Laparoscopic Cholecystectomy Research Paper
Laparoscopic Cholecystectomy with Cholangiogram A laparoscopic cholecystectomy with cholangiograms is the surgical procedure of removing the gallbladder. Removal of the gallbladder can be due to several reasons including gallstones, tumors, cancer, damage to gallbladder, gallstone disease, etc. This “has rapidly become the procedure of choice for routine gallbladder removal and is currently the most commonly performed major abdominal procedure in Western countries”. (MED) Laparoscopic has become the procedure of choice compared to a noninvasive approach due to decrease in pain, shortened duration of time spent in the hospital, quicker recovery rate, and for cosmetic purposes. What was a procedure for young thin patients is now acceptable
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The patient is placed in the standard supine position and prepped for surgery. Once started the surgeon makes an incision inside the belly button and inserts a five mm trocar (device used to keep open a hole so devices can be inserted into the body). Once the trocar is inserted and placed into the belly button the surgeon will inflate a balloon used to raise the abdomen. The balloon is inserted and filled with CO2. A fifteen blade is used to make an incision for the epigastric trocar placement which is inserted to the right of the falciform ligament. A third trocar is placed lateral to the epigastric artery and a grasper is inserted into it in order to keep the gallbladder in place. A second one is inserted and is used to dissect the fatty tissue in order to expose the cystic duct and artery. Once located they are clipped with a clip applier as to help prevent damage and bleeding. A glangio catheter is inserted into the abdomen manually and inserted into the cystic duct and a second clip is placed. Once that is complete the cystic duct is then clipped with a straight dissector and the catheter is inserted into the duct in order to flush out with dye. The dye is used to examine the duct and once cleared the catheter is removed and the clip is left in place. Another clip is then placed blow that one on the patient side and the cystic duct is cut
The patient is placed in the standard supine position and prepped for surgery. Once started the surgeon makes an incision inside the belly button and inserts a five mm trocar (device used to keep open a hole so devices can be inserted into the body). Once the trocar is inserted and placed into the belly button the surgeon will inflate a balloon used to raise the abdomen. The balloon is inserted and filled with CO2. A fifteen blade is used to make an incision for the epigastric trocar placement which is inserted to the right of the falciform ligament. A third trocar is placed lateral to the epigastric artery and a grasper is inserted into it in order to keep the gallbladder in place. A second one is inserted and is used to dissect the fatty tissue in order to expose the cystic duct and artery. Once located they are clipped with a clip applier as to help prevent damage and bleeding. A glangio catheter is inserted into the abdomen manually and inserted into the cystic duct and a second clip is placed. Once that is complete the cystic duct is then clipped with a straight dissector and the catheter is inserted into the duct in order to flush out with dye. The dye is used to examine the duct and once cleared the catheter is removed and the clip is left in place. Another clip is then placed blow that one on the patient side and the cystic duct is cut