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Laparoscopic Cholecystectomy refers to minimally invasive surgery that removes a gallbladder to treat gallstones. The primary cause of gallstones is excessive cholesterol concentrations within the gallbladder, which is known to precipitate cholesterol gallstones. The gallbladder can be removed using two methods: standard Open Surgery and Laparoscopic surgery. In addition to removing gallstones, Laparoscopic Cholecystectomy can also be used to treat acute and chronic cholecystitis, symptomatic cholelithiasis, biliary dyskinesia, acalculous cholecystitis, gallstone pancreatitis, and gallbladder tumours. To treat gallstones, the surgeons can either remove your entire gallbladder (Cholecystectomy) or just the stones from the bile ducts. The Laparoscopic Cholecystectomy procedure is sometimes known as 'keyhole' surgery. The surgeon creates multiple small incisions (cuts) in the skin to provide access to various equipment. Using one of the incisions, the surgeon extracts the gallbladder. The surgeon inserts the laparoscope into the incision and performs the surgery while watching on the TV monitor. Manipal Hospitals has a team of experienced surgeons skilled in performing gallbladder removal surgery in Kolkata using laparoscopic techniques, reducing complications and enhancing patient outcomes.
Doctors will conduct a physical exam and examine your symptoms and medical history. The testing and diagnoses are as follows:
Imaging tests: You may need abdominal ultrasound or endoscopic ultrasound
A computed tomography (CT) scan
Magnetic resonance cholangiopancreatography
Blood tests: These will reveal evidence of infection or gallbladder troubles. These tests capture pictures of the gallbladder and bile duct. These photos depict the signs and symptoms of cholecystitis, also known as stones in the bile duct and gallbladder.
A hepatobiliary iminodiacetic acid scan identifies the movement of bile from the liver to the small intestine. When this dye enters your body with the bile, it can reveal blockages.
The entire surgery will be performed while you are anaesthetized. The process before surgery is as follows:
You will be told to remove any jewelry or other things on your body that may interfere with the surgery.
After this, you must remove all your clothes and wear a gown.
An intravenous line will be inserted via your arm or hand.
Following the administration of anesthetics, a tube will be inserted down your neck to allow you to breathe comfortably.
Before surgery, the skin over the surgical site is cleansed with a sterile solution, and the procedure begins.
If there is a lot of hair at the surgery site, it may be clipped.
Depending on your condition, you may have a Cholecystectomy as an outpatient or during your hospital stay. The procedure for the surgery may differ depending on your condition. The common procedure is as follows:
A Cholecystectomy is typically performed while you are under general anesthesia.
You will lie on your back on the operation table, and the anesthetic will be started.
Throughout the procedure, the anesthesiologist will monitor your heart rate, blood pressure, respiration, and blood oxygen levels.
Your abdomen will receive three or four tiny incisions and will be filled with carbon dioxide gas, causing it to bloat excessively.
Your gallbladder will be removed using surgical tools put through the other incisions. After the surgery, the laparoscope and equipment are removed.
Carbon dioxide gas is released through the wounds. The majority of it will be reabsorbed by the body.
Incisions are then closed with stitches.
Laparoscopic Cholecystectomy, like all other surgeries, is painful. Every surgical technique and its impression vary from patient to patient. Patients who had earlier traditional open surgeries (Laparotomy procedures and conventional abdominal incisions) can attest that the pain associated with Laparoscopic treatments is less severe than that of open surgery. Even in patients who have never had surgery, conventional pain drugs can effectively relieve postoperative discomfort after Laparoscopic Cholecystectomy.
The most common Laparoscopic Cholecystectomies need three to four incisions: one in the periumbilical region, one in the right paraumbilical region, and one in the left paraumbilical region.
The last incision is made just below the sternum, at the costal arch. Depending on the patient's body size, the surgeon will make three or four incisions.
Your surgeon can provide specific advice on when you can resume your normal activities.
Following keyhole surgery, you can eat a normal diet right away. Even if you were told to avoid certain foods before your surgery, you can resume your regular diet.
Movement: You should start exercising, starting with walking, but be careful not to push yourself too hard or too soon, and seek guidance from your surgeon.
You can start your employment within 7 to 14 days, depending on what your job entails. For example, you may be unable to drive or return to work for 6–8 weeks.
The following are the complications associated with Cholecystectomy:
Bile leaking: When the gallbladder is removed, specific clips are utilized to close the tube, connecting it to the main bile duct. However, once the gallbladder is removed, bile fluid may occasionally flow into the abdomen.
Bleeding can occur after your operation, but it is uncommon.
Infection: Some people develop a wound or an inside infection after having their gallbladder removed. There can be some numbness at the incision site.
Damage to the gut, intestines, and blood vessels.
The surgical devices that are used to remove the gallbladder can also pose harm to nearby structures such as the gut, intestines, and blood vessels. This is an uncommon sort of damage that is usually healed during the operation.
Deep vein thrombosis
Some people are more likely to develop blood clots following surgery. This is known as deep vein thrombosis (DVT), and it typically occurs in a leg vein.
Infection symptoms include increased pain, swelling, or redness, as well as pus seeping from a wound.
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