Gallbladder removal surgery process

Most of the dangerous surgeries nowadays are liver surgeries, which are very risky because they pose potential dangers to the body. The gallbladder is a relatively important organ in the human body, especially important for digestion. Therefore, many people will pay attention to the process of gallbladder surgery. The following article introduces the complete gallbladder removal process. Friends who are more worried can read the following article before deciding whether to have the surgery.

Step 1

The abdomen was routinely disinfected and covered with sterile surgical towels. Make an arc-shaped incision about 10 mm long along the lower edge of the umbilicus. If there has been surgery on the lower abdomen, make an incision on the upper edge of the umbilicus to avoid the original surgical scar and cut the skin.

Step 2

Use towel clamps to lift the abdominal wall at the umbilical pneumoperitoneum needle and puncture with a 10mm trocar. The first puncture is somewhat "blind" and is a more dangerous step in laparoscopy, so be extra careful.

Step 3

Rotate the cannula needle slowly and push the needle in evenly with force. When the needle enters the abdominal cavity, you will feel a sudden disappearance of resistance. When the sealed air valve is opened, gas will escape, indicating that the puncture is successful. Connect an insufflator to maintain constant intra-abdominal pressure.

Step 4

Then the laparoscope is inserted and punctures are performed at various points under laparoscope monitoring. Generally, a 10mm cannula is inserted 2cm below the xiphoid process to prepare for instruments such as discharge coagulation hooks and clip applicators; a 5mm cannula needle is used to puncture 2cm below the costal margin of the right midclavicular line or 2cm below the outer edge of the rectus abdominis and the costal margin of the anterior axillary line to insert an irrigator and gallbladder fixation forceps.

Step 5

At this time, artificial pneumoperitoneum and preparation work have been completed. The creation of pneumoperitoneum and the first trocar puncture may accidentally injure the large blood vessels and intestines in the abdominal cavity, which are not easy to detect during the operation. Recently, many people have changed to making a small incision at the navel, finding the peritoneum, and directly inserting the cannula into the abdominal cavity to inflate. After successful creation of pneumoperitoneum, the surgical operation began. Each hospital has different habits in the division of labor during surgery. In our hospital, the surgeon controls the gallbladder fixation forceps and electrocoagulation hook and is responsible for all operations of the operation. The first assistant controls the irrigator and is responsible for flushing, suction and assisting in exposing the surgical field. The second assistant controls the laparoscope so that the surgical field is always displayed in the center of the TV screen.