Cholecystectomy preoperative examination items

Cholecystectomy preoperative examination items

Before cholecystectomy, a series of tests are required to ensure the safety and success rate of the operation. These tests usually include blood tests, imaging tests, and cardiopulmonary function assessments to comprehensively assess the patient's health and identify potential risks.

In terms of blood tests, the focus is on understanding the patient's basic health status and coagulation function. Routine items include blood routine, full biochemical set (such as liver function, renal function and electrolytes), coagulation function test, hepatitis B and C virus test, etc., to exclude surgery-related contraindications and evaluate liver metabolic capacity. Imaging examinations mainly use abdominal ultrasound, CT or magnetic resonance imaging to clearly evaluate the condition of the gallbladder and surrounding tissues, and to determine whether there are complications such as cholecystitis, bile duct stones or tumors. For older patients or those with a history of cardiopulmonary disease, electrocardiograms and chest X-rays are also required to ensure that the heart and lung function can withstand anesthesia and surgery.

After the examination, if there are abnormal indicators, they should be treated or adjusted in time. For example, if the patient has a coagulation disorder, it can be corrected before surgery with drugs such as vitamin K or infusion of cold precipitate; if bile duct stones are found during the examination, additional ERCP surgery may be required; for patients with blood sugar or hypertension, indicators must be strictly controlled before surgery to reduce risks. In the days before surgery, patients must also follow the doctor's diet and stop taking drugs that may affect coagulation function.

Although the surgery itself is routine, insufficient physical preparation may bring unnecessary harm. Scientific and comprehensive preoperative examinations are the key to ensuring the safety of surgery. If you have a surgery plan, please work closely with professional doctors, develop a detailed medical process, and make good physiological, psychological and life adjustments before the surgery, which can not only improve the surgical effect, but also make the postoperative recovery smoother.

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