bandage-green

Laparoscopic Cholecystectomy

Anesthesia Implications
Position : Supine, Reverse Trendelenburg, airplaned left, one arm extended, one arm tucked
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Maintenance Paralytic : Yes

Anesthetic Approaches

1GETT
The Anesthesia:

OG tube - Insert OG tube shortly after induction to clear stomach contents prior to the procedure. PONV - Consider giving a full range of antiemetics for PONV prophylaxis. Quick wakeup - At the end of the case, The physician will close the entry points in the skin, which is completed quickly. Make sure to have your wakeup plan ready.

The Surgery:

The Gallbladders connection with the liver is clipped and the gallbladder itself is cut away from the liver.  The gallbladder is then removed - generally from one of the laparoscopic entry points.


Reference

Butterworth. Morgan & Mikhail’s Clinical Anesthesiology. 2013.
Nagelhout. Nurse anesthesia. 6th edition. 2018.
Jaffe. Anesthesiologist’s manual of surgical procedures. 15th edition. 2014.
Oxford Medical Publications. Oxford handbook of anesthesia. 4th edition. 2016.