Tamar is the Best

Background Information:

Cholecystectomy is the removal of the gallbladder. This procedure may be performed via the open procedure or minimally invasive (laparoscopically or robotically).

Indications:

• Cholecystitis
• Symptomatic cholelithiasis (biliary colic)
• Choledocholithiasis
• Gallbladder pancreatitis
• Gallstone ileus
• Gallbladder cancer
• Gallbladder polyps >5cm
• Porcelain gallbladder

Key Anatomy:

• Gall bladder
• Triangle of Calot’s (cystic triangle)
• Calot’s (cystic) lymph node
• Cystic artery
• Cystic duct
• Common bile duct
• Common hepatic duct
• Rouviere’s sulcus

Surgical Risks:

General surgical risks:

• Bleeding
• Infection

Risks specific to Cholecystectomy

• Common bile duct injury (0.22% incidence for laparoscopic repair according to Fong et al. 2018)
• Bile leak from the transected cystic duct (0.5% incidence for laparoscopic repair according to Fong et al. 2018)
• Enterotomy
• 0.22% incidence for laparoscopic surgery (van der Voort et al., 2004)
• Postoperative ileus
• Risk lower for minimally invasive procedures vs. open

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