 Video laparoscopy revealed dense omental adhesions surrounding the gallbladder circumferentially.  These dense adhesions were associated with chronic inflammatory edematous changes.  The cystic duct was easily identifiable and seen entering into the gallbladder and clipped two proximally and one distally.  The cystic artery was an anomalous branch that was anterior to the cystic duct and was identified, clipped with two clips proximally and one distally.  The remainder of the evaluation of the abdomen revealed no evidence of nodularity or masses in the liver.  There was no evidence of adhesions from the abdominal wall to the liver.  The remainder of the abdomen was unremarkable.