Procedural skill | Exercise |
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Clipping and cutting | The gallbladder is already exposed with Hartmann’s pouch retracted laterally by a static tool. The cystic duct and artery have to be clipped and cut. Instructions are given. |
Exposure of Calot’s triangle | The gallbladder has to be grasped to expose Calot’s triangle. With correct exposure the students are instructed to clip the cystic duct and artery with the second instrument. |
Dissection of cystic duct and artery | The gallbladder’s infundibulum has to be retracted for safe dissection of the highlighted cystic duct and artery to achieve the critical view of safety. |
Gallbladder separation | The gallbladder is to be separated from the liver bed with eletrocautery. The line of dissection becomes highlighted with adequate retraction. |