Gallbladder surgery when performed through the small cuts and a camera is called laparoscopic cholecystectomy.Removing the gallbladder is the preferred treatment for the majority of people who have gallstones that cause symptoms. Laparoscopic cholecystectomy requires several small incisions in the abdomen to allow the insertion of surgical instruments and a small video camera. After the initial incisions, the surgeon will use carbon dioxide to inflate the abdominal cavity. The camera sends a magnified image from inside the body to a video monitor, giving the surgeon a close-up view of the organs and tissues. The surgeon watches the monitor and performs the operation by manipulating the surgical instruments through separate small incisions.
The gallbladder is identified and carefully dissected free from its attachments under the liver. One of the most important portions of the procedure is the identification of Calot's Triangle. Calot’s triangle is an anatomic area bounded by the liver, cystic duct, and common hepatic duct. The cystic duct and the cystic artery are identified, clipped with tiny titanium clips and cut. The gallbladder is then separated from the liver bed and removed through one of the small incisions. To be continued