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Related Experiment Video

Updated: Feb 25, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Gall bladder flip technique in laparoscopic cholecystectomy.

Munish Sharma¹, Anubhav Vindal¹, Pawanindra Lal¹

¹Department of General Surgery, Division of Minimal Access Surgery, Maulana Azad Medical College, New Delhi, India.

Journal of Minimal Access Surgery

|August 8, 2017

Summary

The gallbladder "Flip technique" simplifies gallbladder removal during laparoscopic cholecystectomy. This method improves dissection ease and reduces complications in gallbladder surgery.

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Last Updated: Feb 25, 2026

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Area of Science:

Laparoscopic surgery
Surgical techniques
Gastrointestinal surgery

Background:

Standardized gallbladder removal techniques are lacking.
Dissection near the gallbladder fundus is challenging due to traction.
This can lead to difficulties during cholecystectomy.

Purpose of the Study:

To describe a novel technique for gallbladder dissection.
To simplify the removal of the gallbladder from the liver bed.
To reduce complications associated with laparoscopic cholecystectomy.

Main Methods:

A "Flip technique" for gallbladder dissection is detailed.
The technique involves incising peritoneal folds and flipping the gallbladder.
Dissection continues after flipping the gallbladder off the liver bed.

Main Results:

The "Flip technique" was used in 645 laparoscopic cholecystectomies.
Only one case of liver bed bleeding and two gallbladder wall injuries occurred.
Surgeons rated the ease of dissection at 9.6/10.

Conclusions:

The gallbladder "Flip technique" is simple and reproducible.
This technique facilitates easier dissection of the gallbladder from the liver bed.
The "Flip technique" effectively reduces complications in laparoscopic cholecystectomy.