Robotic Cholecystectomy for Porcelain Gallbladder and a 6.8-cm Stone

1. Introduction

2. Access to the Abdomen and Diagnostic Laparoscopy to Rule out any Obvious Malignancy

3. Robot Docking

4. Exposure

5. Dissection for the Critical View of Safety (CVS)

1. If necessary and Possible, Clip and Divide Cystic Artery Early (Violation of CVS)

6. Cystic Duct Clipping and Dividing

7. Removal of Remaining Gallbladder from the Liver Bed

8. Hemostasis, Final Inspection, and TAP Blocks

9. Robot Undocking and Specimen Extraction

10. Closure

11. Post-op Remarks