Spaghetti Maneuver
Rolling long GB around the grasper Facilitate grasping and dissection in long Gall bladders. Especially useful in SILS.
common bile duct injury
Composite of transhepatic cholangiogram & ERCP in a pt with common bile injury just below the confluence of the right and left hepatic ducts
Accessory Right Hepatic Duct
An incidental accessory right hepatic duct seen on intraoperative cholangiogram.
Trocar placement
Trocar site placement for pediatric laparoscopic cholecystectomy is similar to the adult procedure.
Performing the Cholecystectomy
Retract the fundus of the gallbladder toward the right axilla and the infundibulum laterally to expose Calot’s triangle. Retracting the infundibulum anteriorly or even upward tends to collapse Calot’s triangle and increase the risk of ductal injury.
