Image Tag: Laparoscopic Cholecystectomy

cholecystoduodenal fistula

50 year old female who presented with repeated attacks of RUQ pain. CT scan showed pneumobilia and cholecystoduodenal fistula, which was confirmed intraoperatively.

Critical View

To perform a safe Laparoscopic Cholecystectomy, demonstration of the critical view following dissection of the triangle of Calot is essential. Laparoscopic view – Cystic Duct & Artery, CBD are shown.

Fundus-down Laparoscopic Cholecystectomy

Fundus-down approach (retrograde dissection).Surgical field—Laparoscopic view of fundus-down approach. Liver(Gall bladder Bed)[asterisk]; Fistula between gall bladder neck and duodenum(arrow); fundus of gall bladder over the grasper after FDA (arrow).

Fundus-down Laparoscopic Cholecystectomy

Fundus-down approach (retrograde dissection).Surgical field—Laparoscopic view of fundus-down approach. Liver(Gall bladder Bed)[asterisk]; Fistula between gall bladder neck and duodenum(arrow).

Fundus-down Laparoscopic Cholecystectomy

Fundus-down approach (retrograde dissection).Surgical field—Laparoscopic view of fundus-down approach. Liver(Gall bladder Bed)[asterisk]; Fistula between gall bladder neck and duodenum(arrow).

Fundus-down Laparoscopic Cholecystectomy

Laparoscopic view of Fundus First Dissection technique. Pushing the liver upwards by instrument through true axillary line port (4) and downwards traction of gallbladder`s fundus by instrument through mid-clavicular line port (3) give good exposure to cre

Lost password?