Description

Watch this educational demonstration of a 12-minute laparoscopic cholecystectomy performed using the Hasson open-access technique and a three-port laparoscopic approach, with the role of Indocyanine Green (ICG) fluorescence imaging highlighted for anatomical identification and surgical safety. This procedure demonstrates how structured laparoscopic techniques, appropriate port placement, careful tissue handling, and clear visualization of the biliary anatomy can contribute to an efficient and controlled gallbladder operation. The Hasson open-access technique provides a direct method of establishing pneumoperitoneum and entering the abdominal cavity under controlled conditions. Following abdominal entry, the three-port configuration allows the surgeon to obtain appropriate visualization, traction, and working access for dissection around the gallbladder and hepatocystic region. An important educational feature of this procedure is the use of ICG fluorescence technology. Near-infrared fluorescence imaging with ICG can assist in visualizing biliary structures and may provide additional anatomical information during laparoscopic cholecystectomy. When integrated with conventional white-light visualization and sound surgical principles, fluorescence imaging can support the surgeon's assessment of the biliary anatomy. The video focuses on the operative sequence, including access, port placement, gallbladder exposure, dissection, identification of relevant anatomy, management of the cystic structures, gallbladder separation, and specimen retrieval. The 12-minute operative duration demonstrates an efficient workflow while emphasizing that surgical speed should remain secondary to appropriate anatomical identification, safe dissection, and patient-specific decision-making. This surgical video from World Laparoscopy Hospital (WLH) is intended for medical education and professional learning. Surgeons and postgraduate trainees can observe the practical application of laparoscopic principles and review how Hasson access, three-port surgery, and ICG fluorescence can be incorporated into laparoscopic cholecystectomy. Actual operative techniques should always be adapted according to the patient's anatomy, pathology, surgeon expertise, available technology, and institutional protocols.