World Journal of Laparoscopic Surgery

Register      Login

VOLUME 16 , ISSUE 1 ( January-April, 2023 ) > List of Articles

How WE DO IT

Laparoscopic Cholecystectomy: Tricks Learned over a Decade and How We Do It

Balram Goyal, Sanjay Sharma, Bhasavan Nair Remani Devi Sreejith, Vivek Agrawal

Keywords : Bile duct injury, Cirrhosis, Fundus first Approach, Gallbladder extraction, Laparoscopic cholecystectomy, Pneumoperitoneum

Citation Information : Goyal B, Sharma S, Sreejith BN, Agrawal V. Laparoscopic Cholecystectomy: Tricks Learned over a Decade and How We Do It. World J Lap Surg 2023; 16 (1):61-66.

DOI: 10.5005/jp-journals-10033-1554

License: CC BY-NC 4.0

Published Online: 05-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Cholelithiasis is one of common health issues and about 10–20% population harboring the calculi without any clinical features. Only one-fifth of these asymptomatic individuals progress to develop clinical symptoms at a rate of around 5% per year. Laparoscopic cholecystectomy is indicated for symptomatic patients and considered to be a “Gold Standard’’ treatment for the last three decades. It is the commonest abdominal procedure performed globally in an elective setting. Myriad techniques have been evaluated with increasing experience, skills, need, and availability of laparoscopic instruments. We have witnessed lots of modifications in creating pneumoperitoneum, dissection of Calot's triangle, division and securing cystic duct and artery, dissection of gallbladder (GB) from liver bed, retrieval of specimen, and port closure. Here we are presenting our experience and modifications used over the last one and a half decades.


HTML PDF Share
  1. Blythe J, Herrmann E, Faust D, et al. Acute cholecystitis - A cohort study in a real-world clinical setting (REWO study, NCT02796443). Pragmat Obs Res 2018;9:69–75. DOI: 10.2147/POR.S169255.
  2. Soper NJ, Stockmann PT, Dunnegan DL, et al. Laparoscopic cholecystectomy. The new ‘gold standard’? Arch Surg 1992;127(8):917–921. DOI: 10.1001/archsurg.1992.01420080051008.
  3. Cuschieri A, Hanna G. Essential surgical practice: Higher surgical training in general surgery, 5th edition. London: CRC Press; 2014. p. 1076. DOI: https://doi.org/10.1201/b17820.
  4. Gelmini R, Franzoni C, Zona S, et al. Laparoscopic cholecystectomy with harmonic scalpel. JSLS 2010;14(1):14–19. DOI: 10.4293/108680810X12674612014301.
  5. Mehta A, Godara R, Anand A, et al. Evaluation of the role of prophylactic antibiotics in laparoscopic cholecystectomy – A prospective randomized study. Int J Surg Med 2019;5(1):14–17. DOI: 10.5455/ijsm.prophylactic-antibiotics-laparoscopic-cholecystectomy.
  6. Zaman M, Singal S, Singal R, et al. Comparison of open and closed entry techniques for creation of pneumoperitoneum in laparoscopic surgery in terms of time consumption, entry-related complications and failure of technique. World J Lap Surg 2015;8(3):69–71. DOI: 10.5005/jp-journals-10033-1250.
  7. Fujinaga A, Hirashita T, Iwashita Y, et al. An additional port in difficult laparoscopic cholecystectomy for surgical safety. Asian J Endosc Surg 2022;15(4):737–744. DOI: 10.1111/ases.13073.
  8. Shebli B, Rahmeh AR, Khalili J, et al. The dilemma of incidental findings in abdominal surgery: A cross-sectional study. Ann Med Surg (Lond) 2022;81:104470. DOI: 10.1016/j.amsu.2022.104470.
  9. Kannan A, Tara A, Quadir H, et al. The outcomes of the patients undergoing harmonic scalpel laparoscopic cholecystectomy. Cureus 2021;13(6):e15622. DOI: 10.7759/cureus.15622.
  10. Shekarriz H, Shekarriz B, Upadhyay J, et al. Hydro-Jet assisted laparoscopic cholecystectomy: Initial experience in a porcine model. JSLS 2002;6(1):53–58. PMID: 12002298.
  11. El Boghdady M, Arang H, Ewalds-Kvist BM. Fundus-first laparoscopic cholecystectomy for complex gallbladders: A systematic review. Health science review 2022;2(100014). DOI: https://doi.org/10.1016/j.hsr.2022.100014.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.