Surgery Run-Down
What is a laparscopic cholecystectomy?
Removal of the gallbladder laparscopically
what kind of prep solution is used and where do you prep?
Chlora- prep and You will prep from the symphysis pubis to the umbilicus
How many incisions are made for trocars?
4
what major organ is the gallbladder attached too?
The Liver
what are some health issues that can lead to a cholecystectomy?
presents of gallstones, gallbladder sludge, polyps
what type of anesthesia is used?
General anesthesia
where does the camera trocar go?
The umbilicus
what region is the gallbladder located?
right lumbar region
what position is the patient in before surgery?
Supine
medications used during Pre-Op?
Antibiotics will be given 45 minutes before surgery
Also any other special medications needed.
where will the three superior incisions be made?
right costal margin
what structures are clipped and ligated to detach the gallbladder from the liver?
The cystic duct and the cystic artery
what are some complications that can occur post operatively?
SSI, Bile leakage, gallbladder issues or hemorrhaging
What is special about the positioning during surgery?
reverse trendelenberg rotated on the left side
what size trocars are needed?
5mm, 10mm and 11mm
what is the surgical technologist in charge of during a laparoscopic procedure?
The camera trocar, counting intruments needed, handling instruments needed
when can patient resume normal activities?
After 2 weeks if healed with no heavy lifting
why is the patient rotated to the left during surgery?
The gallbladdder is at its highest point and can be reached easily
what is the gallbladder placed in to be removed from the abdominal cavity?
An endoscopic specimen bag connected to a 11 mm trocar
Local anesthetic