ABSTRACT
Procedure Step 1. A right subcostal incision is performed. Step 2. The costal margin is retracted cephalad; the hepatic flexure of the colon
and the duodenum are retracted inferiorly. Step 3. Grasping the fundus of the gallbladder with a clamp, it is lifted anteriorly
and away from the liver. Step 4. The peritoneum overlying the gallbladder is incised with cautery within
a few millimeters o f the liver. Step 5. Progressively retracting it away from the liver, the gallbladder is dissected
from Glisson s capsule in the gallbladder fossa, moving downward towards the porta hepatis. It is important to dissect close to the wall o f the gallbladder.
