NCLEX Quiz # 974

NCLEX Examination.

Practice Question # 974.

 

nclex quiz

 

Cholecystectomy. In this procedure, the gallbladder is removed through an abdominal incision (usually right subcostal) after the cystic duct and artery are ligated. The procedure is performed for acute and chronic cholecystitis. In some patients a drain may be placed close to the gallbladder bed and brought out through a puncture wound if there is a bile leak. The drain type is chosen based on the physician’s preference. A small leak should close spontaneously in a few days with the drain preventing accumulation of bile. Usually only a small amount of serosanguinous fluid will drain in the initial 24 hours after surgery, and then the drain will be removed.

The drain is usually maintained if there is excess oozing or bile leakage. Use of a T-tube inserted into the common bile duct during the open procedure is now uncommon; it is used only in the setting of a complication (ie, retained common bile duct stone). Bile duct injury is a serious complication of this procedure but occurs less frequently than with the laparoscopic approach. Once one of the most common surgical procedures in the United States, this procedure has largely been replaced by laparoscopic cholecystectomy.

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