Cholecystostomy

Cholecystostomy

Objective

In case of inflammation of gallbladder:

•   Remove the gallstones

•   To remove pus from gallbladder.

Position

Supine.

Anesthesia

General.

Procedure

1.  Vertical or right subcostal incision.

2.  Surround gallbladder with packs.

3.  Aspirate bile.

4.  Incise into gallbladder fundus - aspirate bile and remove all stones.

5.  Do not miss stone impacted in cystic duct.

6.  Insert a 24 F Foley’s catheter and close opening around the catheter using a purse string suture.

7.  Fix gallbladder to parietal peritoneum.

8.  Wash subhepatic area and close abdomen with subhepatic suction drainage.

Instruments

•   General set, 1

•   Biliary tract set, 1

•           Foley’s catheter (drain GB)

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