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Cholecystectomy |
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Cholecystectomy is performed by gallblader removal. This surgery is indicated to treat acute sterile inflammation of the gallbladder, acute infections of the gallbladder, gallstones and malignant and benign tumors of the gallbladder. Various techniques may be used for total cholecystectomy. Usually a general anesthetic is given. The skin is shaved and washed with antiseptic, and the person is draped so that only the region to be operated on is exposed. Once the surgeon makes an incision, the underlying structures are cut, and any bleeding is controlled. Using moist gauze pads, the stomach is pushed up and away to the person’s left and held there, and the middle part of the colon and the beginning of the small intestine below the stomach are covered and pushed slightly down to the right if needed. The margins of the wound are retracted enough to give the doctor access to the gallbladder and the ligaments that hold it in position. The first of these is cut, giving access to the veins, arteries and bile ducts that supply the liver and gallbladder. Two clamps are placed on the cystic artery, which supplies the gallbladder, and on the cystic duct. that drains bile from the gallbladder into the small intestine, and these are cut in two and tied off. Once the artery and duct are cut and tied off, they are tied off again to prevent a possibility of bile or hemorrhage leakage. The opening of the gallbladder is clamped to prevent leakage, and is then gradually freed from the peritoneum that covers it by a combination of sharp and finger dissections until it can be brought out onto the sterile drape covering the person. The final connections between the gallbladder and the interior of the abdomen are not cut until the doctor has checked the bottom of the liver and ligated or cauterized any small bleeding points. The peritoneum is partially closed over the liver, the last connections with the gallbladder are severed, and the peritoneum is closed. A soft rubber drain is placed in the wound and sutured or stapled separately. While the assistants are closing the surgical incision, the surgeon opens the gallbladder and counts the stones for the surgery report. The average size of a stone may be one-quarter inch, and the number of stones recovered may range from fewer than 10 to hundreds. The cholecystectomy is usually performed by general surgeons at a hospital. Complications of this procedure include wound infection, bile peritonitis, hemmorrhage, leakage of bile, as well as surgical risks and anesthetic risks.
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| Category |
Surgery
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| Related Searches |
laparoscopic cholecystectomy, post cholecystectomy syndrome, open cholecystectomy |
| Date Submitted |
07-Oct-2005
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