11 Chapter 14 Short Answer: Gallbladder Surgery pp 318

what are the two types of choleliths, and what is the composition of each

*cholesterol gallstones--by-product of liver bile that is supersaturated with cholesterol which then precipitates from the bile to form crystals that grow to macroscopic stones *pigmented gallstones--composed of calcium bilirubinate, bilirubin polymers, bile acids, iron and phosphorus. they can be black, dark brown, yellow or green.

what is the purpose of a T-tube? describe stab wound placement of the drain

-placed within the biliary system, drains bile via gravity into a specialized collection unit called a bile bag -right upper quadrant where 5mm trocar was placed

what instruments and supplies will be needed to enter the common bile duct for a CBD exploration

Randall stone forceps, gallbladder scoops, probes, Fogarty catheter, t-tube

what instrumentation might be used to remove the calculi

Randall stone forceps, stone "scoops" (Mayo, Moynihan, Moore) Potts-Smith scissors Lahey duct forceps ductal dilators Ochsner gallbladder trocar Gallbladder instruments (CBD instruments) a) Ochsner (Fenger) gall duct probe b) Mayo common duct probe c) Bakes common duct dilator set d) Mixter irricating dilaprobe e) Desjardin gallstone forceps f) Ferguson gallstone scoops Fogarty catheter, T-tube

why is it important to expel air from the cholangiogram system prior to an intraoperative cholangiogram

air bubbles can resemble stones on an x-ray

what might be used to decompress a turgid gallbladder prior to removal

ochsner gallbladder trocar

what two structures will be ligated for a cholecystectomy

the cystic duct to the cystic artery