Cholecystectomy

Cholecystectomy is a surgical removal of the gall bladder used in acute and chronic cholecystitis. The abdomen is usually open angle cut in the right hypochondrium parallel costal arch (see Laparotomy). Upon opening the abdomen and the liberation of the gallbladder from cicatrices in acute cholecystitis produce a puncture of the gallbladder and sucked off its contents (for this purpose, you should prepare sucking, coupled with a thick needle or a thin trocar), allocate and bandaged cystic artery and cystic duct, which intersect at 1-0,5 cm from the place of confluence with the common bile duct. Make a thorough revision of the biliary tract by palpation, manometry with the help of the apparatus Waldman and radiography using water-soluble contrast medium (diodon and others).
After removal of the gallbladder into the abdominal cavity injected rubber drainage, and in acute cholecystitis and often gauze tampon. Drainage may be omitted in a bottle for free flow of abdominal blood, bile, or can be attached to a vacuum system for constant aspiration; and periodic, several times a day, aspiration syringe.
In the postoperative period it is necessary to monitor the soaking bandages, correct placement of drainage tubes, for the number and nature of the discharge of drainage. Prevention of cardiovascular disease and pulmonary complications - see the Postoperative period.