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6. What is the purpose of a T-tube? Describe stab wound placement of the drain.

ID: 142058 • Letter: 6

Question

6. What is the purpose of a T-tube? Describe stab wound placement of the drain. 7. What two structures will be ligated for a cholecystectomy? Liver Surgery 1. Fill-in-the-blank: Thrombocytopenia is a deficiency of in the blood. 2. Which diagnostic tools will be useful in determining liver pathology? 3. What is the name of the fibrous serous coat enclosing the liver? Fill-in-the-blank. The liver is divided into liver to the diaphragm and abdominal wall. The liver hassegments, each with its own arterial, venous, and ductal systems. 4. major lobes by the !igament attaching the 5. Fill-in-the-blank: Due to the vascularity of the liver, atip needle may be preferred.

Explanation / Answer

6. T-tube is placed in the common bile duct(CBD) to drain bile out of the body after cholecystectomy as the excess collection of bile in CBD may cause leakage of bile into abdominal cavity causing peritonitis. It is placed in the right upper quadrant of the abdomen where the trocar was placed.

7. The cystic duct and cystic artery are ligated for cholecystectomy.

LIVER SURGERY:

1, thrombocytopenia is a deficiency of platelets in the blood.

2. liver function tests including enzymes ALT and AST, Serum Albumin, Clotting factors, serum bilirubin(both conjugated and unconjugated), etc.

CT scan or USG for gross liver pathologies.

Liver biopsy for tissue analysis under microscopy.

3. Fibro-serous coat enclosing the liver is Glisson's capsule.

4. The liver is divided into 2 major lobes by the falciform ligament attaching to the diaphragm and abdominal wall. The liver has 8 segments, each with its own arterial, venous, and ductal systems.

5. Due to vascularity of liver, a blunt tip needle may be preferred.