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.
Any questions be sent to drmmkapur@gmail.com
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