How is the procedure done?
- A small incision is made in the navel through which the laparoscope, a thin tube with a camera at one end, is inserted. The abdomen is then inflated with carbon dioxide to provide better view and room to operate.
- Additional laparoscopic tools are inserted through three other small incisions in the abdomen to aid the clipping of the gall bladder from the adherent artery and bile duct.
- The gall bladder is removed through one of the incisions.
- Next an incision into the biliary duct is made (choledochotomy) and the stones are removed.
- A triangular network between biliary duct and duodenum is constructed by suturing the anterior and posterior walls of the duodenum to the biliary duct to create a bypass for biliary drainage.
- Finally all the incisions are sutured.
Dr. Zainal Hamid
MBBS, FRCP, MRCP (UK)