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COLORECTALBREASTHEPATOBILIARYENDOCRINEBARIATRICHERNIATRAUMAVASCULARTRANSPLANTACUTE CARE SURGERY

STEP 05 / 09

Control and Division of the Cystic Artery

Once the CVS is obtained, place two clips on the proximal side and one clip on the distal (specimen) side of the cystic artery, leaving a gap for division. Use scissors to divide the artery.

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FEEDBACKPull into the port before activating cautery when opening the gallbladder peritoneum

PREFERENCEDr. Smith uses 0 looped PDS for fascial closure

VARIATIONFor a difficult retrocecal appendix, consider adding a RUQ port for extra retraction

ANATOMYPatient had a posterior cystic artery branch that was clipped separately

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