Laparoscopic Cholecystectomy 
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DIAGNOSIS: 1. Chronic cholecystitis. 2. Chronic cholelithiasis.

OPERATION: Laparoscopic cholecystectomy.

ANESTHESIA: General, tube balanced.

PROCEDURE: This healthy 42-year-old gentleman was taken to surgery with symptomatic gallbladder disease.

In the operating room in the supine position after induction of adequate general anesthesia without event, the anterior abdominal wall was prepped with Hibiclens and alcohol and shaved. Drapes were applied. A routine umbilical port cutdown was performed with direct visualization of the peritoneal cavity. A blunt trocar was inserted. Insufflation was carried out.

The abdominal contents were examined. There were no gross abnormalities. The gallbladder was tense and thick-walled, but there were no other findings in the pelvis or upper abdominal regions.

The remaining three trocars were inserted, and a routine laparoscopic cholecystectomy was performed, identifying the cystic duct, cystic artery, and the top of the common bile duct. Once said structures were identified, the cystic duct and artery were doubly clipped distally and singly proximally and divided. The gallbladder was dissected from the fossa in a retrograde fashion. The specimen was opened on the back table after it had been extracted through the epigastric port with removal of two large cholesterol stones. The mucosa was intact. The wall was definitely thickened with indications of chronic scarring. Re-inspection of the gallbladder fossa showed excellent hemostasis. No bile leakage. The clips were intact. The area was irrigated and suctioned dry. This concluded the procedure.

Operational Report Laparoscopic Cholecystectomy