Digestive_Cholecystectomy_1_Slide 11.pdf

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1 Documentation Dissection PREOPERATIVE DIAGNOSIS: Biliary dyskinesia. POSTOPERATIVE DIAGNOSIS: Biliary dyskinesia |1| . PROCEDURE PERFORMED: Laparoscopic cholecystectomy |2| . ANESTHESIA: General endotracheal anesthesia with 30 mL of 0.25% Marcaine with epinephrine for local anesthesia. ESTIMATED BLOOD LOSS: Less than 30 mL. COMPLICATIONS: None. INDICATIONS FOR PROCEDURE: The patient is a 23-year-old woman who presented to General Surgery Clinic with complaints of periodic right upper quadrant pain. This was initially evaluated with an ultrasound that demonstrated no stones. This was followed up by HIDA scan, which demonstrated an ejection fraction of 18%. After careful discussion about the indications for surgery, the possibilities of no improvement in her symptoms following surgery, and risks of surgery including bleeding, infection, injury to the cystic duct, or injury to the common bile duct or bile leak were all discussed with the patient’s. Questions were answered and consent was signed and placed in the chart. OPERATIVE FINDINGS: The gallbladder was very minimally inflamed. It did not contain any obvious stones. DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed supine on the operating room table. Bilateral lower extremity sequential compression devices were placed. General endotracheal anesthesia was induced. A
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  • Spring '19
  • NONE
  • cystic duct, Cholecystectomy

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