Basic laparoscopy: Cholecystectomy 08.08 Gallbladder dissection Quiz

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Under construction 18 02 2008



Basic laparoscopy: Cholecystectomy 08.08 Gallbladder dissection Quiz

1 Retracting the fundus upwards will assist:


Elevation of the liver.


Freeing gallbladder adhesions.


Emptying of the gallbladder.


2 Hartmann's pouch will appear:


Attached to the liver.


To the right of the cystic duct.


Near the fundus of the gallbladder.


3 If Hartmann's pouch contains a 2cm. stone:


Open the pouch to remove the stone.


Convert to an open operation.


Elevate the pouch with the stone inside.


4 If you can't get a grip on Hartmann's pouch:


Elevate Hartmann's pouch with the spoons forceps closed, like a blunt probe.


Continue the operation with the pouch not retracted.


Change to a rotweiler forcep.


5 If you can't dissect to see the junction between Hartmann's pouch and the cystic duct:


Convert to an open operation.


Continue dissecting.


Try dissecting more medially, where you think the common bile duct joins the cystic duct.


6 If there are dense adhesions to Hartmann's pouch:


Strip off the adhesions.


Aspirate Hartmann's pouch.


Suspect adherent bowel and even a fistula.



7 In the diagram, where would you dissect next?


At present, this question can only be fully displayed on the CD-ROM


version of the program.


8 In the diagram, where would you dissect next?


At present, this question can only be fully displayed on the CD-ROM


version of the program.



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