Laparoscopic Cholecystectomy

Lap Cholecystectomy

Laparoscopic Cholecystectomy or minimally invasive gallbladder removal is a procedure performed to remove the gallbladder from the body. This is a keyhole surgery and therefore allows the surgeon to perform the surgery through small incisions in the abdomen. Narrow instruments called a laparoscope, with a camera at the tip of the scope, is inserted through the incisions. The doctor visualizes the internal structures through the scope on a video monitor and thus performs the surgery.

Gallbladder

The gallbladder is a small pear shaped organ that aids in the digestion process. The organ stores a fluid made by the liver called bile. Bile is a dark yellow fluid that helps digests fats in the gut. Gallbladder lies just beneath the liver and transports bile to the small intestine through narrow channels known as bile ducts.

Gallbladder Liver Stomach Pancreas
Gallbladder

Causes for gallbladder Problems

Gallstones is the most common cause of gallbladder disease. Gallstones are crystals that form inside the gallbladder. The crystals are formed when too much cholesterol or too much bilirubin gets accumulated in the organ or in the duct. As a result, it prevents the flow of digestive enzymes.

Presence of gallstones in the bladder or duct results in swelling, pain, indigestion and vomiting as they block the flow of enzymes through bile duct to the small intestine. If left untreated, it can cause severe medical condition and leads to jaundice. Therefore, it is important to treat gallstones.

Diagnosing Gallstones

Ultrasound scanning is used to diagnose gallstones. Nuclear Medicine Scans are performed for complex cases.

Treatment for gallbladder disorders

Laparoscopic cholecystectomy is the most commonly used treatment method for removal of gallbladder along with gallstones. The surgeon initiates the procedure by administering general anesthesia and the patient is put to sleep. Once anesthesia is achieved, the surgeon makes an incision in the navel area of the abdomen. The surgeon inserts a cannula through which a laparoscope is inserted.

Laparoscopic Cholecystectomy Port Placement
Laparoscopic Cholecystectomy – Port Placement

A laparoscope is an instrument that has a telescope attached to a video camera. This helps to capture enlarged images of the organs enabling the surgeon to view in detail the condition of the organ and the surrounding internal cavity.

After inspection of the organ, few more incisions are made to insert specially designed instruments and other surgical tools to remove the bladder. During the operation cholangiogram may be performed to identify stones that could be lodged in the bile ducts. If gallstones are detected in the ducts, they are also removed.

The incisions are then closed by surgical clips or stitches. The surgery generally last for one or two hours.

Most patients can leave the hospital on the same day itself. However, proper care should be taken with proper medications and self care. If any symptoms like fever, pain in the abdomen area, frequent vomiting, or pus discharge from the incisions are noticed, immediately consult the doctor. Patients can engage in day to day activities within a week.

Laparoscopic Cholecystectomy vs. Open Cholecystectomy

Laparoscopic cholecystectomy is a minimal invasive procedure with faster recovery and less pain. As a result, most patients can be discharged same day itself. After laparoscopic cholecystectomy, patients experience lesser postoperative pain when compared to open surgery and have a fast recovery. Therefore, laparoscopy is preferred to open surgery.

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