Abstract:

Trocars were placed according to the "four-port" approach. The patient was secured in a supine position and then an anti-Trendelenburg (30°) and a right upper position (10°~15°) after trocar placement. After exploration, the size of the gallbladder was about 9 mm×3 mm×3 cm, and there was no adhesion with the surrounding tissues. The chief surgeon lifted the ampulla of gallbladder and bluntly dissected the Calot’s triangle that involved the cystic duct and cystic artery while the first assistant was pressing the greater omentum with harmonic forceps. The diameter of the cystic duct and common bile duct was 0.2 cm and 0.7 cm, respectively, and the right hepatic artery gave rise to the anterior and posterior branches of the cystic artery. The cystic duct and artery were transected by absorbable clips. The gallbladder was separated from the liver and removed from the subxiphoid trocar site. Then, the gallbladder bed was cauterized and examined to avoid active bleeding. Finally, surgical gauze was checked, and all laparoscopic instruments were removed.

Key words: Gallbladder, Polyps, Stone, Laparoscopes, Cholecystectomy