Bilateral TAPP

And Cholecystectomy

With Explor CBD

 

Poschong Suesat , MD

Bhumibol Adulyadej Hospital

Royal Thai Air Force

[email protected]

 

 

 

 Beginning Of TAPP On  The Right Site

 

 

 

Mesh Insertion And Fixation

 

 

 Complete Peritoneal Closure

 

 

 

Exploration Of Both Sites After Bilateral TAPP

 

 

 

Cholecystectomy  is Beginning 

 

 

 

 

CBD Stone Was Flushing Out

 

 

 

Insertion Of T-tube

 

 

CBD Suturing

 

 

Ligation And Cut