What incision is used for a cholecystectomy?

During an open cholecystectomy, the surgeon makes a 6-inch (15-centimeter) incision in your abdomen below your ribs on your right side. The muscle and tissue are pulled back to reveal your liver and gallbladder. Your surgeon then removes the gallbladder.

Is Kocher’s Subcostal incision a type of surgery?

7. Right Subcostal Incision (Kocher’s) incision (1),(8) This is a very popular incision for biliary tract surgery especially for cholecystectomy. However when biliary exploration or biliary anastomosis with a segment of bowel is needed, it may not be very suitable.

Which incision is used for the classic open cholecystectomy procedure?

Once the patient is appropriately anesthetized and prepped, a right subcostal (Kocher) incision or upper midline incision is made. Adequate exposure is gained by using packs and retractors. It is important to obtain good visualization of the gallbladder, triangle of Calot, and bile ducts.

Which tool is used for open cholecystectomy?

Equipment for open cholecystectomy includes instruments common to a major instrument tray, as follows: Kelly clamps, Kocher forceps, needle holders, scissors, clips, suctions, knife/knife handles, forceps, retractors, right-angle clamps, Kitner dissectors, and electrosurgical devices should be assembled.

Can I lay on my side after gallbladder surgery?

Sleep on your back or left side, not on your stomach or right side. After gallbladder surgery, your incisions will be on the right side of your belly where your gallbladder is. If you can avoid sleeping directly on your incisions, it may reduce pressure on the area and cause you less discomfort.

What are the types of surgical incisions?

Issues of Concern

• Midline Incisions. Also known as the laparotomy incision, or celiotomy, this is the most traditional of surgical incisions.
• Kocher Incisions (Subcostal)
• Para-median Incision.
• Gridiron Incision (McBurney Incision)
• Lanz (Rockey-Davis)
• Thoracoabdominal (Iver Lewis)
• Chevron.
• Pfannenstiel (Kerr/Pubic incision)

What are the complications of cholecystectomy?

Removal of the gallbladder (cholecystectomy) is considered a relatively safe procedure, but like all operations there’s a small risk of complications.

• Infection.
• Bleeding.
• Bile leakage.
• Injury to the bile duct.
• Injury to the intestine, bowel and blood vessels.
• Deep vein thrombosis.
• Risks from general anaesthetic.

Is a cholecystectomy major surgery?

A laparoscopic cholecystectomy—as called lap cholecystectomy—is a common but major surgery with serious risks and potential complications. You may have less invasive treatment options. Consider getting a second opinion about all of your treatment choices before having a laparoscopic cholecystectomy.

Which is the best incision for open cholecystectomy?

The operating room and table should be oriented so that cholangiography can be performed if necessary. A right subcostal (Kocher) incision is the most often used incision and allows excellent exposure of the gallbladder bed and cystic duct.

What can be done with a subcostal incision?

The subcostal incision is also used for access to the liver for wedge resections; for the adrenal gland on either side; and the spleen if on the left side. When extended laterally on the right with the patient in a rotated position, the incision is used for portacaval shunts.

What kind of surgery is the kocher incision for?

and his staff at the University of Washington Medical School. The subcostal, or Kocher incision is used for open biliary surgery,such as cholecystectomy.

Which is the best incision for gallbladder surgery?

A right subcostal (Kocher) incision is the most often used incision and allows excellent exposure of the gallbladder bed and cystic duct. Alternatively, an upper midline incision can be used when other concomitant operations are planned and a wider exposure is needed.