Fundus-first laparoscopic cholecystectomy
2007/02/08
In conventional open cholecystectomy, the fundus-down approach is a well recognized safe procedure during difficult cholecystectomies because it minimizes the risks of damage to the structures in or around Calot's triangle.Fundus-first-laparoscopic cholecystectomy appears to be safe procedure, and has the potential to reduce the conversion rate in difficult cases and may decrease the risk of injury to bile ducts.FFLC could be started in difficult LCs. The surgeon should have adequate laparoscopic experience. If in spite of FFD, the anatomy of Calot`s triangle is still obscure, he must convert to open exploration to prevent bile duct injuries.
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