Descriptions of Clinical and Surgical Procedures
Laparoscopic Subtotal Fenestrating Cholecystectomy in a Cirrhotic Patient
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UMass Memorial Medical Center
Manuscript Format: Full Text
Procedure Outline
Table of Contents
- 1. Introduction
- 2. Laparoscopic Port Placement and Identification of Gallbladder
- 3. Lysis of Adhesions
- 4. Incision of Gallbladder Visceral Peritoneum and Exposure of the Infundibulum
- 5. Dissection of the Hepatocystic Triangle
- 6. Transition to Subtotal Cholecystectomy When Triangle of Safety Unable to be Visualized
- 7. Removal of Gallbladder Content
- 8. Transection of Gallbladder Wall
- 9. Removal of Internal Biliary Drainage Catheters, Inspection of Gallbladder, and Hemostasis
- 10. Identification and Ligation of Cystic Duct Orifice
- 11. Resection of Anterior Gallbladder Wall
- 12. Hemostasis of Remnant Posterior Gallbladder Wall, and Inspection of Ligated Cystic Duct
- 13. Removal of Specimen and Final Inspection
- 14. Drain Placement
- 15. Laparoscopic Port Removal and Closure
- 16. Post-op Remarks
