Description

One of the most critical steps of the surgery is the ligation of the cystic duct, which ensures safe removal of the gallbladder and prevents complications like bile leakage. Overview of the Procedure The video presentation of Laparoscopic Cholecystectomy with Cystic Duct Ligation demonstrates step-by-step surgical techniques under high-definition visualization, providing clarity for both surgical trainees and practicing surgeons. Key Steps Highlighted in the Video: Port Placement and Access Typically four ports are used: one for the laparoscope and three working ports. Pneumoperitoneum is created for proper visualization. Exposure of Calot’s Triangle Careful dissection is performed to identify the cystic duct and cystic artery. The “Critical View of Safety” (CVS) is achieved to avoid bile duct injury. Ligation of the Cystic Duct The cystic duct is clearly identified, clipped, and securely ligated. Titanium clips or advanced energy devices are used, depending on the surgeon’s preference. Proper clipping ensures no bile leakage and prevents postoperative complications. Division of the Cystic Artery The artery is carefully clipped and divided after proper visualization. Dissection of the Gallbladder from the Liver Bed Electrocautery or harmonic scalpel is used to separate the gallbladder. Meticulous hemostasis is maintained to avoid bleeding. Specimen Retrieval The gallbladder is extracted through the umbilical port using a retrieval bag. Closure The ports are closed, and the patient is gradually brought out of anesthesia. Importance of Cystic Duct Ligation Prevents bile leakage postoperatively. Ensures complete removal of the gallbladder. Reduces the risk of common bile duct injury, which is one of the most serious complications. Educational Value of the Full Video This surgical video is an excellent training resource for: Surgeons in training who wish to observe real-time operative steps. Experienced surgeons refining their laparoscopic techniques. Medical students learning about minimally invasive surgery.