Vanishing Calot Syndrome: Common Face of Many Problems

Misidentification remains the most common mechanism involved in post-cholecystectomy bile duct injury (BDI). Risk of misidentification increases when pathologic factors alter local anatomy. The critical view of safety approach helps in minimizing such injuries, even in difficult cases.1 However, it might not be possible to achieve critical view of safety if the hepatocystic triangle (HCT) is obliterated. An attempt to continue dissection in the HCT in such a situation is fraught with danger of biliary or vasculobiliary injury.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Letter Source Type: research