Gall Bladder Mucocoele Kiwi Bladder

The gall bladder is approached through a cranial abdominal incision. Removal of the falciform ligament makes exposure adequate. The gall bladder is bluntly dissected from its' fossa in the liver. Hemorrhage can be a problem from the dissection bed. Packing sponges into the fossa until the hemorrhage stops is often successful. The gall bladder is dissected to the cystic duct and ligated with suture or clipped with hemoclips. Liver biopsy for culture and sensitivity testing and histopathology can help with post operative medical therapy decisions.