Calot's triangle

Calot's triangle

Cystohepatic triangle Endoscopy The region in the liver bed bounded by the cystic artery, cystic duct and common hepatic duct, all of which must be ID'd and protected during laparoscopic cholecystectomy. See Laparoscopic cholecystectomy.
References in periodicals archive ?
1] A severely inflamed, fibrotic gallbladder can make identification of Calot's triangle difficult and increase the risk of extrahepatic BDI.
The contents of Calot's triangle are lymph node of Lund and cystic artery which is a branch of right hepatic artery.
Level 1-adherent omentum, level 2-oedematous gall bladder wall, level 3-necrotic gall bladder wall, level 4-adherent gut and level 5 - adherent Hartmann's pouch and oedematous Calot's triangle having no defined planes.
Four (8%) cases were converted to standard four ports laparoscopic cholecystectomy due to bleeding and difficult dissection in Calot's triangle.
By presenting this case, we wish to emphasize the importance of timely conversion and execution of intraoperative cholangiography in all cases when identification of the structures of Calot's triangle is not clear enough.
Objective: Several damage-control procedures have been described in the literature in case of severe Calot's triangle inflammation and fibrosis.
The Calot's triangle was bluntly dissected and each duct in Calot's triangle was identified before transecting the cystic duct.
A retrograde cholecystectomy was done in view of inflammation and bile staining at Calot's triangle.
A head-end-up and left-side-up positioning of the patient was adopted, to optimise views of the gall bladder and the Calot's triangle.
Surgeons now readily adopt on laparoscopic approach even for acute cholecystitis which was previously viewed as a relative risk owing to excessive dissection in the Calot's Triangle and inadvertent use of diathermy for associated bleeding, resulting in bile duct damage.
Reason of conversion was difficult anatomy at calot's triangle in two patients, one patient had bleeding from the gall bladder bed and there was instrument failure in one patient.
The modules include an accurate simulation of the frequently performed laparoscopic cholecystectomy procedure: the dissection of Calot's triangle.