Total Laparoscopic Hysterectomy (TLH) with Cholecystectomy

The chapter focuses on the integration of laparoscopic cholecystectomy with Total Laparoscopic Hysterectomy (TLH). The combined approach, made possible by advancements in surgical techniques and anesthesia, offers numerous benefits. It requires interdepartmental integration with single admission, single surgery, single anesthesia, one-time abstinence from work and mental and physical exertion, which can optimize the patient’s outcome. The Chapter delves into preoperative and intraoperative protocols to optimize the safety profile and decreasing the operating time, focusing mainly on port placement which is planned by combined efforts of both surgeon and gynecologist, showcasing the importance of interdepartmental collaboration. The surgical technique involves detailed pre-operative assessments and focus on modern advancement for a successful procedure, including the use of Infrared (IR) imaging and Indocyanine green. It provides a step-by-step guide to the combined procedure. So we conclude that, with combined surgery the patient has the dual benefit of receiving surgical therapy for two coexisting pathologies concurrently while experiencing substantially less perioperative morbidity than would have been expected with two discrete procedures.