Right hepatic artery ‘caterpillar hump’ and dual cystic arteries: relevance of critical view of safety in a ‘straightforward’ cholecystectomy
Autor: | Arianna Zefelippo, Gianluca Fornoni |
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Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
medicine.medical_specialty Right hepatic artery Images In… business.industry medicine.medical_treatment Gallbladder General Medicine Surgery Infundibulum 03 medical and health sciences medicine.anatomical_structure Fundus (uterus) Medicine Cholecystectomy 030101 anatomy & morphology Pouch business Laparoscopic cholecystectomy |
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 |
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