00:00 / 00:00
Timeline
00:00
05:00
10:00
15:00
20:00
25:00
30:00
Steps
Out of Body
Patient condition
Gallbladder Health
NormalLiver Health
FattyAdhesions
Dry Adhesions (postoperative)Not detected in video
Video details
| Start | 3/16/2026, 8:48:49 PM |
|---|---|
| End | 3/16/2026, 9:19:10 PM |
| Duration | 30 minutes |
| Case ID | 3bf9ee7a-91cd-4755-ba4d-ec7fb93b8300 (Video: 1) |
Laparoscopic CholecystectomyMar 16, 2026Mount Sinai
2 / 4
47562
Laparoscopic Cholecystectomy
Surgical Team
- Gabriel OlandM.D.
CPT Codes
- 47562Laparoscopic cholecystectomy
Report
Diagnoses
Preoperative: Symptomatic cholelithiasis
Postoperative: Symptomatic cholelithiasis, with intraoperative findings of intra-abdominal adhesions
Indication
Symptomatic cholelithiasis
Preparation
Risks, benefits, and alternatives to surgery were discussed with the patient. Risks including bleeding, infection, injury to surrounding structures including the common bile duct, need for additional procedures or possible transfer to a tertiary care center if required, deep vein thrombosis and pulmonary embolism, poor cosmetic outcome, anesthesia-related complications, and death were explained. Written informed consent was obtained from the patient prior to the procedure. The patient confirmed understanding of the proposed surgery, its indications, expected benefits, potential risks, and available alternatives. A formal surgical timeout was performed in accordance with hospital protocol prior to incision. The patient was placed in the Supine position. A Laparoscopic approach was used. Sequential compression devices were applied to the lower extremities. string General anesthesia was induced. Endotracheal intubation was performed and maintained without difficulty throughout the procedure. Perioperative prophylactic antibiotics were administered intravenously prior to skin incision in accordance with surgical site infection prevention guidelines. The abdomen was prepped with chlorhexidine solution and the patient was draped in a standard sterile fashion.
Operative Description
Pneumoperitoneum was established via Veress needle inserted at the Palmer's Point. The abdomen was insufflated to 15 mmHg. Under direct visualization, additional ports were placed as follows: a 5mm trocar at the string, and a string at the string.
Adhesions were identified in the hepatocystic triangle. Adhesiolysis was performed over approximately 0 minutes using hook electrocautery, maryland dissector, and grasper to adequately expose the operative field.
Attention was then turned to Calot's triangle. The hepatocystic triangle was dissected using maryland dissector, hook electrocautery, and grasper. The cystic duct and cystic artery were carefully identified. The critical view of safety was achieved with two structures (the cystic duct and cystic artery) seen entering the gallbladder and the liver bed visible behind.
The cystic duct was secured with 3 proximal and 1 distal Titanium Clip(s) and sharply divided. The cystic artery was secured withSelect option proximal andSelect option distal Titanium Clip(s) and sharply divided.
The gallbladder was then dissected from the liver bed in a retrograde fashion using hook electrocautery and grasper.
Findings
The liver appeared normal. The gallbladder was normal. Intra-abdominal adhesions were noted.
Measurements
Estimated blood loss: 10 cc
Closure
string All ports were removed under direct visualization. Fascia closed with interrupted 0 Vicryl sutures. Skin closed with 4-0 Monocryl subcuticular suture. Dermabond dressing was applied. All sponge, instrument, and needle counts were confirmed correct at the conclusion of the procedure. The attending surgeon was physically present, sterile, and available for the duration of the procedure.
Disposition
The patient tolerated the procedure well without immediate complications. The patient was extubated in the operating room and transferred to the recovery room in stable condition.