Description

Fundus First Cholecystectomy, also known as “top-down” cholecystectomy, is an advanced surgical technique in laparoscopic gallbladder surgery, particularly useful in difficult cases with dense adhesions, severe inflammation, or distorted anatomy of Calot’s triangle. Dr. R.K. Mishra, a globally renowned laparoscopic and robotic surgeon, has perfected this approach, providing safer and effective outcomes for patients with complex gallbladder conditions. Unlike the conventional “bottom-up” approach where dissection starts from Calot’s triangle, the fundus-first method begins at the gallbladder’s fundus, gradually dissecting towards the cystic duct and artery. This technique minimizes the risk of bile duct injury, which is a major concern in complicated gallbladder surgeries. Dr. R.K. Mishra’s expertise in performing Fundus First Cholecystectomy combines meticulous surgical precision with the latest minimally invasive tools. By following this approach, he has successfully managed challenging cases such as: Severe acute cholecystitis Chronic gallbladder inflammation Mirizzi syndrome Dense adhesions from previous abdominal surgeries The procedure involves careful identification of anatomical landmarks, progressive dissection, and controlled removal of the gallbladder while preserving surrounding structures. Patients benefit from reduced operative risk, minimal post-operative complications, and faster recovery due to the minimally invasive nature of laparoscopic surgery. Dr. R.K. Mishra’s contributions in refining the Fundus First Cholecystectomy technique have been recognized worldwide, making it a preferred approach in difficult gallbladder surgeries. Under his guidance, surgeons at the World Laparoscopy Hospital are trained in this advanced technique, enhancing surgical safety and patient outcomes globally.