management

M Ignat, MD, PhD M Wehr, MD B Seeliger, MD D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Dec 2018;18(12). URL: http://websurg.com/doi/vd01en5503

Haga una pregunta al autor

Debe usted iniciar sesión para hacer una pregunta a los autores. Haga clic aquí para acceder a su cuenta, ¡o aquí para registrarse gratis!
  • 2884
  • 10
  • 19/12/2018
This video demonstrates a laparoscopic cholecystectomy in a 69-year-old woman who had multiple episodes of biliary colic. Ultrasonography and MRI showed the presence of multiple gallbladder stones. MRI also showed a folded gallbladder infundibulum over the cystic duct, which is enlarged and contains a stone. The common bile duct is otherwise perfectly thin and free of stones. In this video, one can observe a stepwise cholecystectomy technique, with exposure, dissection of the serosa and of Calot’s triangle. Cystic artery division is first performed in order to allow complete cystic duct dissection obtaining the critical view of safety. The dissection of the dilated cystic duct is thoroughly demonstrated. A small stone is pushed back into the gallbladder; the cystic duct is opened and checked for residual stones, and the cystic duct convergence with the common bile duct is evidenced prior to clip positioning and duct division.