Critical View Exposure Using the “french” Technique Ensures Patient Safety During Laparoscopic Cholecystectomy

Shin-ichirou Mori, MD, Kenji Baba, MD, Tsutomu Kozono, MD, Kuniaki Aridome, MD, Kousei Maemura, MD, Shouji Natsugoe, MD. Department of Digestive Surgery, Breast and Thyroid Surgery


OBJECTIVE: Applying the critical view exposure of Calot’s triangle as described by Strasberg can avoid bile duct injury, which is a serious surgical complication of laparoscopic cholecystectomy (LC). We performed LC using this procedure according to the "French" technique, in which the surgeon stands between the patient’s legs. The present study assessed the feasibility and safety of critical view exposure according to the "French" technique during LC.
METHODS: Sixty five patients (mean age, 60 years) underwent complete LC with critical view exposure according to the "French" technique between January 2008 and July 2011.
RESULTS: The triangle of Calot was easily and extensively dissected according to the "French" technique, which allows a wide working area. No conversion occurred and no blood vessels were damaged during the procedure. Two-gallbladder became perforated, but no complications were associated with the extrahepatic biliary duct. Postoperative complications occurred in two cases including a bleeding and a cerebral infarction. No deaths were associated with the procedure.
CONCLUSION: Critical view exposure, which allows extensive dissection of the triangle of Calot according to the "French" technique, ensures patient safety during LC.

Session Number: Poster – Poster Presentations
Program Number: P385
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