Liver and Biliary Surgery

Liver and Biliary Tract
Surgeries
Liver Lacerations
Blunt trauma
Liver fracture
Penetrating trauma
Liver Segments
Surgery of the Gallbladder
Cholecystectomy
Cholelithiasis
Stones
Cholesterol
Pigmented
Cholelithiasis
Treatment for Cholelithiasis
Medication
Lithotripsy (ESWL)
Open Cholecystectomy with duct exploration
Laparoscopic Cholesystectomy
Room layout for Lap Chole
Laparoscopic Cholecystectomy
Questions?
Let’s go into the lab
and arrange the room
for a Lap Chole
Case Study
Laura is a 45-Year-old woman who is somewhat overweight, eats a typical American diet, and is generally healthy. She has been developing severe colicky pain in her right upper quadrant about 2 hours after meals. After a history and physical, she was diagnosed with cholelithiasis.
Questions
What does cholelithiasis mean?
What causes the condition?
Name three possible treatments for cholelithiasis?
If the pt must have her gallbladder removed and the procedure is done laparoscopically, what type of trocar is typically used at the umbilicus?
Reading Assignment for next Class
ST for the ST
Surgery of the Pancreas and Spleen
Pages 447-454
Alexander’s
Surgery of the Pancreas
Pages 418-423
Surgery of the Spleen
Pages 430-431
If done as an open procedure, what incision would be used?