Laparoscopic cholecystectomy




L Laparoscopic cholecystectomy




1. Introduction

Laparoscopic cholecystectomy is a minimally invasive surgical procedure used in the treatment of gallstones and diseases of the gallbladder. The laparoscopic approach is contraindicated in uncorrectable coagulopathy, severe chronic obstructive pulmonary disease, and severe cardiac disease secondary to increased abdominal pressures.



2. Preoperative assessment and patient preparation
a) History and physical examination: These are as indicated by the patient’s history and medical condition

b) Diagnostic tests: These are as indicated by the patient’s history and medical condition.

c) Preoperative medication and IV therapy
(1) Preoperative antibiotics are used.

(2) Narcotics must be used with caution to minimize potential spasm in the biliary tract and sphincter of Oddi.

(3) Use a single, large-bore (18-gauge) IV catheter for fluid replacement. Use a fluid warmer.

(4) Administer prophylactic antiemetics and aspiration prophylaxis.

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Dec 2, 2016 | Posted by in ANESTHESIA | Comments Off on Laparoscopic cholecystectomy

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