What are the indications for cholecystectomy?
Your doctor may recommend a cholecystectomy if you have:
- Gallstones in the gallbladder (cholelithiasis)
- Gallstones in the bile duct (choledocholithiasis)
- Gallbladder inflammation (cholecystitis)
- Large gallbladder polyps.
- Pancreas inflammation (pancreatitis) due to gallstones.
What is now the most common indication to perform open cholecystectomy?
Indications for cholecystectomy, either open or laparoscopic, are usually related to symptomatic gallstones or complications related to gallstones. The most common of these indications are the following: Biliary colic. Biliary pancreatitis.
What surgical instruments are used for cholecystectomy?
Equipment for open cholecystectomy includes instruments common to a major instrument tray, as follows: Kelly clamps, Kocher forceps, needle holders, scissors, clips, suctions, knife/knife handles, forceps, retractors, right-angle clamps, Kitner dissectors, and electrosurgical devices should be assembled.
Is biliary colic an indication for cholecystectomy?
Background: Biliary colic is one of the commonest indications for laparoscopic cholecystectomy. Laparoscopic cholecystectomy involves several months of waiting if performed electively. However, patients can develop life-threatening complications during this waiting period.
When is a prophylactic cholecystectomy performed?
Prophylactic cholecystectomy should be offered to patients whose gallbladders remain in-situ after endoscopic sphincterotomy and common bile duct clearance. Surgical removal of the gallbladder is done routinely. Stones in the common bile duct usually come from the gallbladder and can be harmful.
What is the incision routinely used for open cholecystectomy?
A right subcostal (Kocher) incision is the most often used incision and allows excellent exposure of the gallbladder bed and cystic duct.
Why would you need an open cholecystectomy?
You may need this surgery if you have pain or other symptoms from gallstones. You may also need surgery if your gallbladder is not working normally. Common symptoms may include: Indigestion, including bloating, heartburn, and gas.
Who performs a thoracoscopy?
At the very least, a pulmonol- ogist who is proficient in chest-tube placement and management should be entitled to acquire the skills necessary to perform thoracoscopic procedures involv- ing the parietal pleura and the pleural space. examinations of pleural fluid.
Is thoracoscopy an endoscopy?
Medical thoracoscopy is generally characterised as thoracoscopy performed under local anaesthesia in the endoscopy suite with the use of nondisposable instruments, and is generally for diagnostic purposes.
Which tool is used for cholelithiasis?
The European Association for the Study of the Liver (EASL) guidelines recommend that abdominal ultrasonography be used as the primary diagnostic imaging tool for suspected gallstones. In the case of strong clinical suspicion and negative abdominal ultrasound, endoscopic ultrasound or MRI may be performed.
What suture is used for laparoscopic cholecystectomy?
All of the skin incisions are closed with 4-0 absorbable monofilament suture, followed by cyanoacrylate tissue adhesive. (See the image below.) Laparoscopic cholecystectomy.