摘要
Background： Laparoscopic cholecystectomy （LC） has been a standard operation and replaced the open cholecystectomy （OC） rapidly because the technique resulted in less pain, smaller incision, and faster recovery. This study was to evaluate the value of blunt dissection in preventing bile duct injury （BDI） in laparoscopic cholecystectomy （LC）. Methods： From 2003 to 2015, LC was performed on 21,497 patients, 7470 males and 14,027 females, age 50.3 years （14-84 years）. The Calot＇s triangle was bluntly dissected and each duct in Calot＇s triangle was identified before transecting the cystic duct. Results： Two hundred and thirty-nine patients （1.1%） were converted to open procedures. The postoperative hospital stay was 2.1 （0-158） days, and cases （46%） had hospitalization days of 1 day or less, and 92.8% had hospitalization days of 3 days or less; BDI was occurred in 20 cases （0.09%） including 6 cases of common BDI, 2 cases of common hepatic duct injury, l case of fight hepatic duct injury, I case of accessory fight hepatic duct, 1 case of aberrant BDI l case ofbiliary stricture, 1 case ofbiliary duct perforation, 3 cases ofhemobilia, and 4 cases of bile leakage. Conclusion： Exposing Calot＇s triangle by blunt dissection in laparoscopic cholecystectomy could prevent intraoperative BD1.
Background： Laparoscopic cholecystectomy （LC） has been a standard operation and replaced the open cholecystectomy （OC） rapidly because the technique resulted in less pain, smaller incision, and faster recovery. This study was to evaluate the value of blunt dissection in preventing bile duct injury （BDI） in laparoscopic cholecystectomy （LC）. Methods： From 2003 to 2015, LC was performed on 21,497 patients, 7470 males and 14,027 females, age 50.3 years （14-84 years）. The Calot＇s triangle was bluntly dissected and each duct in Calot＇s triangle was identified before transecting the cystic duct. Results： Two hundred and thirty-nine patients （1.1%） were converted to open procedures. The postoperative hospital stay was 2.1 （0-158） days, and cases （46%） had hospitalization days of 1 day or less, and 92.8% had hospitalization days of 3 days or less; BDI was occurred in 20 cases （0.09%） including 6 cases of common BDI, 2 cases of common hepatic duct injury, l case of fight hepatic duct injury, I case of accessory fight hepatic duct, 1 case of aberrant BDI l case ofbiliary stricture, 1 case ofbiliary duct perforation, 3 cases ofhemobilia, and 4 cases of bile leakage. Conclusion： Exposing Calot＇s triangle by blunt dissection in laparoscopic cholecystectomy could prevent intraoperative BD1.
