Open Gall Bladder and Bile Duct Endoscopic Sphincterotomy скачать в хорошем качестве

Open Gall Bladder and Bile Duct Endoscopic Sphincterotomy

Open gallbladder and bile duct sphincterotomy is a surgical procedure that involves: 1. Open cholecystectomy: Removal of the gallbladder through a large incision in the abdomen. 2. Bile duct sphincterotomy: Cutting of the sphincter of Oddi, a muscular valve that controls the flow of bile and pancreatic juice into the small intestine. Purpose: 1. To treat conditions such as: Gallstones causing pancreatitis or cholangitis Bile duct obstruction Gallbladder cancer 2. To allow for: Removal of gallstones or other obstructions Improved bile flow Reduced pressure in the bile ducts Procedure: 1. General anesthesia 2. Large incision in the upper right abdomen 3. Dissection and removal of the gallbladder 4. Identification and cutting of the sphincter of Oddi 5. Exploration of the bile duct for stones or other obstructions 6. Closure of the incision Risks and complications: 1. Bleeding 2. Infection 3. Pancreatitis 4. Bile duct injury 5. Narrowing of the bile duct (stenosis) 6. Long-term diarrhea or bile reflux Recovery: 1. Hospital stay: 5-7 days 2. Pain management: Narcotics and other medications 3. Diet: Gradual transition to solid foods 4. Follow-up: Regular check-ups to monitor for complications Note: This procedure is typically performed when less invasive methods are not possible or have failed. #Sphincterotomy