Laparoscopic Cholecystectomy in a New Way

Aim: To describe laparoscopic cholecystectomy in a new way. Methods: It is a case series of 40 laparoscopic cholecystectomies which was done between October 2021 to March 2022. Inclusion criteria: Patients having cholelithiasis, acute cholecystitis. Exclusion criteria: previous abdominal scar (midline), pregnant women, children, obese patient. Procedure: After antibiotic and tetanus prophylaxis and proper hydration, under spinal anaesthesia and after proper antiseptic painting and draping, in Trendelenburg position direct trocar entry in umbilicus was done, pneumoperitoneum was created and then in reverse Trendelenburg position and left lateral tilt, other three ports were made. Fundal traction given and adhesiolysis done, lateral traction at Hartmann?s was given and calot?sdissection done. Cystic duct and artery were clipped and then cut. A ligature was also used in some cases. Gall bladder was dissected out from gall bladder fossa. Haemostasis secured. Gall bladder removed from epigastric port. Drain was placed in some cases. Umbilical port and Epigastric port were closed in single layer by Nylon 2-0 and other ports was closed. Aseptic dressing was done. Results: There was less operative time and the cases were uneventful and the patients were well postoperatively and discharged on day 1 of operation and there were no cases of port site hernia on follow up. Conclusion: Using this newer way there was less operative time, as well as less induction time of anaesthesia, with less post operative pain and negligible complications, thus an effective way for laparoscopic cholecystectomy.