Planarization, Squarization, and Verticalization for Optimal Surgical View Exposure in Laparoscopic Cholecystectomy...

Area of Science:

• Surgical technique and innovation
• Minimally invasive surgery

Background:

• Laparoscopic cholecystectomy (Lap-C) is a common procedure, but achieving optimal surgical field exposure can be challenging.
• Standard techniques may not always provide adequate visualization for complex cases.

Purpose of the Study:

• To introduce and define a novel surgical field exposure strategy for Lap-C.
• To enhance the safety and efficiency of Lap-C through improved visualization and dissection.

Main Methods:

• Defined three key concepts: planarization, squarization, and verticalization for Lap-C.
• Divided the procedure into four steps: serosal incision, critical view of safety, cystic structure transection, and gallbladder bed dissection.
• Applied the defined concepts consciously during each procedural step.

Main Results:

• The proposed strategy provides a structured approach to optimizing surgical field exposure during Lap-C.
• Conscious application of planarization, squarization, and verticalization facilitates better visualization.
• Improved exposure aids in more precise tissue dissection.

Conclusions:

• Verbalized surgical techniques, incorporating planarization, squarization, and verticalization, can lead to superior surgical field exposure in Lap-C.
• This approach has the potential to enhance patient safety and surgical outcomes in Lap-C.