Open Cholecystectomy - Dubai General Surgery Clinic

Cholecystectomy:

It is done only in rare cases when laparoscopic cholecystectomy is not recommended because of severe obstructed lung disease or multi-morbidity. Either through a para-median incision or an incision under the costal arch.

• Dissection of the subcutaneous tissue will be performed after the incision of the anterior fascia. The posterior rectus fascia should be reached and incised to enter the abdominal cavity.
• The gallbladder will be immediately brought up into view and grasped with a clamp in order to view the biliary tree.
• Dissection of the peritoneum at the base and opening of Calot’s triangle. The cystic duct and cystic artery are identified.
• When anatomy is clear, a tie will be placed one proximal and one distal to both structures and then cut in between both the cystic duct and cystic artery.
• The gallbladder will be then detached from the liver using a bipolar electro-scissor. The gallbladder is removed as a specimen.
• Irrigation of gallbladder bed, hemostasis with electrocautery. After then, the peritoneum with posterior rectus fascia will be approximated with a running absorbable suture.
• The anterior rectus fascia will be closed with also running absorbable sutures.
• Proximation of subcutaneous tissue. Skin staples.
• Sterile dressing. Procedure done.