Description

Watch a complete Skin-to-Skin Fundus First Laparoscopic Cholecystectomy performed by Dr. R. K. Mishra at World Laparoscopy Hospital using the renowned Mishra's Knot Technique. This high-definition educational surgical video demonstrates every step of the operation, from patient positioning and port placement to meticulous fundus-first dissection, secure intracorporeal knot tying, safe identification of biliary anatomy, gallbladder removal, and skin closure. The fundus-first (retrograde) approach is particularly valuable in difficult gallbladder cases with severe inflammation, dense adhesions, contracted gallbladder, impacted Hartmann's pouch stones, or distorted Calot's triangle anatomy where conventional dissection may increase the risk of bile duct injury. By beginning the dissection at the fundus and progressing toward the cystic pedicle, surgeons can achieve safer exposure while maintaining excellent tissue planes. A unique highlight of this procedure is the application of Mishra's Knot Technique, an internationally recognized extracorporeal knot that offers rapid, reliable, and secure ligation during advanced laparoscopic surgery. The video emphasizes precise surgical principles, ergonomic instrument handling, atraumatic tissue dissection, effective haemostasis, and strategies to minimize intraoperative complications. This operative video is an invaluable learning resource for general surgeons, gastrointestinal surgeons, hepatobiliary surgeons, residents, fellows, and gynecologic laparoscopic surgeons who wish to master advanced laparoscopic cholecystectomy techniques. It also demonstrates the standardized operative methodology taught during the Fellowship and Diploma courses at World Laparoscopy Hospital, one of the world's leading centres for minimally invasive and robotic surgery training. Whether you are preparing for FMAS, DMAS, FICRS, or simply looking to improve your laparoscopic skills, this comprehensive skin-to-skin surgical demonstration provides practical tips, operative pearls, and expert guidance that can be directly applied in clinical practice.