iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2021.v02i02.017Triangle of Safety Method on Laparoscopic Cholecystectomy to Reduce Bile Duct Injury: A Single Centre EvaluationRizkaVinkanSeptianiIdaBagusBudhiMuhammadDavid PerdanaPutraDodyTisnaAmijayaIntroduction : The most serious complication of laparoscopic cholecystectomy (LC) is injury to common bile duct (CBD). LC has a 0.3% - 0.5% morbidity rate due to major biliary injuries. A safe triangle of dissection approach is used in this study, called the “Triangle of Safety” method. The approach involves a blunt dissection of the top half of Calot's space, which is suitable for a safe dissection because it usually does not contain arterial or biliary anomalies. Methods: We applied the "Triangle of Safety" approach in a retrospective study. 54 patients were evaluated during January 2017 – December 2019 at Moewardi General Hospital Surakarta. The patients with symptomatic cholelithiasis and calculous cholecystitis were included in this study. Intraoperative complications (such as bile duct injuries and bleeding) and postoperative morbidity were recorded. Results: Triangle of Safety method was performed in 54 patients. 2 patients needed conversion to open approach (3.7%) because of firm adhesions. Males with 16 patients (29.6%), and females were 38 patients (70.4%). Patients age were primarily between 51 until 60 years old (29.62%). The main surgical indication for cholecystectomy was symptomatic cholelithiasis and calculous cholecystitis. All patients have biliary colic as the main complaint. No complications occurred in terms of bleeding or biliary injuries. Conclusion: Based on this study, we conclude that dissection at the Triangle of Safety is a safe approach for demonstrating the cystic duct and may assist to prevent bile duct damage consequences in LC patients.