Laparoscopic cholecystectomy involves gall bladder removal using a minimally invasive surgical procedure. The reasons to perform laparoscopic cholecystectomy generally is due to patients struggling with –
- Biliary Dyskinesia
- Biliary Pancreatitis
- Gallbladder Polyps or Tumors
Laparoscopic cholecystectomy includes smaller incisions and has lower risk of complications, but a medical student will need to understand how to perform it thoroughly. Remember, the patient’s condition will determine the suitability of the procedure and as a doctor you will need to be sufficiently competent to make the right decision.
In this post, let’s understand how to perform laparoscopic cholecystectomy using an e-learning platform to enhance understanding and practical application.
Step 1: Preoperative Preparation
Before beginning the procedure, the surgeon must conduct a thorough preoperative evaluation of the patient’s medical history, perform necessary investigations, and ensure the patient’s fitness for surgery. E-learning platforms like Webop.com can assist in understanding the patient’s specific case, including risk factors and associated anatomy.
Step 2: Patient Positioning and Anesthesia
Patient lies on the operating table flat on his or her back position. The anesthetist administers general anesthesia. E-learning modules can provide visual aids and virtual simulations to teach the correct patient positioning, highlighting the importance of safety and ergonomics during surgery.
Step 3: Creation of Ports
Using a Veress needle or an open technique, pneumoperitoneum is established, creating a working space for the laparoscopic instruments. E-learning resources can demonstrate the proper techniques for safe entry into the abdominal cavity, ensuring minimal risk of injury to surrounding structures.
Step 4: Trocar Placement
After pneumoperitoneum, trocars are inserted into the abdomen through the created ports. E-learning videos and interactive modules can provide insights into optimal trocar placement, helping the surgeon avoid injury to major vessels or organs.
Step 5: Visualization and Instrumentation
A laparoscope is inserted through one of the trocars to visualize the abdominal cavity. Carbon dioxide insufflation maintains the working space. Other specialized instruments, such as graspers and dissectors, are introduced through additional trocars. E-learning platforms can offer detailed explanations and 3D models to aid in understanding instrument manipulation and visualization techniques.
Step 6: Dissection and Exposure
The cystic artery and cystic duct are identified, clipped, and divided, allowing exposure and dissection of the gallbladder from the liver bed. E-learning materials can provide interactive lessons on identifying anatomical landmarks and safe dissection techniques, ensuring accuracy and reducing complications.
Step 7: Gallbladder Removal
Following the dissection, the gallbladder is gently extracted through one of the trocars or a specialized retrieval bag. E-learning tools can simulate this step, offering hands-on experience in maneuvering and extracting the organ while avoiding potential bile spillage.
Step 8: Closure and Recovery
After ensuring hemostasis and removing any residual stones, the surgeon inspects the operative site for any bleeding or bile leaks. The trocars are removed, and the ports are closed using sutures or other closure devices. E-learning modules can illustrate proper closure techniques and emphasize the importance of careful inspection to minimize postoperative complications.
Laparoscopic cholecystectomy sounds simple in text book but is an intricate surgical procedure. It requires a precise understanding of anatomy, instrumentation, and technique. Along with academic medical text book, e-learning resources can help medical students to enhance their understanding, gain virtual experience, and polish their skills in efficiently performing laparoscopic cholecystectomy.
This technology-driven approach contributes to improved patient outcomes and a safer surgical experience for all involved.