METHODS: This paper introduces the shoeshine technique, a maneuver designed to achieve atraumatic exposure of anatomical structures, local hemostatic control, and ease of infundibulum mobilization. This technique involves the use of a blunt dissection tool and gauze to create traction and enhance visibility in Calot\'s triangle, particularly beneficial in cases of severe inflammation. Steps include using the critical view of safety and Rouviere\'s sulcus line for orientation, followed by careful dissection and traction with gauze to maintain stability and reduce the risk of instrument slippage.
RESULTS: The technique, routinely used by the authors in over 2000 cases, has shown to enhance patient safety and reduce bile duct injury risks.
CONCLUSIONS: The shoeshine technique represents a simple and easy way to apply maneuver that can help surgeon during laparoscopic cholecystectomies exposing the hepatocystic area and promote blunt dissection.
方法:本文介绍了擦鞋技术,一种旨在实现解剖结构的无创伤暴露的策略,局部止血控制,易于漏斗动员。这项技术涉及使用钝性解剖工具和纱布来产生牵引力并增强Calot三角形的能见度,在严重炎症的情况下特别有益。步骤包括使用安全的关键视图和Rouviere的沟线进行定向,然后用纱布仔细解剖和牵引,以保持稳定性并减少仪器打滑的风险。
结果:技术,作者在2000多个案例中经常使用,已证明可以提高患者的安全性并降低胆管损伤的风险。
结论:擦鞋技术代表了一种简单易行的方法,可以帮助外科医生在腹腔镜胆囊切除术中暴露肝囊区域并促进钝性解剖。