Applied anatomy of posterior Calot's triangle and its clinical significance in laparoscopic cholecystectomy

ZHANG Guo-Wei-

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (4) : 464-466.

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (4) : 464-466.

Applied anatomy of posterior Calot's triangle and its clinical significance in laparoscopic cholecystectomy

  • ZHANG Guo-wei
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Abstract

Objective To explore anatomic features of posterior Calot's triangle and its clinical significance in laparoscopic cholecystectomy(LC). Methods The clinical data of 217 patients with acute cholecystitis underwent LC by using three trocars in our hospital from Aug. 2004 to Oct. 2010 were retrospectively analyzed. Results Of the patients,LC was successfully completed in 202 cases (93.2% ),however, 10 cases (4.6%) were converted to open surgery, 5 cases complicated with common duct stones were cured by ERCP.  No biliary injury,bile leak or hemorrhage occurred in this series. Postoperative surgical drainage was performed according to the operating conditions. The patients were discharged from hospital in 2-12 days (averagely 4.5 days). No complication was found during a 6-month follow-up in 193 cases. Conclusions It is safe and feasible to perform LC by using three trocars for treating acute cholecystitis, especially for those with severe tissue adhesion in posterior Calot's triangle.

Key words

Posterior Calot's triangle / Anatomy / Acute cholecystitis / Laparoscopic cholecystectomy

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ZHANG Guo-Wei-. Applied anatomy of posterior Calot's triangle and its clinical significance in laparoscopic cholecystectomy[J]. Chinese Journal of Clinical Anatomy. 2011, 29(4): 464-466

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