Intra-operatively, after the cystic duct was clipped proximally and distally and then transected, it was noted that the clips started to migrate off of the duct.
They were removed and this was inspected.
The duct was grasped and another clip was placed.
This scissored and it was soon apparent that the other two clips and scissored as well.
Surgeon attempted to control this with a non-disposable clip applier, was unable to get these to seed as they would not clip tight enough, and eventually changed guns and got another disposable extra-long clip applier.
Eventually able to get a single clip across cystic duct where there was no leakage of bile.
Irrigated, inspected, no leakage of bile noted at cystic duct.