Laparoscopic Cholecystectomy

The gallbladder has three areas of attachment that have to be cut in order to remove it. There are 2 tubular structures (the cystic artery and cystic duct) that need to be dissected out and cut , using clips to seal the ends. The attachments of the gallbladder to the liver then need to be cut and this is done by using diathermy (passage of an electrical current) which not only cuts but stops bleeding by the heat generated. The gallbladder is then removed through one of the small cuts in the skin.