A+ 성인간호학실습_수술술_케이스스터디_담낭염_담낭절제술

문서 내 토픽

• 1. Calculous choloecystitis

  Calculous choloecystitis은 완전 혹은 불완전한 협착이 발생하여 혈류나 담관을 통해 장내 세균이 담즙 내에서 증식하면서 담낭에 염증을 일으키는 질환입니다. 주요 원인은 담석증이며, 그 외에 외상, 선천성 기형, 당뇨병, 기생충 등과 관계가 있습니다. 주요 증상으로는 우상복부 통증, 오심, 구토, 체온상승, 빈맥 등이 있으며, 진단을 위해 초음파, 방사성 핵종영상법, 혈액검사 등이 활용됩니다. 치료는 내과적 치료와 외과적 치료(담낭절제술)로 이루어지며, 합병증으로는 담낭 농양, 담낭 괴사, 담낭의 천공, 담즙성 복막염 등이 있습니다.

• 2. Cholecystectomy

  담낭절제술(Cholecystectomy)은 담낭염이 호전되지 않거나 증상이 반복될 경우 시행하는 외과적 치료입니다. 수술 과정은 다음과 같습니다. 1) 환자를 Supine position으로 눕힌 후 Umbilical 부위를 incision하고 로봇의 팔과 카메라를 삽입합니다. 2) 5mm 캐뉼라를 통해 forcep을 삽입하여 GB를 잡고 위쪽 및 측면으로 밀어냅니다. 3) Cystic duct와 cystic artery를 찾아 clipped 한 후 incision합니다. 4) Bovie를 사용하여 GB를 Liver에서 결찰한 후 bag에 담아 Umbilical port를 통해 꺼냅니다. 5) Umbilical port를 봉합하여 마무리합니다.

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• 1. Calculous choloecystitis

  Calculous choloecystitis is a common condition characterized by the formation of gallstones in the gallbladder, leading to inflammation and potential complications. This condition can cause significant discomfort and, if left untreated, can lead to more serious health issues. The primary treatment for calculous choloecystitis is cholecystectomy, which involves the surgical removal of the gallbladder. This procedure is generally considered safe and effective, with a high success rate in resolving the underlying condition. However, as with any surgical intervention, there are potential risks and complications that must be carefully considered. Patients should work closely with their healthcare providers to determine the most appropriate course of treatment based on their individual circumstances and medical history.

• 2. Cholecystectomy

  Cholecystectomy is a surgical procedure to remove the gallbladder, which is a common treatment for calculous choloecystitis and other gallbladder-related conditions. The procedure can be performed using either open or laparoscopic techniques, with the latter being the more common approach due to its minimally invasive nature and faster recovery time. Cholecystectomy is generally considered a safe and effective treatment, with a low risk of complications when performed by experienced surgeons. However, as with any surgical procedure, there are potential risks, such as bleeding, infection, and bile duct injury. Patients should carefully discuss the potential benefits and risks of the procedure with their healthcare providers, and follow all post-operative instructions to ensure a smooth recovery. Overall, cholecystectomy is a well-established and widely accepted treatment for gallbladder-related conditions, and can significantly improve a patient's quality of life by relieving symptoms and preventing further complications.