Although with the increasing experience of surgeron complications are decreasing but serious complications that occur with laparoscopic cholecystectomy, including bile duct injury, bile leaks, bleeding and bowel injury result in part from patient selection, surgical inexperience, and the technical constraints that are inherent to the minimally invasive approach. A major mode of ductal injury is diathermy burns, which may initially go unnoticed and usually involve the right or common hepatic ducts. These factors, as well as intrinsic sequelae of biliary tract diseases, such as inflammation and scarring, have led to the concept of stop rule for surgeons performing this operation. In essence, if a safe dissection cannot be ensured laparoscopically, early conversion to an open approach should be readily accepted as the proper course
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