Cholecystectomy

Question 1

Define:

Answer 1

The surgical removal of the gall bladder

laproscopic - 1st choice. small incisions are made in the abdomen where you can insert small tubes through which surgical equipment and a camera can be inserted into abdo cavity.

open - older

Question 2

Indications:

Answer 2

• Gall bladder stones (symptomatic)
• Acute cholecystitis
• Gallstone pancreatitis
• Choledocholithiasis
• Cholecystoduodenal fistula

Question 3

Complications:

Answer 3

• Damage to bile ducts which can cause bile leak
• Post cholecystectomy syndrome – RUQ pain, dyspepsia, nausea/vomiting
• Post site hernia
• Bleeding
• Infection
• Fat intolerance due to inability to secrete a large amount of bile into the intestine as pt no longer has a gall bladder