..:: Sooriya Gall Stone Clinic ::..

blog

LAPAROSCOPIC CHOLECYSTECTOMY

LAPAROSCOPIC CHOLECYSTECTOMY

- LAPAROSCOPIC REMOVAL OF GALL BLADDER
- COMMONLY DONE WITH FOUR PORT TECHNIQUE
- CALOT’S TRIANGLE DISSECTION WITH HARMONIC SCALPEL
- CYSTIC ARTERY WILL BE DIVIDED WITH HARMONIC SCALPEL
- CYSTIC DUCT DIVISION BETWEEN CLIPS
- ICG FACILITY WILL BE A BETTER OPTION

MINI LAPAROSCOPIC CHOLECYSTECTOMY

MINI LAPAROSCOPIC CHOLECYSTECTOMY

- PRIMARY PORT WILL BE 5MM SIZE
- GALL BLADDER WITH STONE REMOVAL IS THE PROCEDURE
- SMALLER INCISION WILL HAVE LESSER PAIN
- POSSIBILITY OF PORT HERNIA IS NIL
- HIGH RESOLUTION IMAGE EQUIPMENTS ARE REQUIRED
- CAN BE DONE MOST OF THE LAPAROSCOPIC GALL BLADDER SURGERY THROUH THIS TECHNIQUE

LOST STONE IN THE ABDOMINAL CAVITY

LOST STONE IN THE ABDOMINAL CAVITY

- GALL STONES CAN SPILL IN THE ABDOMINAL CAVITY DURING SURGERY
- SPILLAGE MAY BE DUE TO PERFORATED GALL BLADDER OR ACCIDENTAL DURING SURGERY
- MULTIPLE STONES HAS MORE RISK
- NEEDS REMOVAL WHENEVER POSSIBLE
- LOST STONES IN THE ABDOMINAL CAVITY MAY LEADS TO INFECTION
- GOOD WASH DURING SURGERY IS THE RECOMMENDATION

POST OPERATIVE CARE AFTER LAPAROSCOPIC CHOLECYSTECTOMY

POST OPERATIVE CARE AFTER LAPAROSCOPIC CHOLECYSTECTOMY

- CAN TAKE ORAL FLUIDS 6 HOURS AFTER SURGERY
- CAN HAVE DISCHARGE NEXT DAY OF SURGERY
- ACUTELY INFECTED PATIENTS MAY REQUIRE POST OPERATIVE ANTIBIOTICS
- CAN TAKE NORMAL FOOD 24 HOURS AFTER SURGERY
- NO REDUCTION IN DIGESTIVE CAPACITY AFTER GALL BLADDER REMOVAL SURGERY
- NO FAT FOOD RESTRICTION AFTER SURGERY

LAPAROSCOPY TO OPEN CHOLECYSTECTOMY

LAPAROSCOPY TO OPEN CHOLECYSTECTOMY

- UNEXPECTED SEVERE DISEASE
- BILIARY ANATOMICAL ANAMOLY
- UNEXPECTED BLEEDING DURING SURGERY
- FROZEN CALOT’S TRIANGLE
- DIFFICULTY IN IDENTIFYING THE NEARBY STRUCTURES
- TECHNICAL PROBLEM WITH EQUIPMENTS

OPEN CHOLECYSTECTOMY

OPEN CHOLECYSTECTOMY

- POOR GENERAL CONDITION OF THE PATIENT
- PREVIOUS COMPLEX UPPER ABDOMINAL SURGERY
- ASSOCIATED LARGE CBD STONES REQUIRING OPEN CBD EXPLORATION
- PERFORATED GALL BLADDER WITH PERITONITIS
- ASSOCIATED FISTULAS LIKE MIRIZZI’S SYNDROME
- TECHNICAL DIFFICULTY WITH LAPAROSCOPIC PROCEDURE