CALOT TRIANGLE LUMPISH FIBROSIS AND LAPAROSCOPIC CHOLECYSTECTOMY / 中国普通外科杂志

This paper reports 6 cases of cholecystitis with cholelithiasis whose calot triangles were thickened and hardened by fibrous tissue among 200 cases treated by laparoscopic cholecystectomy (L. C). The condition is different from common pathological adhesion by replacement of the structures in the calot triangle by hardened and contracted lumpish mass,and the normal anatomy disappears. LC in such condition is very difficult. Three patients were transfered to laparotomy. Three other patients underwent LC after a special effort which required a time comsuming process. The authors suggest that a special term as "Calot Triangle Lumpish Fibrosis" shpuld be given to this special condition and suggest that it is a relative contraindication for LC.