Laparoscopic cholecystectomy
Sample contentAn illustrative outline. It has not been clinically reviewed.
Video: Gateway Hospital on YouTube, embedded with attribution. Chapter times are not synced to this video; the steps beside it are a written outline.
Steps in this case
- 01Time-out & positioning
- 02Port placement
- 03Fundal retraction
- 04Hepatocystic triangle dissection
- 05Critical view of safety
- 06Clip & divide
- 07Dissection from liver bed
- 08Extraction & closure
Four ports, one non-negotiable: the critical view of safety before anything is clipped.
Step by step
- 01
Time-out & positioning
Supine, reverse Trendelenburg, left tilt. Confirm antibiotics and imaging.
- 02
Port placement
Open Hasson at umbilicus; epigastric 10 mm and two right subcostal 5 mm ports under vision.
- 03
Fundal retraction
Fundus over the liver toward the right shoulder; Hartmann's pouch lateral and inferior to open the triangle.
- 04
Hepatocystic triangle dissection
Peritoneum opened anterior and posterior; stay above Rouvière's sulcus.
- 05
Critical view of safety
Two, and only two, structures entering the gallbladder; lower third of the cystic plate cleared.
- 06
Clip & divide
The cystic duct and artery are clipped and divided only once the critical view of safety is confirmed.
- 07
Dissection from liver bed
Energy in the areolar plane; keep the cystic plate intact.
- 08
Extraction & closure
Retrieval bag via umbilicus; close fascia at 10 mm sites.
An educational outline, not a substitute for supervised clinical training or local protocols.
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