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Portal Triad Anatomy
- Remember the portal triad contains the common bile duct, proper hepatic artery, and portal vein.
- The artery is medial to the bile duct, and the portal vein is posterior to both.
Managing Choledocholithiasis Symptoms
- Observe patients with asymptomatic choledocholithiasis initially.
- Perform elective cholecystectomy for uncomplicated symptomatic cases.
Timing for Acute Cholecystitis Surgery
- Perform early laparoscopic cholecystectomy for acute cholecystitis.
- No benefit in delaying surgery to "cool off" the patient.