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Laproscopic Cholecystectomy Steps with Video




  • Preparation of the patient 
  • Placement of first trocar (midline navel)
  • Creation of Pneumoperitinium
  • Place patient in Reverse Trendelenburg position slightly rotated to the left
  • Apply local anesthetics and 2-3 other trocars under visualization of scope
  • Assistant grasps fundus of gallbladder and retract superiorly
  • Grasp infundibulum of the gallbladder
  • Create tension by pulling slightly superior and laterally on the infundibulum of the gall bladder
  • Dissect Calot’s Triangle starting towards the infundibulum of the gall bladder and working your way to the common bile duct 
  • Using the gallbladder as point of reference, place 2 distal clips and 1 proximal clip along the cystic duct. 
  • Divide making sure both jaws are visible to prevent vascular injur
  • Using the gallbladder as point of reference, place 2 distal clips and 1 proximal clip along the cystic artery. 
Source: Dr Cara Lawrence, University of Kentucky



  • Divide and cauterize/clip any necessary collateral arteries
  • Dissect away the posterior wall of the gall bladder using Hook. 
  • Remove gallbladder via bag or trocar
  • Irrigate and Suction
  • Final visualization check
  • Irrigate and suction
  • Release of CO2 and suture trocar incisions

Video Link 1: Click here
Video Link 2: Click here

References

  • Dr Cara Lawrence, University of Kentucky http://www.mc.uky.edu/mis/ppt/Laparoscopic%20Cholecystectomy_v2.ppt





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