Lesson 1Handling Thick Swelling and Hard Cutting: Partial (Windowing/Reeves) Gallbladder Removal Methods, During-Surgery Draining, Use of DrainsCovers plans for handling thick swelling and hard gallbladder cutting, including partial removal types, safe energy tool use, during-surgery draining, and reasons for leaving drains in place.
Spotting hard gallbladder earlyTop-first and partial removal choicesWindowing vs rebuilding methodsSafe energy in swollen tissuesDrain place in hard cuttingsLesson 2After-Surgery Care and Common Problems: Spotting Bile Leak, After Antibiotics, Drain Handling, Follow-Up Scan NeedsCovers usual after-surgery care after laparoscopic gallbladder removal, early spotting of bile leak and infection, smart antibiotic use, drain reasons and handling, and rules for after scans and expert send.
Usual healing steps and go-home rulesSpotting bile leak and pocket formingAfter antibiotics: when neededDrain place, watch, and quick removeReasons for after ultrasound or CTLesson 3Patient Position and Operating Room Layout: Flat Back with Head-Up and Left Tilt, Doctor/Helper/Screen Positions for ComfortDescribes best patient position for laparoscopic gallbladder removal, including flat back, head-up, and left tilt, and details comfort place of doctor, helper, nurse, and screens to best see and stay safe.
Flat back and head-up positionLeft tilt and table changes for viewDoctor and helper stand placesScreen height, distance, and lineTool table and nurse placeLesson 4Controlling Gallbladder Duct and Artery with Basic Tools: Choosing and Using Clips, Good Stump Length, Specimen Taking Out MethodsExplains safe control of gallbladder duct and artery using clips and basic tools, including clip choice, spacing, and stump length, as well as safe cut, getting, and taking out of gallbladder specimen in usual cases.
Picking clip size and material for duct partsNumber, spacing, and angle of clipsMaking sure good gallbladder duct stump lengthSafe cut of gallbladder duct and arterySpecimen bag use and taking out methodsLesson 5Port Placing and Tool Choices: Four-Port Method (Sizes and Exact Belly Marks), Use of Pull Stitches or Hold Methods with Basic ToolsDetails usual four-port placing with exact marks, port sizes, and angles, and talks about tool choice, including holders, cutters, energy tools, and optional pull stitches or other hold methods.
Belly button camera port place and sizeUpper belly work port positionRight under-rib extra port marksChoice of holders, cutters, and scissorsUse of pull stitches for gallbladder topLesson 6Showing Calot’s Triangle and Cutting Plans: Top-First vs Forward Ways, Gentle Gallbladder Pull, Use of Soft and Sharp Cutting with Heat SealExplores methods to show Calot’s triangle safely, comparing forward and top-first ways, best pull directions, and using soft and sharp cutting with heat seal while guarding nearby parts.
Pull directions for best Calot’s showForward vs top-first cuttingSoft vs sharp cutting methodsSafe use of single heat sealAvoiding harm to main bile duct and liver arteryLesson 7No-Gos and Partial Thoughts for Laparoscopic Gallbladder Removal: Bad Heart-Lung Illness, Unfixed Clotting, Unclear Body Setup, Worry of Gallbladder CancerOutlines full and partial no-gos for laparoscopic gallbladder removal, including bad heart-lung illness, clotting issues, unclear body setup, and suspected cancer, and talks risk-gain check and other plans.
Full vs partial no-gosEffect of bad heart-lung illnessHandling unfixed clottingDealing unclear body or past surgeryWorry of gallbladder cancer and stagingLesson 8Usual Symptoms of Painful Gallstones and Long-Term Gallbladder Swelling: Pain Type, Murphy’s Sign, Blood and Scan FindingsReviews usual symptoms and signs of bile pain and long-term gallbladder swelling, linking pain types, Murphy’s sign, blood changes, and key ultrasound and CT findings to guide diagnosis and surgery plans.
Usual bile pain type and triggersMurphy’s sign and aimed belly checkBlood patterns in sudden and long swellingUltrasound signs of stones and wallCT and other scan roles in unclear casesLesson 9Safe View Check: Meaning, Step-by-Step to Get It, Recording and Rules for Stopping and SwitchingDefines the safe view check, details step-by-step cutting to get it, stresses recording with pictures or video, and clears rules for stopping cutting, backup steps, or switch to open surgery.
Official meaning of safe view checkStep-by-step cutting to show Calot’s triangleConfirming and recording the safe viewCommon mistakes and wrong readsRules for backup or switch to openLesson 10Before-Surgery Check for Bile Surgery: Reading Liver Tests, Ultrasound Check of Gallbladder and Ducts, Needs for MRCP or ERCP, Around-Surgery Antibiotic ChoicesAddresses before-surgery check for bile surgery, including reading liver function tests, ultrasound check of gallbladder and ducts, needs for MRCP or ERCP, and evidence-based choice and timing of around-surgery antibiotics.
Spotting patterns in liver testsUltrasound check of gallbladder and main ductWhen to get MRCP vs ERCPRisk checking for duct stonesAround-surgery antibiotic choice and timingLesson 11Quick Handling of Suspected Bile Duct Harm: Spotting Signs, During-Surgery Duct Scan Thoughts, Harm-Limit Steps, When to Call Bile Expert/MoveFocuses on early spotting of suspected bile duct harm, during-surgery duct scan choices, quick harm-control plans, recording, and rules for urgent expert call or move to liver-bile center.
During-surgery signs suggesting bile duct harmRole and method of table duct scanHarm-limit plans and when to stopRecording and team talkRules for send to bile surgery centersLesson 12Making Belly Blow-Up and Safe Entry: Open (Hasson) vs Needle Method, Blow-Up Pressures, Cut-Entry Safety ChecksExplains safe making of belly blow-up using open and needle methods, suggested blow-up pressures, cut-entry angles, entry problem avoidance, and confirm good work space before going on.
Patient choice for open vs needle entryNeedle entry tests and checksHasson open method step by stepSuggested blow-up pressures and flowSafe first cut-entry and check
