Right hepatic artery ‘caterpillar hump’ and dual cystic arteries: relevance of critical view of safety in a ‘straightforward’ cholecystectomy

Autor: Arianna Zefelippo, Gianluca Fornoni
Rok vydání: 2017
Předmět:
Zdroj: BMJ Case Reports. :bcr-2017
ISSN: 1757-790X
Popis: A 60-year-old woman with unremarkable medical history, underwent elective laparoscopic cholecystectomy for symptomatic cholelithiasis. A four-port technique was performed. Initial exploration of Calot’s triangle was carried out by upward traction of the fundus and lateral retraction of the Hartmann’s pouch; after dissection of the peritoneum medially at the level of the infundibulum, two tubular structures entering the gallbladder were visible, as usually expected. However, to obtain a ‘critical view of safety’,1 dissection was continued by opening up the lateral aspect of the peritoneum; hepatobiliary triangle was dissected free of …
Databáze: OpenAIRE