PMC5684444_01
Laparoscopic subtotal cholecystectomy operative technique. (A) Significant omental adhesions surrounding the hepatocystic triangle (white arrow). (B) Dissection of gallbladder distal to the Hartmann's pouch (blue arrow). (C) Gallstones extracted from the lumen of remnant gallbladder (traced with white-dotted line) followed by cauterization of mucosal surface. (D) Ligation (traced with black dotted line) of remnant gallbladder stump distal from the cystic duct and common bile duct.
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fig0005
The operative technique starts with the dissection of the gallbladder peritoneal surface distal (anterior) to the Hartmann's pouch (Fig. 1).