PMC9851660_01
Intraoperative cholangiogram.
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About 20 mL of 50-50 mixture of saline and iodinated contrast was injected under fluoroscopy (Fig. 1).
(A) Intraoperative view following cholangiogram. (B) Intraoperative view following fundus-first approach.
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A second surgeon was called into the operating theatre for confirmation of findings, and the ductotomy was closed laparoscopically with Polydioxanone (PDS) sutures. 'Fundus first' dissection revealed a small 1.5 cm gallbladder and confirmed no discernible cystic duct (Fig. 2).
Gallbladder specimen.
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Figure 3 demonstrates the small operative specimen.