DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Cholecystectomy (Laparoscopic)
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: As per local policy
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine, left arm tucked. Steep reverse Trendelenburg with right side tilted up for dissection. Orogastric tube inserted.
INDICATION:
[Symptomatic cholelithiasis / acute cholecystitis / gallstone pancreatitis / biliary colic / gallbladder polyp]. Preoperative imaging: USS [findings].
PROCEDURE:
WHO Checklist performed. Abdomen prepared and draped.