What is cholecystectomy procedure?
A cholecystectomy is surgery to remove your gallbladder. The gallbladder is a small organ under your liver. It is on the upper right side of your belly or abdomen. The gallbladder stores a digestive juice called bile which is made in the liver.
When doing a lap chole what basic instruments are needed to do the procedure?
With these tools, appropriately designed for laparoscopic surgery, including a laparoscope, graspers, dissectors, cholangiography equipment, scissors, and clip appliers, the surgeon can remove the gallbladder without opening the abdomen.
What are the 5 anatomic landmarks when you do laparoscopic cholecystectomy?
These fixed anatomical landmarks include bile duct and base of segment 4 (B), Rouviere’s sulcus and segment 4 (S), hepatic artery (A), umbilical fissure (F), and enteric viscera (E), e.g., duodenum, pylorus[44].
What is the purpose of a Cholangiogram?
An intraoperative cholangiogram is a special kind of X-ray imaging that shows those bile ducts. It’s used during surgery. With a typical X-ray, you get one picture. But a cholangiogram shows your doctor a live video of your bile ducts so they can see what’s happening in real-time.
When doing a lap chole what position is the patient in?
For this procedure, the patient should be in the supine position. Peripheral intravenous lines are inserted, and electrocardiography, pulse oximetry, and blood pressure monitors are placed. The patient is intubated and general anesthesia initiated. The patient’s arms are abducted or tucked comfortably at the sides.
What two structures are ligated for a cholecystectomy?
Ligation of cystic duct and artery When the cystic duct and artery are correctly identified and completely dissected, they are ligated.
What is a partial laparoscopic cholecystectomy?
Laparoscopic partial cholecystectomy was defined as procedures where the posterior wall of the gallbladder was left in the hepatic bed. The triangle of Calot was exposed, and the cystic duct was ligated in all patients. Dissection was initiated at the fundus and advanced with a traditional retrograde dissection.
How is cholangiogram done?
Typically, cholangiogram is used when you have gallstones and need your gallbladder removed. Your doctor will make a few small cuts in your body (called laparoscopic surgery). Then they’ll put a tiny video camera through one of the cuts to help him with the operation.
How is operative cholangiogram done?
The doctor places a small tube called a catheter into the cystic duct, which drains bile from the gallbladder into the common bile duct. A dye that blocks X-rays is injected into the common bile duct, and then you will have X-rays taken.