Nabanna at kaitha

40th lap chole

It was a medium built female. But  the gall bladder was thick walled- empyema. Omental adhesion at fundus. Initially I thought of converting.. Then I continued. It took 1 and half an hr but I  managed it. Entry was easy. Liver bed dissection was tedious but well done. It was level 6/7 GB

39th lapchole

Medium built female. Entry OK. Dissection  of calot's triangle okay. Liver bed was alright. Stone spilled during taking out of GB. So final part was little messy. Took 1 hr.

Decreasing pt.

During this part of time no of pt decreases. I was having around 30 pts everyday. It has now dropped to about 20.