Cholecystectomy

Cholecystectomy

Objective

In cases of:

•   Symptomatic gallstones

•   Traumatic or inflammatory perforation of gallbladder

•   To remove gallbladder.

Position

Supine.

Anesthesia

General.

Procedure

1.  Subcostal (right) or midline.

2.  Identify gallbladder, divide adhesions.

3.  Apply forceps to fundus and to infundibulum of gallbladder and draw to right and forward.

4.  Divide cystic artery between ligatures.

5.  Divide cystic duct between ligatures after identifying Junction with CBD.

6.  Remove gallbladder; cut open to rule out malignancy and send for histopathology.

7.  Close abdomen with suction drain in subhepatic pouch.

Instruments

•   General set, 1

•   Biliary tract set, 1.

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