ArticleChinese medical journal2015
Blunt Dissection: A Solution to Prevent Bile Duct Injury in Laparoscopic Cholecystectomy.
Article in Chinese medical journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Novel device for blunt dissection in third space endoscopy: Preliminary animal study (with video).Endoscopy international open · 2025Article
- Cystic plate approach in laparoscopic cholecystectomy: a consecutive retrospective analysis.Frontiers in surgery · 2024Article
- Article
- Achieving the critical view of safety in the difficult laparoscopic cholecystectomy: a prospective study of predictors of failure.Surgical endoscopy · 2021Article
- Utility of Tokyo guidelines and intraoperative safety steps in improving the outcome of laparoscopic cholecystectomy in complex acute calculus cholecystitis: a prospective study.Surgical endoscopy · 2021Observational
- Recovery from a biliary stricture of a common bile duct ligature injury: A case report.World journal of clinical cases · 2020Article
- Retrograde tracing along "cystic duct" method to prevent biliary misidentification injury in laparoscopic cholecystectomy.Updates in surgery · 2020Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic cholecystectomy (LC) has been a standard operation and replaced the open cholecystectomy (OC) rapidly because the technique resulted in less pain, smaller incision, and faster recovery. This study was to evaluate the value of blunt dissection in preventing bile duct injury (BDI) in laparoscopic cholecystectomy (LC).
methodsFrom 2003 to 2015, LC was performed on 21,497 patients, 7470 males and 14,027 females, age 50.3 years (14-84 years). The Calot's triangle was bluntly dissected and each duct in Calot's triangle was identified before transecting the cystic duct.
resultsTwo hundred and thirty-nine patients (1.1%) were converted to open procedures. The postoperative hospital stay was 2.1 (0-158) days, and cases (46%) had hospitalization days of 1 day or less, and 92.8% had hospitalization days of 3 days or less; BDI was occurred in 20 cases (0.09%) including 6 cases of common BDI, 2 cases of common hepatic duct injury, 1 case of right hepatic duct injury, 1 case of accessory right hepatic duct, 1 case of aberrant BDI 1 case of biliary stricture, 1 case of biliary duct perforation, 3 cases of hemobilia, and 4 cases of bile leakage.
conclusionExposing Calot's triangle by blunt dissection in laparoscopic cholecystectomy could prevent intraoperative BDI.
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