{"id":1179,"date":"2009-11-04T10:41:10","date_gmt":"2009-11-04T15:41:10","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=1179"},"modified":"2013-02-07T15:05:46","modified_gmt":"2013-02-07T20:05:46","slug":"visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2009\/11\/visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy\/","title":{"rendered":"Visualizing the Triangle of Calot (aka the &#8220;critical view&#8221;) in Laparoscopic Gallbladder Removal (Cholecsytectomy)"},"content":{"rendered":"<p>Injrury to the common bile duct in laparoscopic cholecystecomy ranges from .3% to .7%.<\/p>\n<p>The most common reason this occurs is poor visualization of and misidentification of the bile duct structures, because of inflammation or more commonly too vigorous cephalad (toward the head) retraction of the gallbladder.<\/p>\n<p>Excess tension during retraction of the fundus of the gallbladder causes the common bile duct and cystic ducts to align in a parallel fashion and increases the chances of clipping the common bile duct.<\/p>\n<p>One way to avoid this misidentification is to do dissect the tissues in and fully expose the triangle of Calot containing both only cystic duct and artery on the inferior and medial edge of the gallbladder.<\/p>\n<p>Achieving this &#8220;critical view&#8221; will allow lessen the chances of clipping the common bile duct.<\/p>\n<p><a href=\"http:\/\/insidesurgery.com\/2006\/03\/gallbladder-removal-cholecystectomy\/\"><strong>Cholecystectomy (gallbladder removal)&gt;<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Injrury to the common bile duct in laparoscopic cholecystecomy ranges from .3% to .7%. The most common reason this occurs is poor visualization of and misidentification of the bile duct structures, because of inflammation or more commonly too vigorous cephalad (toward the head) retraction of the gallbladder. Excess tension during retraction of the fundus of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[13],"tags":[5331,1194,5333,187,4033,5332],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Visualizing the Triangle of Calot (aka the &quot;critical view&quot;) in Laparoscopic Gallbladder Removal (Cholecsytectomy) - InsideSurgery Medical Information Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/insidesurgery.com\/2009\/11\/visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Visualizing the Triangle of Calot (aka the &quot;critical view&quot;) in Laparoscopic Gallbladder Removal (Cholecsytectomy) - InsideSurgery Medical Information Blog\" \/>\n<meta property=\"og:description\" content=\"Injrury to the common bile duct in laparoscopic cholecystecomy ranges from .3% to .7%. The most common reason this occurs is poor visualization of and misidentification of the bile duct structures, because of inflammation or more commonly too vigorous cephalad (toward the head) retraction of the gallbladder. Excess tension during retraction of the fundus of [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/insidesurgery.com\/2009\/11\/visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy\/\" \/>\n<meta property=\"og:site_name\" content=\"InsideSurgery Medical Information Blog\" \/>\n<meta property=\"article:published_time\" content=\"2009-11-04T15:41:10+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2013-02-07T20:05:46+00:00\" \/>\n<meta name=\"author\" content=\"Editor\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Editor\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/insidesurgery.com\/2009\/11\/visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy\/\",\"url\":\"https:\/\/insidesurgery.com\/2009\/11\/visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy\/\",\"name\":\"Visualizing the Triangle of Calot (aka the \\\"critical view\\\") in Laparoscopic Gallbladder Removal (Cholecsytectomy) - InsideSurgery Medical Information Blog\",\"isPartOf\":{\"@id\":\"https:\/\/insidesurgery.com\/#website\"},\"datePublished\":\"2009-11-04T15:41:10+00:00\",\"dateModified\":\"2013-02-07T20:05:46+00:00\",\"author\":{\"@id\":\"https:\/\/insidesurgery.com\/#\/schema\/person\/80c1e5c67f8a2c348e38e202270e8594\"},\"breadcrumb\":{\"@id\":\"https:\/\/insidesurgery.com\/2009\/11\/visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/insidesurgery.com\/2009\/11\/visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/insidesurgery.com\/2009\/11\/visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/insidesurgery.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Visualizing the Triangle of Calot (aka the &#8220;critical view&#8221;) in Laparoscopic Gallbladder Removal (Cholecsytectomy)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/insidesurgery.com\/#website\",\"url\":\"https:\/\/insidesurgery.com\/\",\"name\":\"InsideSurgery Medical Information Blog\",\"description\":\"Details of surgical procedures, pathophysiology, signs and symptoms, and treatment of medical diseases,medical and surgical eponyms, and surgeons and surgery in the news\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/insidesurgery.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/insidesurgery.com\/#\/schema\/person\/80c1e5c67f8a2c348e38e202270e8594\",\"name\":\"Editor\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/insidesurgery.com\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/41c3c845307fcd3eff88632d6ccaf656?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/41c3c845307fcd3eff88632d6ccaf656?s=96&d=mm&r=g\",\"caption\":\"Editor\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Visualizing the Triangle of Calot (aka the \"critical view\") in Laparoscopic Gallbladder Removal (Cholecsytectomy) - InsideSurgery Medical Information Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/insidesurgery.com\/2009\/11\/visualizing-the-triangle-of-calot-aka-the-critical-view-in-laparoscopic-gallbladder-removal-cholecsytectomy\/","og_locale":"en_US","og_type":"article","og_title":"Visualizing the Triangle of Calot (aka the \"critical view\") in Laparoscopic Gallbladder Removal (Cholecsytectomy) - InsideSurgery Medical Information Blog","og_description":"Injrury to the common bile duct in laparoscopic cholecystecomy ranges from .3% to .7%. 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