Name: Percutaneous gallbladder stone extraction: Upsize fundal cholecystostomy access to 18-24 Fr peelaway sheath. Occlude cystic duct w Fogarty balloon. Saline infusion via flush catheter/Klein pump. Balloon sweeps of cystic & common bile ducts. SpyGlass & lithotripsy PRN. #IRad
Uploaded: 2023-09-09T03:14:12.000Z
Duration: PT7.600S
Channel: Elie Balesh, MD
Description: Elie Balesh, MD shorts video about Percutaneous gallbladder stone extraction: Upsize fundal cholecystostomy access to 18-24 Fr peelaway sheath. Occlude cystic duct w Fogarty balloon. Saline infusion via flush catheter/Klein pump. Balloon sweeps of cystic & common bile ducts. SpyGlass & lithotripsy PRN. #IRad

Percutaneous gallbladder stone extraction: Upsize fundal cholecystostomy access to... show more

Elie Balesh, MD

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Laparoscopic Cholecystectomy Laparoscopic cholecystectomy is a minimally invasive operation... to remove the gallbladder, most commonly for symptomatic gallstones or acute/chronic cholecystitis. The abdomen is first inflated with carbon dioxide (pneumoperitoneum) to create working space. Usually 3–4 small ports are inserted, including a camera port. The gallbladder is retracted to expose Calot’s triangle. The surgeon carefully identifies the cystic duct and cystic artery and confirms the Critical View of Safety before dividing anything. The cystic duct and artery are then clipped and divided. The gallbladder is dissected away from the liver bed using electrocautery, placed in a retrieval bag, and removed through one of the ports. The operative field is checked for bleeding or bile leakage, the instruments are withdrawn, the carbon dioxide is released, and the small incisions are closed. ⚠️ Important complications include bile duct injury, bleeding, bile leak, infection, retained stones, and injury to surrounding structures. Small incisions—but the most important part of the operation is knowing exactly what you are clipping before you cut.show more

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How a Foley catheter stays in place, and why... the balloon must be deflated before removal. The retention balloon is what anchors a Foley catheter in the bladder. When inflated, it is much wider than the urethra, so pulling on the catheter forces that bulge through the bladder neck and urethra. This can cause pain, bleeding, tearing of the urethral lining, and later scarring or stricture. Deflating the balloon first returns the catheter to a smooth tube of uniform width, so it slides out easily and gently without damaging tissue.show more