Suggested Books To Read During Your General Surgery Residency (Read More)
Bailey & Love's Surgery, 27th Edition Surgery Essence by Pritesh Singh (PGMEE) Sabiston's Textbook of Surgery
Farquharson's Textbook of Operative General Surgery, 10th Edition Surgery Sixer for NBE by Rajamahendran Surgery PreTest Self-Assessment and Review, Thirteenth Edition
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Laparoscopic Cholecystectomy by Dr R. K. Mishra







Laparoscopic Cholecystectomy Steps

  1. Prepare the patient
  2. Placement of first 10mm trocar (midline navel)
  3. Creation of Pneumoperitinium
  4. Final Diagnosis 
  5. Place patient in Reverse Trendelenburg position slightly rotated to the left
  6. Apply local anesthetics and 2-3 other trocars under visualization of scope
  7. Retraction of gall bladder/liver
  8. Assistant grasps fundus of gallbladder and retract superiorly
  9. Grasp infundibulum of the gallbladder (may need some dissecting)
  10. Create tension by pulling slightly superior and laterally on the infundibulum of the gall bladder
  11. Dissect Calot’s Triangle starting towards the infundibulum of the gall bladder and working your way to the common bile duct 
  12. Using the gallbladder as point of reference, place 2 distal clips and 1 proximal clip along the cystic duct. 
  13. Divide making sure both jaws are visible to prevent vascular injury
  14. Using the gallbladder as point of reference, place 2 distal clips and 1 proximal clip along the cystic artery. 
  15. Divide and cauterize/clip any necessary collateral arteries
  16. Dissect away the posterior wall of the gall bladder
  17. Remove gallbladder via bag or trocar
  18. Irrigate and Suction
  19. Final visualization check
  20. Release of CO2 and suture trocar incisions
  21. Transfer to PACU
  22. Discharge typically within 24 hours
  23. Post-operative pain can typically be relieved with OTC pain medications
  24. Patient can resume normal daily activities in roughly 24 hours
  25. Heavy lifting should be avoided for a few weeks
  26. Watch for drainage, bleeding, swelling around incision sites, and for mild fever, as this could indicate complication

Check out these related videos:

GROSS ANATOMY AND SEGMENTAL ANATOMY OF LIVER


LAPAROSCOPIC APPENDECTOMY BY DR ANDREW RENAUT


PRINCIPLES OF BOWEL ANASTOMOSIS WITH VIDEOS


MOST IMPORTANT ANATOMY IN DIAGNOSTIC LAPAROSCOPY



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