Hepatobiliary Surgery — Flashcards

Flashcard 61: What is the managment of mucocele of gallbladder?_____

Answer: Early cholecystectomy

Flashcard 62: What is the rx of choice for emphysematous cholecystitis?_____

Answer: Emergency cholecystectomy

Flashcard 63: If cystic duct stump leak is suspected, the next best investigation to do would be an _____

Answer: ERCP

Flashcard 64: What is the gold standard investigation for diagnosing biliary atresia?

Answer: Intraop. cholangiogram

Flashcard 65: In Pringle manoeuvre, structures of _____ are clamped at the edge of hepatoduodenal ligament.

Answer: portal triad

Flashcard 66: Ransohoff sign is yellow discoloration of umbilical region seen in _____

Answer: Ruptured CBD

Flashcard 67: Capitonnage is used in the treatment of _____ disease.

Answer: hydatid cyst

Flashcard 68: According to _____ classification, Caroli's disease is classified as a type _____ choledochal cyst.

Answer: Todani; V

Flashcard 69: Segments _____ and _____ of the liver are removed during radical cholecystectomy.

Answer: IVb; V

Flashcard 70: PAIR procedure is _____ in infected cysts.

Answer: contraindicated

Extra: Contraindications for PAIR (Puncture, Aspiration, Injection, Re-aspiration) in Hydatid Disease: 1. Cysts communicating with the biliary tree (risk of chemical cholangitis) 2. Inactive or calcified cysts (WHO CE4 and CE5) 3. Infected cysts (risk of sepsis) 4. Superficially located cysts (increased risk of rupture and peritoneal seeding) 5. Inaccessible cysts