%0 Journal Article %T The importance of cognitive map placement in bile duct injuries %A Elijah Dixon %A Francis Sutherland %J Archive of "Canadian Journal of Surgery". %D 2017 %R 10.1503/cjs.008816 %X Bile duct injuries often occur because of surgeon spatial disorientation. The psychological concept of cognitive map misplacement is a useful explanation of how this disorientation and injury occurs. Surgeons may find that using a ¡°bile duct time out¡± is a helpful way to orient. Based on the mnemonic B-SAFE, they can use 5 subhepatic landmarks (B, bile duct; S, sulcus of Rouviere; A, hepatic artery; F, umbilical fissure; E, enteric/duodenum) to correctly place their cognitive map %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5726972/