Abstract:

A female patient of 47 years old was admitted to our hospital due to recurrent right upper distending pain for 6 months. She had the previous history of cesarean. Abdominal ultrasound found cholecystolithiasis. MRCP found cholecystolithiasis and right accessory hepatic duct near cystic duct. Diagnosis: Cholecystolithiasis with chronic cholecystitis. Laparscopic cholecystectomy was performed as follows: Firstly, the anterior and posterior gallbladder triangle was dissected to expose the cyst duct and gallbladder artery when attended to protect the right accessory hepatic duct. Secondly, the gallbladder duct near the common bile duct and the gallbladder artery near the heart were closed with absorbable biological clips, moreover, the gallbladder duct near the gallbladder artery was ligated with 1-0 silk thread. The gallbladder duct was cut off and the distal gallbladder artery was closed with electric coagulation. Thirdly, the gallbladder bed was separated with electric coagulation. The gallbladder was removed from the perforation at the superior border of umbilicus.

Key words: Cholecystolithiasis, Laparoscopes, Cholecystectomy