What is Laparoscopic Hassan Trocar Gallbladder Removal?
The gallbladder is a small organ located below the liver. Its function is to store bile used by the intestines to digest food.
Gallstones – small calcified deposits – sometimes form and block the bile ducts which lead from the gallbladder to the intestines.
In many cases, the problem becomes so severe, that the only effective treatment is to remove the entire gallbladder. This is the most common reason for gallbladder surgery. Other reasons for removing the gallbladder include chronic or severe or the growth of a tumor.
Using a pair of small retractors, the surgeon will gently open the incision and divide the exposed tissues.
Sutures resembling a purse string are placed in the skin around the navel.
Next, a special instrument called a Hassan Trocar is inserted through the opening in the navel.
The purse string sutures are pulled, causing the skin to tighten around the instrument. This creates an airtight seal.
The team then connects the Trocar to a small hose in order to inflate the abdomen with carbon dioxide. This serves to enlarge the internal work area and to separate the organs.
They will make three or more incisions into the abdomen, with care taken to keep the openings as small as possible.
Next, the laparoscope is carefully inserted into the Hassan Trocar. Once the laparoscope is in place, it will provide video images to allow the placement of additional instruments.
The surgeon will then locate and retract the liver to identify the gallbladder.
Next, the surgeon removes the connecting tissue in order to expose the cystic duct and the cystic artery.
Using clips, the surgical teams clamps off both the duct and artery which are later cut to prepare the gallbladder for removal.
Finally, any remaining tissue connecting the gallbladder to the liver is cut.
The gallbladders is moved into the laparoscopic working port where it is taken out of the body.
Then the instruments are withdrawn the carbon dioxide is allowed to escape the muscle layers and other tissues are sewn together and the skin is closed with sutures or staples.
Finally, a sterile dressing is applied.