L. Guowei1, Z. Liaonan1, H. Yaobin1, C. Guobin1, L. Guowei1 1Guangdong hospital of TCM, Zhuhai Campus,Guangzhou, GUANGDONG, China
Introduction: To measure the biliary tract relationship of gallbladder triangle in complicated laparoscopic cholecystectomy, avoiding right hepatic pedicle and common bile duct injury.
Methods: We analyzed 21 patients with different cholecystitis received laparoscopic cholecystectomy between Jun. 2018 and Jul. 2018 in our center. Intraoperative ultrasound was performed on gangrenous cholecystitis, atrophic cholecystitis, and porcelain gallbladder. The shortest distance between the gallbladder bed and the right hepatic pedicle was recorded, and the complications were recorded.
Results:14 cases of all?gangrenous cholecystitis, the average distance was 0.543±0.062cm, 5 cases of all, the average distance of atrophic cholecystitis was 0.372±0.033cm, 2 cases of porcelain gallbladder, the average distance was 0.34±0.02cm, and the average distance of 21 cases was 0.483± 0.094 cm, no postoperative jaundice and postoperative biliary fistula in all cases.
Conclusion: Intraoperative ultrasound for complex laparoscopic cholecystectomy can avoid the right hepatic pedicle injury and increase the safety of cholecystectomy. It may reduce the risk of postoperative complications.