Blunt and Waterjet Dissection

Technique description

Sometimes, the cystohepatic triangle is severely inflammed making conventional cautery dissection potentially dangerous.

In such situations, blunt dissection using the suction, or hydrodissection may be safer. Care should be taken to not avulse structures.

Landmarks to help initiate blunt dissection are the cystic artery lymph node and the line of safety described throughout this module:

This approach can also be used when facing less severe inflammation.

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