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.
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