THE GALLBLADDER AND BILE DUCTS
Mohammed Al Sebayel
Surgical anatomy of gallbladder and bile ducts
Biliary Presentations
Surgical operations for malignant jaundice
Preoperative preparation
- Oral H2 antagonist
- Vit. K (fat soluble) or FFP
- Perioperative broad-spectrum antibiotics
- Rehydration and adequate diuresis
- Furosemide/ Mannitol
- Catheterization & CVP monitoring
Carcinoma gallbladder:
- Radical Cholecystectomy with wedge resection & CBD excision
Cholediocholithiasis:
- ERCP removal, CBD exploration
Cholangio Ca:
- Liver resection, Whipple operation,
- Stenting by ERCP or PTC- palliative
Biliary Stricture:
- Hepatico-jejenostomy
Periampullary Ca:
- Whipple’s operation
Carcinoma head pancreas:
- Whipple op.
- Bilio-enteric bypass (palliative)