Write An Essay About The Advantages And Disadvantages Of Cholecystectomy

A cholecystectomy is a common surgical procedure for patients in the hospital as well as a surgical treatment for patients with calculus or acalculus cholecystitis. This surgery usually requires less than 24 hours of hospital stay postoperatively. Nurses’ postoperative care for the patients is frequently anesthetic recovery and analgesic management. Certain factors regarding care and treatment can improve the patient’s health outcomes. Two types of surgeries may be performed for a cholecystectomy with each having their own benefits and disadvantages which can affect the health results of the patient. Nurses’ attention in caring for the patient can also upset a patient’s health recovery. J.N. is a 50 year old male who was admitted to the hospital

Depending on certain factors and the condition of the patient an open cholecystectomy, cholecystostomy tube placement, or conversion from laparoscopic to open cholecystectomy may be performed as an alternative to laparoscopic cholecystectomy. Each surgical procedure has its risks and possible complications which may cause more or less morbidity and mortality. J.N. had a laparoscopic cholecystectomy performed on him. A research study performed by Wisemen et al (2010) using data collection and analysis reported that a laparoscopic cholecystectomy results in decreased injury and death leading to suggestively better patient health outcomes such as less postoperative pain and a quicker return to normal activities, shorter postsurgical stay in the hospital, and less complications than other alternative managements. Throughout the five year study period, there was also a reporting of increased use of cholecsytostomy tube placements for treatment as well as a decrease in open cholecystectomy and conversion from laparoscopic to open cholecystectomy procedures performed. This research study supports the use of a laparoscopic cholecystectomy as the surgical choice for cholecystitis and as a better option for certain patients to promote better health

In this analysis, it was identified that having a laparoscopic cholecystectomy versus an open cholecystectomy provided an overall better outcome in quicker healing, less post-operative pain, and fewer complications in patients with cholecystitis. Not only does the type of surgery performed affect patient health outcomes but so does nursing postoperative care. Patients’ who have adequate post-operative pain and nausea control management when recovering from a laparoscopic cholecystectomy during the early post-operative phase are more likely to have less postoperative problems and meet discharge criteria earlier.

References

Dhar, S., Gupta, R., Chrungoo, R.K., Saraf, S., & Parihar, S. (2003). Acalculous cholecystitis. JK Science, 5(4), 146-148.

Jensen, K., Kehlet, H., & Lund, C. M. (2007). Post-operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime. Acta Anaesthesiologica Scandinavica, 51, 464-471.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-surgical nursing critical thinking in patient care (5th ed.). Upper Saddle River, NJ: Pearson.

Wiseman, J. T., Sharuk, M. N., Singla, A., Cahan, M., Litwin, D. E.M., Tseng, J. F., & Shah, S. A. (2010). Surgical management of acute cholecystitis at a tertiary