15.7.24

A difficult lap chole had to be performed in a 17 years old young man with acute cholecystitis. At operation, thick pus had to be aspirated to grasp the fundus, and thereafter the stone had to be disimpacted to make dissection easier. Even then the cystic duct junction with the bile duct could not be defined. The gallbladder neck was just ligated under the H. pouch and gallbladder removed.