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Laparoscopic cholecystectomy

  • Posted on- Jan 05, 2018
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The process of removal of the gallbladder is called laparoscopic cholecystectomy. A 5 to 8-inch long incision or cut is made for the treatment of gallbladder. During an open cholecystectomy, the cut is made just below your ribs, on the right side and goes to just below the waist.

The least invasive way to remove the gallbladder is called laparoscopic cholecystectomy. A laparoscope is required in this surgical treatment for the removal of the gallbladder. It is performed through several small incisions rather than through one large incision, usually 4 incisions, each one inch or less in length.

What is the procedure of laparoscopic cholecystectomy?

Important steps for operation are:

  1. Anesthesia is given to the patient so that they could fall asleep during the surgery.
  2. A half-centimeter incision is made around the umbilicus three other quarters to half-inch incisions are made for a total of four incisions. Narrow tubes called laparoscopic ports are passed through the tiny incision for the camera.
  3. The belly button is the main point for insertion of laparoscope instrument with connected camera. A laparoscope is used to provide the magnified view to the doctor for viewing the patient internal organs on the LCD screen.
  4. Other instruments specially designed for the surgery are passed with other three parts which makes your surgeon easy to separate the gallbladder from its attachment to the liver and bile duct, and then it is removed from a single part of the abdomen.
  5. An x-ray can be performed by your surgeon occasionally, which is known as cholangiogram for the examination of stones in the bile duct.
  6. After the gallbladder is removed from the abdomen then the small incisions are closed.

Why is laparoscopic cholecystectomy needed?

  1. Cholelithiasis
  2. Mucocele gallbladder
  3. Empyema ball bladder
  4. Cholesterosis
  5. Typhoid carrier
  6. Porcelain gallbladder
  7. Acute Cholecystitis (calculous and acalculous)
  8. Adenomatous gallbladder polyps
  9. As part of other procedures viz. Whipple's procedure

What are the benefits of laparoscopic cholecystectomy as compared to open cholecystectomy?

After medication laparoscopic cholecystectomy, you will be able to return to the work at the earliest time and you will be soon get discharged. Gallbladder removing surgery with a laparoscope instrument won’t require your muscle to be cut, as it is done in open surgery. The cut is very small, due to which recovery is fast as possible.

While being surprised with laparoscopic cholecystectomy, you will be instructed to stay in the hospital after surgery for some hours or for overnight. During open cholecystectomy, you will be hospitalized for at least 5 days. As the incisions are minimizing with laparoscopic cholecystectomy, there will be no pain after this operation as after open cholecystectomy.



What are the risks associated with laparoscopic cholecystectomy?



The critical condition of a laparoscopic cholecystectomy isn’t frequent and the far-off majority of laparoscopic gallbladder patients recovers and quickly returns to normal activities. The major difficulty occurs include bleeding, infection, and leakage of bile in the abdomen, pneumonia, blood clots, or heart problems.

Injuries caused by surgery is due to adjacent structures such as the common bile duct, duodenum or the small intestine may occur rarely and may require another surgical procedure to repair it. If the gallbladder is accidentally or deliberately opened during the procedure, stones may fall out of the gallbladder or into the abdomen that may give rise to later scarring.



How long you have to stay in the hospital?



Once a diet is tolerated, patients leave the hospital. Most patients go home the next day after a laparoscopic cholecystectomy. In most of the cases, the majority of the patient can go to their home after surgery. Whereas, in open cholecystectomy, you have to stay for five days in the hospital.



What are the precautions that should be taken after laparoscopic cholecystectomy?



Indications of complications are developing of fever, yellow skin or eyes, worsening abdominal pain, distention, persistent nausea or vomiting, or drainage. You should contact your surgeon under these circumstances.



How long you have to stay in the hospital after surgery?



After gaining appropriate diet patients, get discharged from the hospital. Most patients go home the next day after a laparoscopic cholecystectomy. Some may even go home the same day the operation is performed. This compares with a five-day stay following the open cholecystectomy procedure.



Laparoscopy cholecystectomy minimum costs for Rs.90,000 and maximum for Rs. 1,80,000.

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