During a Laparoscopic Cholecystectomy, which structures are clipped and cut?

In a Laparoscopic Cholecystectomy, the primary objective is to remove the gallbladder, which requires manipulating specific anatomical structures associated with the gallbladder. The cystic artery and cystic duct are key structures involved in this procedure.

The cystic artery, which supplies blood to the gallbladder, is carefully identified, clipped, and cut to prevent excessive bleeding during the operation. Similarly, the cystic duct, which is the channel that carries bile from the gallbladder to the common bile duct, is also clipped and cut. This action effectively separates the gallbladder from its vascular supply and the biliary tree, allowing the gallbladder to be removed safely.

The other options, such as the common bile duct and hepatic artery, are not clipped and cut during this procedure, as doing so could lead to significant complications. The cystic duct is specifically targeted because it is directly linked to the gallbladder, while the common bile duct plays a crucial role in bile flow from the liver and should be preserved. Similarly, cutting the skin or periosteum and fascia would not be relevant in this context, as these structures are part of the surrounding anatomy and not directly involved in the gallbladder's removal