Cholecystectomy

Cholecystectomy is the surgical removal of the gallbladder. It is the most common method for treating symptomatic gallstones. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy.

Laparoscopic cholecystectomy

It is a procedure in which the gallbladder is removed by laparoscopic techniques. During a laparoscopic surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the devices are then inserted through the ports which allow entry to the inside of the patient. The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure.

Open surgery

In gallbladder removal surgery, a surgeon typically makes a large incision (cut) in your belly to open it up and see the area. The surgeon then removes your gallbladder by reaching in through the incision and gently lifting it out. Surgery is done while you are under general anesthesia.The surgeon will make a 5 to 7 inch incision in the upper right part of your belly, just below your ribs. The surgeon will cut the bile duct and blood vessels that lead to the gallbladder. Then your gallbladder will be removed. Open gallbladder removal surgery takes about an hour.

Although there are several advantages to laparoscopy, the procedure may not be suitable for some patients who have had earlier upper abdominal surgery or who have some pre-existing medical conditions. A complete medical evaluation by your personal physician, in consultation with Dr.K.N.Srikanth, MS, FRCS, an experienced laparoscopic surgeon, can determine if laparoscopic gallbladder removal is an appropriate procedure for you.

Risks associated with the cholecystectomy are:

  • Intraoperative or postoperative bleeding
  • Anestesia reaction
  • Postoperative pain
  • Postoperative infection
  • Inadvertent damage to liver and other structures
  • Scarring and adhesions

After leaving hospital, most people can be back to normal, including working and doing gentle exercise, within 7???10 days. If you had open surgery your stitches may need to be removed afterwards. You will be given an appointment for this before you leave hospital.

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