hepatobiliary Flashcards
safest division of liver for surgery
left -
what division is gb in
central
T/F
the closer the trauma/injury is to the hilus, the less likely it will need surgery
false - more likely
what vessels are in the epiploic foramen
hepatic artery and portal vein
liver biopsy techniques
FNA tru cut laprascopic skin punch guillotine
T/F
80-85% of the liver can be removed and will regenerate
true
partial lobectomy technique that will result in the most blood loss
parenchymal fracture and ligation
nectrotizing cholecystitis
cholangiohepatitis - rupture may = septic peritonitis
biliary mucocele signalment
older small dogs
abdominal pain
icterus
high liver enzymes
how does a biliary mucocele look on ultrasound
enlarged gallbladder with immobile echogenic bile
striated or stellate pattern - kiwi sign
treatment of biliary mucocele
cholecystectomy - remove gb
where to cut for cholecystectomy
at the cystic duct
extraluminal biliary obstruction causes
pancreatic disease
duodenal disease
incision into dilated common bile duct
choledochotomy
indications for choledochotomy
choledocholithiasis
biliary sludge
most commonly done to relieve obstruction due to extraluminal compression
bile duct stenting
for a cholecystoduodenostomy what should the stoma’s initial size be and why
2.5 - 3 cm long to reduce the risk of the gallbladder becoming impacted with ingesta causing cholecystitis or cholangiohepatitis
biliary diversion complications in cats
high mortality
chronic vomiting
leakage
biliary diversion complications in dogs
leakage
ascending infections
bleeding at stoma site
how to confirm bile peritonitis when looking at abdominal effusion
if the abd effusion bilirubin is >2x serum bilirubin is positive
sterile bile
chemical peritonitis
good prognosis
infected bile
septic peritonitis
poor prognosis
