Start	3/17/2026, 3:04:52 PM
End	3/17/2026, 3:11:09 PM
Duration	6 minutes
Case ID	dda90403-569b-4a86-bf9c-1be264cdafe1 (Video: 1)

Surgical Team

Gabriel OlandM.D.

CPT Codes

47562Laparoscopic cholecystectomy

Report

Diagnoses

Preoperative: Symptomatic cholelithiasis

Postoperative: Symptomatic cholelithiasis, with intraoperative findings of acute cholecystitis

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.

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. Infected bile spillage was encountered. The operative field was irrigated copiously with normal saline and suctioned, and cultures were obtained.

The gallbladder was then dissected from the liver bed in a retrograde fashion using hook electrocautery and grasper. Infected bile spillage was encountered. The operative field was irrigated copiously with normal saline and suctioned, and cultures were obtained.

The final outcome cannot be confirmed from video alone due to non-detection of relevant steps. The procedure was converted to open cholecystectomy.

Findings

The liver appeared normal. The gallbladder was cholecystitic. Infected bile spillage was encountered intraoperatively.

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.

Timeline

Patient condition

Not detected in video

Video details

Laparoscopic Cholecystectomy