Excessive traction on the gallbladder
Excessive traction on the gallbladder infundibulum may “tent up” the common duct, increasing the likelihood that a clip will impinge on the duct and obstruct it.
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.