Biliary System

Harris, Hobart W.

doi:10.1007/978-0-387-68113-9_48

Cited by 3 publications

(16 citation statements)

References 102 publications

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“…The modern interpretation of Calot's triangle described above is the one used by present‐day surgeons, and thus, it is this definition that the authors will adopt in further discussions referring to Calot's triangle. The contents of the triangle usually include the RHA, the cystic artery, the cystic lymph node of Lund, lymphatics, and connective tissue (Haubrich, 2002; Nagral, 2005; Harris, 2008). Fundamentally, this is an area where anatomical anomalies are often seen and remains a challenge for the surgeon performing cholecystectomy.…”

Section: The Modern Triangle Of Calotmentioning

confidence: 99%

“…It runs posteroinferiorly to the left to join the CHD, usually anterior to the RHA, and its cystic branch close to the porta hepatis, although variations occur. Its lining mucosa is thrown into spiral folds, the spiral valves of Heister, which serve to prevent excessive distension and the passage of gallstones (Dasgupta and Stringer, 2005; Nagral, 2005; Sinnatamby, 2007; Harris, 2008). The variability in the anatomy of the cystic duct will be considered in the ensuing description.…”

Section: Anatomy Of the Extrahepatic Biliary Treementioning

confidence: 99%

“…The CHD is formed by the convergence of the right and left hepatic ducts, each of which drains bile from their respective functional lobes of the liver. It descends approximately 3 cm before being joined on its right side by the cystic duct to form the BD near the porta hepatis (Nagral, 2005; Sinnatamby, 2007; Harris, 2008).…”

Section: Anatomy Of the Extrahepatic Biliary Treementioning

confidence: 99%

“…The lower “paraduodenal” third slopes 1–2 cm obliquely to the right to join the pancreatic duct at the hepatopancreatic ampulla of Vater. The ampulla opens into the posteromedial wall of the second part of the duodenum and through its surrounding sphincteric muscle, the sphincter of Oddi, which controls the flow of the biliary and pancreatic ducts (Shayani et al, 1999; Nagral, 2005; Sinnatamby, 2007; Harris, 2008).…”

Section: Anatomy Of the Extrahepatic Biliary Treementioning

confidence: 99%

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Calot's triangle

2013

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Calot's triangle is an anatomical landmark of special value in cholecystectomy. First described by Jean-François Calot as an "isosceles" triangle in his doctoral thesis in 1891, this anatomical space requires careful dissection before the ligation and division of the cystic artery and cystic duct during cholecystectomy. The modern definition of the boundaries of Calot's triangle varies from Calot's original description, although the exact timing of this change is not entirely clear. The structures within Calot's triangle and their anatomical relationships can present the surgeon with difficulties, particularly when anatomical variations are encountered. Sound knowledge of the normal anatomy of the extrahepatic biliary tract and vasculature, as well as understanding of congenital variation, is thus essential in the prevention of iatrogenic injury. The authors describe the normal anatomy of Calot's triangle and common anatomical anomalies. The incidence of structural injury is discussed, and new techniques in surgery for enhancing the visualisation of Calot's triangle are reviewed. © .

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Section: The Modern Triangle Of Calotmentioning

confidence: 99%

Section: Anatomy Of the Extrahepatic Biliary Treementioning

confidence: 99%

Section: Anatomy Of the Extrahepatic Biliary Treementioning

confidence: 99%

Section: Anatomy Of the Extrahepatic Biliary Treementioning

confidence: 99%

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Calot's triangle

2013

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“…Black pigment or mixed gallstones may contain sufficient calcium to appear radiopaque on plain films. Only 15 to 20 percent of gallstones are visible on simple radiographs [2]. …”

Section: Case Presentationmentioning

confidence: 99%

Intrathoracal cholecystitis calculosa in a right-sided posttraumatic diaphragmatic hernia: a case report

Tahiri

Bajrami

et al. 2013

J Med Case Reports

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IntroductionInjuries of the diaphragm were first described in 1541 by Sennertus and the initial repair was performed by Riolfi in 1886. Posttraumatic diaphragmatic hernia in adults is usually caused by blunt trauma and may remain asymptomatic and undiagnosed for many years. Right-sided tears are significantly less likely than left-sided tears because of the protective effect of the liver. They are associated with high mortality and morbidity. The rupture of the right side of the diaphragm and the presence of an inflamed gallbladder in the thoracic cavity are uncommon.Case presentationWe present the case of a 57-year-old Albanian man with prolapses of his gallbladder and other abdominal organs into the thoracic cavity through the herniation of his right hemidiaphragm due to trauma. The diaphragmatic hernia and gallstones seen in the thorax computed tomography scan were diagnostic. The organs herniated to the thoracic cavity were placed back into the abdominal cavity, a cholecystectomy was performed and the defect in the diaphragm was repaired with a prolene mesh graft during the operation. The patient was discharged 10 days after the surgical procedure, and no complications were reported.ConclusionDiaphragmatic hernia should be considered as a possible diagnosis in patients with respiratory disorders or unusual shadows in the thoracic region after recently sustained injury or with a history of injury. The prolapse of a gallbladder is rare. The symptoms are uncharacteristic and patients with this disease may remain without symptoms for a long period. Treatment is surgical.

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Laparoscopic Cholecystectomy

Alizai¹

2019

ESPES Manual of Pediatric Minimally Invasive Surgery

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Biliary System

Cited by 3 publications

References 102 publications

Calot's triangle

Calot's triangle

Intrathoracal cholecystitis calculosa in a right-sided posttraumatic diaphragmatic hernia: a case report

Laparoscopic Cholecystectomy

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