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수술시작일시 : 2021-05-21 08:30

수술종료일시: 2021-05-21 10:25

수술과 : GS

( 수술전 진단명 ) Chronic cholecystitis (수술후 진단명 ) Chronic cholecystitis ( 수술명) Cholecystectomy ( 마취종류 ) General anesthesia

( 수술소견]

CBD stone.

PTBD insertion state.

GB 주변 adhesion.

GB wall thickening (+)

GB distension(-)

bile leak(-)

LC : bleeding tendency

(수술과정 ) 1. supine position

2. Rt, subcostal incision

3. peri-gallbladder adhesiolysis

4, cystic artery ligation with weck clip 5 mm

5. cystic duct encircling

6. antegrade cholecystectomy

7. intraop choledochoscope → cystic ductI scope insertion 77

8. cystic duct double ligation with weck clip 10 mm

9. irrigation and bleeding control

10. J-P drain insertion

Transfusion : No

Drain : Yes

Complications : No

EBL: 100 mL

특이사항 : CBD stone, PTBD insertion state

작성일시 : 2021-05-21 10:10

Frozen biopsy : No

Biopsy : Yes

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작성자: 강 집도

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