Figure 5
From: Laparoscopic retrograde (fundus first) cholecystectomy
Laparoscopic view showing liver retraction and retrograde dissection in acute Mirizzi syndrome. Mobilisation of the inflamed and shrunken gallbladder was made possible by liver retraction (case 7). The arrow points to absorbable haemostatic gauze (surgicel, Ethicon, Somerville NJ, USA) in the gallbladder bed of the liver (CHD = common hepatic duct).