Image Tag: Gallbladder

Typical Mixed Gallstones

Post Laparoscopic cholecystectomy specimen opened to display the typical colour of the mixed gallstones but predominantly cholesterol in content

Do all cholangiograms prevent bile duct injury?

The image on the left demonstrates a normal intraoperative cholangiogram performed early in the dissection. Subsequent dissecton resulted in hemorrhage and clip placement across the CBD as shown on the ERCP

Gangrenous Cholcystitis

Acute gangrenous cholecystitis in an 81 y.o. male.

Gangrenous Cholecystitis

Acute Gangrenous cholecystitis in an 81 y.o.male


Stay sutures have been placed and tied. Two enterotomies have been made and the stapler is inserted into the two enterotomies. The bowel and gallbladder must be carefully positioned to fully utilize the entire length of the stapling device (by pulling the

Excessive traction on the gallbladder

Excessive traction on the gallbladder infundibulum may “tent up” the common duct, increasing the likelihood that a clip will impinge on the duct and obstruct it.

Performing the Cholecystectomy

Retract the fundus of the gallbladder toward the right axilla and the infundibulum laterally to expose Calot’s triangle. Retracting the infundibulum anteriorly or even upward tends to collapse Calot’s triangle and increase the risk of ductal injury.

Laparoscopic cholecystectomy, small operating room

The monitors,anesthesia machine, and relative position of surgeon and first assistant have been adapted to the diagonal operating table placement.

ovarian dermoid

laparoscopic resection of ovarian dermoid

Giant Common Duct Stones 1

Giant Common Duct Stones

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