Madany triangle; a new era of laparoscopic cholecystectomy

Abstract

Background: Laparoscopic cholecystectomy (LC) has an increased incidence of extrahepatic biliary injury or bleeding. The common hepatic duct is on the medial border of the Calot triangle and at risk of injury. So, the authors describe a new safety triangle with a more critical view of safety that is far from dangerous. Patient and methods: Retrospectively, from December 2019 until March 2023, the authors reviewed the medical records for patients who underwent LC. Only 238 patients underwent cholecystectomy using a new technique in approaches to critical safety. The patients who had intraoperatively extensive gallbladder adhesion and improper visualization of the cystic duct were excluded from the study. Results: The female-to-male ratio was 5:1. The number of children who were less than 18 years old was 5. The prevalence of cholecystitis among children in this study was 2.1%. The mean operative time was 63 min. The comments indication of cholecystectomy was chronic cholecystitis (66.8%). Conclusion: The Madany triangle can be used during LC as a critical measure of safety.