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Six anatomical landmarks for safe Laparoscopi...

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Six anatomical landmarks for safe Laparoscopi...

Six anatomical landmarks for safe Laparoscopic Cholecystectomy

Author Name : Rachit Arora, Bhavinder Arora

ABSTRACT: Background: Laparoscopic cholecystectomy is standard for treating cholelithiasis and assessing the laparoscopic surgical skills. Identification of extra hepatic anatomy is essential to avoid biliary, vascular and visceral injuries. Material and methods: The study was conducted done in one hundred patients in which laparoscopic cholecystectomy done for cholelithiasis. Six basic anatomical landmarks were identified in all patients including thirty five patients of difficult cholecystectomy. Results: Identification of gall bladder and cystic duct junction, also CBD and cystic duct junction is most reliable for avoiding biliary tree injuries. Entry point of cystic artery into gall bladder is the most reliable to avoid vascular injuries. There was no incidence of extra hepatic biliary or vascular injuries in our series. Conclusion: A safe laparoscopic cholecystectomy for cholelithiasis is possible if these six basic anatomical landmarks are identified. Key words: Anatomical landmarks, safe cholecystectomy, laparoscopic cholecystectomy, extra hepatic biliary anatomy