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Conclusion: Cystic duct ligation using the Duncan loop in LC is feasible, economical, and
safe. Moreover, Duncan loop with extracorporeal ligation could be used in all kinds of gallbladder
disease.
Picture 1 Duncan loop
Picture 2 Duncan loop ligation cystic duct and cystic duct stump
Picture 3 Hem-o-loc clip, Hem-o-lok ligation cystic duct and cystic duct stump