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Cholecystectomy for Mucocele of Gallbladder
General Surgery / Oct 11th, 2022 12:14 pm     A+ | a-


This video demonstrates Laparoscopic Cholecystectomy for Mucocele of the Gallbladder. A mucocele of the gallbladder must be differentiated from other gallbladder conditions. Acute percutaneous drainage vs. cholecystectomy is usually the first line of treatment. This diagnosis must be suspected both by the surgeon and the radiologist. Gallbladder mucoceles (GBM) typically are treated by cholecystectomy. Medical management rarely has been reported and medical and surgical management have not been compared. In Laparoscopic management of the Mucocele of the Gallbladder, a small incision is made just below the rib cage on the right side of the abdomen. The liver is moved to expose the gallbladder. The vessels and cystic duct and artery to and from the gallbladder are cut and the gallbladder is removed. Mishra's knot is used to ligate the cystic duct. For more please contact: World Laparoscopy Hospital Cyber City, Gurugram, NCR Delhi INDIA Phone: +919811416838
2 COMMENTS
Dr. Abhinandan Meshram
#1
Oct 16th, 2022 9:43 am
A mucocele is simply the distension of a cavity due to accumulation of mucus. A gall bladder mucocele is a gall bladder that is filled with and distended by thick mucinous material that is typically dark green and rubbery in texture, composed of many layers of inspissated mucus. The accumulation of this material over time puts pressure on the gall bladder wall, and can cause pressure necrosis, which can lead to rupture, and bile peritonitis. A gall bladder mucocele may be sterile or infected. The mucus accumulation can also extend into the cystic duct, common bile duct, and hepatic ducts. The end result is extrahepatic biliary obstruction, and ultimately is usually a surgically treated disease. This article will review diagnosis and medical management on the condition.
Dr. Deepanshu Goyal
#2
Oct 25th, 2022 1:43 pm
Ruptured GBM may lead to false-negative diagnosis due to omental adhesions and hepatic fossa collapse. Gallbladder rupture can result in “free-floating mucocele mass” in abdomen. Cholecystocentesis is recommended for medically managed patients with early GBM organization. Gallbladder culture and sensitivity should be performed. Surgery is standard of care. It is emergent with extrahepatic biliary obstruction and signs of rupture.
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Cyber City
Gurugram, NCR Delhi, 122002
India

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