bandage-green

Common Bile Duct Exploration

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 1-2 hours (average)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Aspiration risk / Full stomach, Fluoroscopy / Xray, PONV

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip
The Surgery

Access - Laparoscopic: standard four-port cholecystectomy setup. Open: right subcostal and/or midline incision with costal margin retraction. Intraoperative cholangiogram - The cystic duct is...

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