Watch this high-definition surgical video demonstrating Laparoscopic Cholecystectomy for a Large Gallstone Using Mishra’s Knot, expertly performed by Prof. Dr. R. K. Mishra at World Laparoscopy Hospital. This comprehensive step-by-step procedure highlights the safe and effective management of a difficult gallbladder containing a large calculus using the renowned Mishra’s Knot technique for secure intracorporeal cystic duct ligation.

Large gallstones often make laparoscopic cholecystectomy technically demanding because of a distended gallbladder, thickened wall, limited grasping space, and difficult exposure of Calot's triangle. In this educational video, Dr. Mishra demonstrates meticulous dissection, achievement of the Critical View of Safety (CVS), precise identification of the cystic duct and cystic artery, and secure ligation of the cystic duct using Mishra’s Knot instead of conventional clips. The video also showcases atraumatic tissue handling, careful gallbladder bed dissection, effective hemostasis, specimen retrieval, and practical tips to avoid bile duct injury during challenging cases.

Mishra’s Knot is a reliable intracorporeal knotting technique widely taught at World Laparoscopy Hospital and is particularly valuable in clipless laparoscopic surgery, inflamed tissues, difficult anatomy, or situations where secure suture ligation is preferred. The procedure demonstrates advanced laparoscopic skills while maintaining the principles of safe minimally invasive surgery.

This operative video is an excellent educational resource for general surgeons, gastrointestinal surgeons, residents, fellows, and minimally invasive surgery trainees seeking to master advanced laparoscopic cholecystectomy techniques and intracorporeal suturing.

World Laparoscopy Hospital is internationally recognized for excellence in laparoscopic, robotic, and endoscopic surgery training, providing surgeons from around the world with hands-on education in advanced minimally invasive procedures.