How can we make Laparoscopic Cholecystectomy safer?

Laparoscopic cholecystectomy is a minimally-invasive procedure involving the removal of the entire gallbladder, usually performed due to symptomatic gallstones. If left untreated, symptomatic gallstones can result in acute cholecystitis or acute pancreatitis.

Review our new Laparoscopic Cholecystectomy in a 54 year-old male patient procedure now available on the Touch Surgery app to learn how our General Surgery key opinion leader Dr. Purkayastha describes how to safely perform this procedure.

Key facts:

  • Laparoscopic cholecystectomy is the gold standard treatment of symptomatic or complicated gallstones.
  • A cholangiogram can be taken to visualize the biliary tree and cystic duct.

In this Touch Surgery simulation, Dr Sanjay Purkayastha demonstrates an uncomplicated and efficient removal of the gallbladder. Here are some of his tips and insights into performing one of the most common general surgery procedures.

“Common bile duct injury can be avoided by starting the dissection high up Calot’s triangle, by the neck of the gallbladder.”

It is important to be aware of the location of the common bile duct during this procedure.  Whilst uncommon, common bile duct injury is the most common risk in performing a laparoscopic cholecystectomy.

Bile duct injuries often require additional surgical treatment

The cystic duct and common hepatic ducts drain into the common bile duct.

The anatomy of the surrounding structures can vary, the surgeon should be able to adapt to anatomical variations intra-operatively.

In this simulation, Dr Purkayastha clips and transects the fat pad surrounding the cystic duct, as a precaution, in case any outlying vessels were concealed within it.

Performing a cholangiogram can reduce the risks of the complications associated with cholecystectomies

How can a cholangiogram assist the surgeon in performing safer surgery?

  • Reduces chances of damaging the bile duct
  • Delineates the relevant anatomy
  • Ensures a clear bile duct
  • Ensures there are no retained stones

View our new simulation – the Laparoscopic Cholecystectomy – on the Touch Surgery app and test your procedural awareness