Dr Mohinder Singh's blog

2 lap choles to remember

Posted on: August 27, 2007

1. routine looking lap chole; 50F from MKH (had kidney stones too)
dissection immediatiely presented a clear cystic artery right in front of the camera and seen nicely dividing into 2 branches. After clipping it, dissection under could not define the junctional anatomy; looked like a wide duct or neck and so a sessile gall bladder. This neck was ligated with vicryl and divided. While dividing a lot of stones present in it aroused second thoughts of a lower lying cystic artery which was found later after some further dissection.
2. horrible empyema with thick walled gall bladder. took more than 2 hours and left the posterior wall of gall bladder intact and cauterised it 

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