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Laparoscopic Cholecystectomy In Bhubaneswar

Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy In Bhubaneswar

Laparoscopic cholecystectomy is a minimally invasive procedure that is often used for the removal of the gallbladder. Certain diseases, such as cholecystitis, gallstone pancreatitis, gallbladder polyps, cholelithiasis, and biliary dyskinesia, are treated by our expert general surgeons with the adoption of laparoscopic cholecystectomy in Bhubaneswar.

Before Surgery:

  • The patient is clinically evaluated and is made suitable for the surgery.

  • Antibiotics are administered.

  • The surgical site is made aseptic to carry out the cholecystectomy.

During Surgery:

  • The patient is anaesthetised, and carbon dioxide is used to insufflate the abdomen. Four minor incisions are then made for the placement of various instruments, along with a laparoscope (camera).

  • The proposed region is retracted, and the visuality is well-marked. Isolation of major blood vessels is also done. 

  • The gallbladder is then completely separated using electrocautery, and the abdomen is deflated.

  • Closure of the surgical sites is done.

After Surgery:

  • The recovery of the patient is monitored, and the patient is discharged accordingly. 

  • Diet and medications should be followed as advised.

Experience advanced laparoscopic cholecystectomy treatment at Manipal Hospitals in Bhubaneswar.

FAQ's

The gallbladder is a part of the digestive system which secretes fluids (Bile salts), which aid in digestion. Cholecystitis is the inflammation of the gallbladder which arises when the bile flow is interrupted due to a blockage caused by a stone or an infection. The following are the symptoms of inflammation:

  • Fever

  • Abdominal pain

  • Malaise

  • Nausea

Gallstones develop in the gallbladder's cavity. They are of two types: 

  • Cholesterol gallstones: Most of the gallstones are due to cholesterol. Consequently, eating too much cholesterol is seen as a danger factor. The risk of cholesterol gallstones is increased by age, using an oral contraceptive, losing weight quickly, having a family history of diabetes mellitus, and inflammatory bowel diseases (Crohn's disease and ulcerative colitis).

  • Coloured stones: The main ingredient in these stones is calcium bilirubinate. People with chronic hemolytic conditions, such as sickle cell disease, which causes the death of blood cells, are affected by this. The risk of stone development is further increased by a family history of gallstones. While many of these factors contribute to the formation of stones, some individuals form stones without any established risk factors too.

The gallbladder can be affected by the following conditions.

  • Gallbladder polyps: Similar to gallstones, the development of polyps can also irritate. Cancer development is also linked to polyps, but this is comparatively uncommon. Even if a patient has mild or no symptoms, it is normally advised that they have their gallbladder removed if they develop gallbladder polyps.

  • Acalculous cholecystitis: It is a type of gallbladder disease that can occasionally occur without a stone or polyp. If the gallbladder does not empty properly, it gets inflamed. Patients who have gallstones also suffer similar symptoms. Sometimes the gallbladder must be removed in patients dealing with acalculous cholecystitis.

If the patient is not in a high-risk category due to diabetes or another condition, a non-symptomatic stone may go untreated. The gallbladder and the symptomatic stone should be surgically removed.
 

Management of acute cholecystitis is done in the following ways:

  • Nasogastric suction involves inserting a tube through the nose and into the stomach.

  • Intravenous fluid replenishment is a supportive procedure provided during the first day or two of treatment in severe cases. 

  • After that, the gallbladder is surgically removed. 

  • Medications intended to dissolve the stones may be used to treat cholesterol stones in patients who do not meet the requirements for surgery or who do not show any signs of a clogged duct. 

  • Many will require surgery to remove their gallbladder to decrease the long-term symptoms. 

A laparoscopic gallbladder operation involves the surgeon using one instrument to hold the gallbladder and another to release its duct and artery. The gallbladder is then taken out of the liver bed, and these are knotted or snipped off. Using one of the cannulas, the gall bladder with the stones is removed once it has been confirmed that there is no bleeding or damage. The skin is sealed using absorbable sutures. After surgery, the patient should be able to return home in 12 to 24 hours.

Because the thickness of the stomach wall is irrelevant when inserting the telescope and instruments, the procedure is perfectly appropriate for an obese patient. In contrast, a wider and deeper cut from an open procedure results in more pain, sutures, and bleeding for the obese patient. Additionally, the kids are highly capable of handling Laparoscopic procedures. Compared to adult patients, paediatric patients require thinner laparoscopic instruments. Typically 5 mm, but occasionally 3 mm.

No, the majority of surgeons would advise against Laparoscopic Cholecystectomy for patients who already have medical issues. It is not advisable to consider patients with COPD and heart conditions as appropriate candidates for Laparoscopy. Patients who have undergone upper abdominal surgery in the past may also find Laparoscopic Cholecystectomy more challenging. The risks associated with pneumoperitoneum and general anaesthesia may also be higher in the elderly. In patients with a reduced cardiopulmonary reserve, Laparoscopy does increase the surgical risk in terms of the implications of pneumoperitoneum and a longer operating duration.

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