The hepatocystic triangle is cleared of fat and fibrous tissue. The hepatocystic triangle is defined as the triangle formed by the cystic duct, the common hepatic duct, and inferior edge of the liver. ... Strasberg SM. A teaching program for the “culture of safety in cholecystectomy” and avoidance of bile duct injury. Journal of the ...

Abstract. Introduction To avoid vasculobiliary injuries, the Critical View of Safety (CVS) technique is strongly recommended during dissection of the hepatocystic triangle. It entails three basic steps as follows: (1) complete clearance of the hepatocystic triangle of fibrofatty tissue, (2) separation of the lower part of the gallbladder from the cystic plate, so that (3) two and only two ...

2022年2月8日 · The “triangle of safety” is a term often used in the context of laparoscopic cholecystectomy, a surgical procedure to remove the gallbladder. This term refers to a specific anatomical area that surgeons need to be aware of and cautious about during the procedure to avoid damaging important structures.

The concept of CVS is based on the technique used during an open cholecystectomy where the gallbladder is completely separated from the liver after an initial dissection in the Calot’s triangle to isolate the cystic duct and cystic artery, thereby providing conclusive evidence that the two structures entering the gallbladder are only cystic ...

The borders of triangle of safety are dissected out in four essential steps using electrocautery hook as follows. First step is dissecting the peritoneum over the GB wall in a direction just lateral to and parallel to the cystic artery from mid way along its length down toward the junction of the cystic artery and duct (Figures 3(a) , 3(b) ).

2009年6月17日 · Laparoscopic cholecystectomy has become the standard method of treatment for the removal of a diseased gallbladder. The technique most commonly employed is the infundibular approach which entails dissecting the gallbladder from its neck upward, ... We believe that Triangle of Safety Technique (TST) provides better definition of anatomy in a ...

protocols for safe laparoscopic cholecystectomy using validated anatomical landmarks. Keywords: Critical View of Safety; Safe Laparoscopic Cholecystectomy, Calot's triangle Introduction: Laparoscopic cholecystectomy is associated with more biliary, vascular and visceral complications when compared with open cholecystectomy [1].

BACKGROUNDS AND STUDY AIMS: Common bile duct (CBD) injury is one of the most serious complications of laparoscopic cholecystectomy (LC). Misidentification of the CBD during dissection of the Calot's triangle can lead to such injuries. ... The GB will be unfolded and the borders of the triangle of safety (TST) are achieved: cystic artery ...

2009年1月1日 · Results : Triangle of Safety method was performed in 54 patients. 2 patients needed conversion to open approach (3.7%) because of firm adhesions. Males with 16 patients (29.6%), and females were ...

2021年12月6日 · Results : Triangle of Safety method was performed in 54 patients. 2 patients needed conversion to open approach (3.7%) because of firm adhesions. Males with 16 patients (29.6%), and females were ...