Abstract
Objective To study the value of the technique of Push-pull traction-relax homingrepeatedly confirmed in the prevention of bile duct injury in LC. Methods From March 2001-August 2009, we applied this technique in 4800 cases of LC. The technique of Push-pull traction showed the structures of in the Calot's triangle. The technique of relax homing was to restore the cystic duct,hepatic duct and common bile duct to their original anatomical positions. The technique of confirmed repeatedly identified the positions of the cystic duct, the common hepatic duct and the common bile duct. Results There was no bile duct injury. Conversion to open surgery happened in 118patients due to difficulties in identifying the Calot's triangle structures, bile duct stones, gallbladder cancer, and gallbladder-duodenal fistula. Conclusions The Push-pull traction-relax homing-repeatedly confirmed technique could effectively prevent bile duct injury in LC. The method is simple, easy to master and worthy of promotion. Key words: Laparoscopy; Cholecystectomy; Bile duct injury
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