Journal of hepato-biliary-pancreatic sciences
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J Hepatobiliary Pancreat Sci · Apr 2019
ReviewA three-step conceptual roadmap for avoiding bile duct injury in laparoscopic cholecystectomy: an invited perspective review.
Bile duct injuries are the most common serious complication of cholecystectomy. Avoidance of bile duct injury is a key aim of biliary surgery. The purpose of this paper is to describe laparoscopic cholecystectomy from the viewpoint of three conceptual goals. ⋯ This "inflection point" is defined as the moment at which the decision is made to halt the attempt to perform a total cholecystectomy laparoscopically and to finish the operation by a different method. Currently the best bail-out procedure seems to be subtotal fenestrating cholecystectomy. Application of conceptual goals of cholecystectomy can help the surgeon to avoid biliary injury.