Cholecystectomy (Laparoscopic)
DATE AND TIME: [Date and time]
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Laparoscopic Cholecystectomy
OPERATIVE DIAGNOSIS: [Diagnosis]
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: [Drug and dose / Not indicated]
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
CEPOD: Elective
WHO Checklist performed. Prep and drape in sterile fashion.
INCISION: [Port sites — describe]