When you encounter a hugely distended mucocele like this with adhesions to the surrounding structures, please insert a 10 mm port and a piece of gauze to aid in dissection and hemostasis. I want to ask here about the method of grasping the GB (distended with thick tough wall) to retract the liver and manipulate the GB smoothly from side to side. If you do like me, here use one or more sutures or another method? Please describe your technique of retraction.
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