EVALUATION OF STANDERDIZED APPROACH FOR LAPAROSCOPIC CHOLECYSTECTOMY BY EXPOSING THE INNER LAYER OF THE SUBSEROSAL LAYER

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Surgery Hepatobiliary Pancreatic Unit, Faculty of Medicine, Alexandria University

2 Hepatobiliarypancreatic unit, Surgery department, Faculty of medicine, Alexandria university

3 Hepato-pancreaticobiliary surgery unit, surgery department, faculty of medicine, Alexandria university

Abstract

Gallbladder (GB) stones is a very common condition which is affecting the human beings. Laparoscopic cholecystectomy (LC) has long since established itself as the gold standard in the treatment of symptomatic gallbladder stones. The primary cause of vascular and bile duct damage during laparoscopic cholecystectomy is incorrect identification of the anatomical components. (CVS) presented by Strasberg, claimed that skeletonizing the gallbladder neck before splitting the cystic structures and exposing the proximal part of the gallbladder bed are essential precautions against bile duct injuries. Applying a new definition of surgical anatomy in which the gallbladder wall's subserosal (SS) layer is split into two layers, is an essential part of this process.
The proposed technique contains four cardinal steps for safely achieving the (CVS). (1) posterior flapping (2) anterior flapping (3)communicating both anterior and posterior surfaces posterior to the lower part of GB body (4) skeletonization of the cystic duct . all in the same plane between inner and outer SS layer.

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ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 15-16

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