Introduction
Operation Notes for Laparoscopic Cholecystectomy: This document details the procedure of a Laparoscopic Cholecystectomy performed on a patient diagnosed with symptomatic cholecystitis due to gallstones. A laparoscopic cholecystectomy is a minimally invasive procedure that uses small incisions and specialized tools to remove the gallbladder, typically resulting in less pain and a quicker recovery for the patient compared to traditional open surgery. The following notes will describe the procedure performed, from preoperative diagnosis to postoperative plan, and highlight the steps taken to ensure patient safety and the success of the operation.
Date: [Current Date]
Patient: [Patient’s Name]
Surgeon: [Surgeon’s Name]
Assistant:
Operation: Laparoscopic cholecystectomy
Procedure
- Positioning:
- The patient was positioned supine with arms tucked at the sides.
- Skin Preparation:
- The patient’s abdomen was cleaned and draped in a sterile fashion.
- Trocar Placement:
- A small incision was made at the umbilicus for the placement of a Veress needle. The abdomen was insufflated to 15 mmHg. A 10mm trocar was placed at the umbilicus under direct vision using an open technique. Three additional 5mm trocars were placed under laparoscopic guidance in the right upper quadrant.
- Dissection:
- The gallbladder was visualized. The triangle of Calot was carefully dissected to expose the cystic duct and the cystic artery. The cystic artery was divided between clips. The cystic duct was also divided between clips after a critical view of safety was confirmed.
- Gallbladder Removal:
- The gallbladder was carefully dissected off the liver bed using a combination of electrocautery and blunt dissection. The gallbladder was then placed in an endoscopic retrieval bag and removed through the umbilical port.
- Hemostasis:
- The liver bed was inspected for hemostasis. There was no active bleeding or bile leak.
- Port Closure:
- The ports were removed under direct vision. The pneumoperitoneum was decompressed.
- Skin Closure:
- The skin was closed using absorbable sutures and dressed appropriately.
Postoperative Plan: [write as suggested by Surgeon]
Follow Up: [write as suggested by Surgeon]
