{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:37:48Z","timestamp":1789137468634,"version":"build-2803163510"},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"10 (Supple-08)","license":[{"start":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T00:00:00Z","timestamp":1727481600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>Objective: To explore the parameters critical to safe laparoscopic cholecystectomies.Method: The prospective study was conducted at Al-Yarmook Teaching Hospital, Baghdad, from May 1, 2020, toDecember 31, 2021, and comprised patients with gall-stone disease who were admitted for laparoscopiccholecystectomy. Consecutive non-probability sampling technique was used for collecting the data which wasanalysed using SPSS (version 25).Results: Of the 93 patients, 68(73.12%) were females, and 25(26.88) were males. The overall mean age was 40.7\u00b18.1years, and 52(55.91%) patients were aged &gt;40 years. Calot triangle was seen in 72(77.4%) cases, while the sulcus ofRouviere, duodenum and right hepatic artery were spotted in 50(53.8%), 49(52.7%) and 19(20.4%) cases,respectively. There was a significant association of late presentation, lateral traction, 4-port option, good setting anddifficult anatomy with anatomical landmark visualisation (p&lt;0.05).Conclusions: There is a need for a national guideline to ensure safe laparoscopic cholecystectomy.Key Words: Cholecystectomy, Laparoscopic, Hepatic Artery, Traction, Duodenum<\/jats:p>","DOI":"10.47391\/jpma-bagh-16-35","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T14:20:25Z","timestamp":1728397225000},"page":"S160-S163","source":"Crossref","is-referenced-by-count":2,"title":["Parameters for safe dissection at Calot's Triangle in Laparoscopic Cholecystectomy"],"prefix":"10.47391","volume":"74","author":[{"family":"Anmar Hamid Hamad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Ghassan Ali Al-Kizwini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"26547","published-online":{"date-parts":[[2024,9,28]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21844\/3648","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21844\/3648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T14:20:27Z","timestamp":1728656427000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/view\/21844"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,28]]},"references-count":0,"journal-issue":{"issue":"10 (Supple-08)","published-online":{"date-parts":[[2024,9,28]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma-bagh-16-35","relation":{},"ISSN":["0030-9982","0030-9982"],"issn-type":[{"value":"0030-9982","type":"electronic"},{"value":"0030-9982","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9,28]]}}}