Department of Surgery, Logan Health, 1333 Surgical Services Drive, Kalispell, MT 59901, USA.
Department of Surgery, Logan Health, 1333 Surgical Services Drive, Kalispell, MT 59901, USA.
Surg Clin North Am. 2024 Dec;104(6):1203-1215. doi: 10.1016/j.suc.2024.04.011. Epub 2024 May 22.
In this article, we discuss preoperative clinical evaluation, diagnostic considerations, and the role/choice of antibiotics. Operative planning is discussed with attention to patient characteristics/disease condition as they may inform consideration of alternative operative approaches. Detailed steps of laparoscopic, robotic-assisted, and open cholecystectomy are discussed. Indications and operative steps for intraoperative cholangiogram and laparoscopic transcystic common bile duct exploration are included. We conclude with postoperative care, including evaluation of common complications and necessary management considerations.
在本文中,我们讨论了术前临床评估、诊断注意事项以及抗生素的作用/选择。手术计划的讨论着眼于患者特征/疾病状况,因为它们可能会影响替代手术方法的考虑。详细讨论了腹腔镜、机器人辅助和开放胆囊切除术的步骤。包括术中胆管造影和经胆囊管胆总管探查的适应证和手术步骤。我们以术后护理结束,包括评估常见并发症和必要的管理注意事项。