Prophylaxis of extrahepatic bile duct injuries during laparoscopic cholecystectomy.

The laparoscopic cholecystectomy is a "gold standard" for the gallstone treatment. But, like in all spheres of human activity it's necessary to perfect the operative technique for improving the results of any operation. Extrahepatic bile duct injuries are the main serious complications of laparoscopic cholecystectomy. The aim of the research is to investigate the causes of extrahepatic bile duct injuries and to work out preventive measures. Retrospective analysis of case histories of 3127 patients who underwent cholecystectomy from October 1994 to January in the minimal invasive surgical department of the Central Hospital of Caspian Shipping Company was conducted. The original method of tissue dissection for different laparoscopic operations was introduced. Advantages of the method: delicate tissue dissection, less time for operation, gentle tissue separation in Calot's triangle, safe separation of the gallbladder from the liver bed, low postoperative complication rate.