NCP Cholecystectomy

Cholecystectomy is performed most frequently through laparoscopic incisions using laser. However, traditional open cholecystectomy is the treatment of choice for many patients with multiple/large gallstones either because of acute symptomatology or to prevent recurrence of stones.

CARE SETTING

This procedure is usually done on a short-stay basis; however, in the presence of suspected complications, e.g., empyema, gangrene, or perforation, an inpatient stay on a surgical unit is indicated.

RELATED CONCERNS

Cholecystitis with cholelithiasis

Pancreatitis

Peritonitis

Psychosocial aspects of care

Surgical intervention

Patient Assessment Database/Diagnostic Studies

Refer to CP: Cholecystitis with Cholelithiasis.

TEACHING/LEARNING

Discharge plan

DRG projected mean length of inpatient stay: 1 (laparoscopic)–4.3 days

May require assistance with wound care/supplies, homemaker tasks

Refer to section at end of plan for postdischarge considerations.

NURSING PRIORITIES

1. Promote respiratory function.

2. Prevent complications.

3. Provide information about disease, procedure(s), prognosis, and treatment needs.

DISCHARGE GOALS

1. Ventilation/oxygenation adequate for individual needs.

2. Complications prevented/minimized.

3. Disease process, surgical procedure, prognosis, and therapeutic regimen understood.

4. Plan in place to meet needs after discharge.