c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Laparoscopic Cholecystectomy: 13

A D V E R T I S E M E N T

   
 

The infundibulum and cystic duct are exposed by blunt dissection (use of cautery around the portal area is hazardous, especially before the anatomy has been defined). Once the infundibulum is free of adhesions, it is grasped by the second locking blunt grasper held in the surgeon's left hand.      

Notes:

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Laparoscopic Cholecystectomy: 14

A D V E R T I S E M E N T

   
 

If the cystic duct cannot be identified, a cholecysto-cholangiogram can be performed by placing a blunt clamp across the junction of infundibulum and body of the gallbladder and injecting below the clamp.       

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Laparoscopic Cholecystectomy: 15

A D V E R T I S E M E N T

   
 

Using a curved grasper, the surgeon spreads carefully on either side of the junction between cystic duct and infundibulum. Using repeated small pushing and opening motions, a path is opened directly behind the duct.       

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This page was last modified on 5/19/2000.