Latest Procedure Of Laparoscopic cholecystectomy

Procedure:

• To begin the operation, the patient is placed in the supine position on the operating table and anesthetized.

• Disinfect the skin of patient using antiseptic lotion like savlon,betadin,spirit.

• Maintain the sterile technique during procedure.

•  A scalpel is used to make a small incision at the umbilicus

•  Using either a Veress needle or Hasson technique the abdominal cavity is entered.

• The surgeon inflates the abdominal cavity with carbon dioxide to create a working space.

• The camera is placed through the umbilical port and the abdominal cavity is inspected.

• Additional ports are opened inferior to the ribs at the epigastric, midclavicular, and anterior axillary positions.

• The gallbladder fundus is identified, grasped, and retracted superiorly. 

• With a second grasper, the gallbladder infundibulum is retracted laterally to expose and open Calot's Triangle (the area bound by the cystic artery, cystic duct, and common hepatic duct). 

• The triangle is gently dissected to clear the peritoneal covering and obtain a view of the underlying structures.

• The cystic duct and the cystic artery are identified, clipped with tiny titanium clips and cut.

• Then the gallbladder is dissected away from the liver bed and removed through one of the ports

Recently, this procedure is performed through a single incision in the patient's umbilicus. This advanced technique is called Laparoendoscopic Single Site Surgery or "LESS".