Subtotal cholecystectomy with remnant cystic duct left open
View the Video
HD is off
Case Description
Standard laparoscopic cholecystectomy procedures follow the classic approach to visualize Calot's triangle. Under certain circumstances, the dissection may be difficult and even dangerous.
Utilizing anatomic landmarks such as the Sulcus of Rouvier and the hilar plate, the 'Top-Around approach' may be attempted to safely visualize the cystic duct and artery.
In severe circumstances, the decision to change the surgical plan to a subtotal cholecystectomy should be considered as a valid alternative approach.
Special Acknowledgement
This video was a collaboration project with Dr. Shiva Jayaraman at St. Joseph's Health Centre.