Description

Patient with symptomatic Cholelithiasis and also appendicitis was encountered , planned to proceed both procedure with laparoscopic apporach and we did try with same port of lap cholecystectomy to know about difficulty to surgeons about the approach to appendix. as it was difficult with length and ergonomics to angle to target we approach for . Initial approach to lap cholecystectomy was as usual . We do recommend to this approach due to technical difficulty however surgery was completely safely done and patient was discharge with no any post operative complication and no any followup complains.