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Lap Cholecystectomy

Lap Cholecystectomy in Dhakuria

Laparoscopic Cholecystectomy is a minimally invasive laparoscopic procedure that involves the removal of the gallbladder, an organ that stores bile juices for your digestive system.

  • Pre-procedure: You will be positioned at the operating table, and anaesthesia will be administered. A tube will be placed down your throat to assist you in breathing while under anaesthesia, and our medical team will monitor your vital signs during the procedure. The surgical site is cleansed with an antiseptic solution, and any significant amount of hair around the site is trimmed off. 

  • Procedure: During the procedure, 3–4 incisions are made, and carbon dioxide is administered to lift the abdominal cavity and provide easy access for the laparoscope. The laparoscope is advanced along with other surgical tools through incisions to remove the gall bladder. The carbon dioxide administered is then released through the incisions, most of which is reabsorbed by the body. The laparoscope and other surgical tools are removed, and incisions are closed with stitches.

  • Post-procedure: You will be shifted to the recovery room, where our medical team will wait for you to wake up until the effects of anaesthesia wear off. Your vital signs are checked to rule out any possible occurrence of complications. 

FAQ's

Specialists may suggest performing a Laparoscopic Cholecystectomy on a patient if they have the following indications:

  • Acute and chronic cholecystitis, characterised as sudden and long-term inflammation, respectively, of the gall bladder

  • Biliary dyskinesia, identified as a type of motility disorder affecting the sphincter of Oddi and gallbladder

  • Symptomatic cholelithiasis

  • Acalculous cholecystitis, determined as the inflammation of the gallbladder with no presence of gallstones

  • Gallstone pancreatitis, recognised as obstruction of the pancreatic duct by gallstones, causing inflammation and pain

  • Gallbladder polyps, masses, or cancer of early stages

Patients with blood clotting problems, those who cannot tolerate pneumoperitoneum (the process of administering carbon dioxide to inflate the organs) or general anaesthesia, and those diagnosed with metastatic gallbladder are not suitable candidates for the surgery.

Although the procedure addresses gallbladder stones and other conditions that affect the gallbladder, certain factors can increase the likelihood of gallbladder stones that might require surgery, such as:

  • Age, where individuals aged 50 to 65 are prone to gall stones, requiring Laparoscopic Cholecystectomy

  • Gender, where females are more prone to getting gallstones compared to males

  • Symptomatic and asymptomatic gallstones, where the procedure is not indicated for asymptomatic patients. However, if they are immunocompromised, have sickle disease, or are awaiting an Organ Transplant, they can undergo the procedure.

Some recognisable symptoms that may necessitate a Laparoscopic Cholecystectomy include:

  • Biliary colic, coupled with severe gallbladder pain
  • Jaundice
  • Presence of large gallbladder polyps during diagnostic imaging
  • Swollen abdomen with tenderness
  • Gradual increase in pain for long periods, especially after a heavy meal. The pain can also occur on the back or at the tip of the right shoulder blade
  • Nausea and vomiting
  • Fever and chills
  • Diarrohea
  • Dyspepsia or indigestion
  • Gastroesophageal reflux disease (GERD) like symptoms

The symptoms of any gallbladder conditions may indicate other health problems. Our specialists will conduct a thorough evaluation to accurately diagnose the underlying cause and tailor personalised treatment for your condition.

After a thorough discussion of your symptoms and medical history, our specialists may conduct a physical examination, which may include performing a manoeuvre called the ‘Murphy sign’ to confirm acute cholecystitis. Based on your discussion and physical examination, any one or multiple screening or diagnostic procedures will be recommended for obtaining a precise diagnosis, which includes:

  • Complete blood count, including liver function tests (LFTs) and levels of Amylase/Lipase

  • Abdominal ultrasound

  • Magnetic Resonance Cholangiopancreatography (MRCP)

  • Endoscopic Retrograde Cholangiopancreatography (ERCP)

  • Hepatobiliary Iminodiacetic Acid (HIDA) Scan, a type of nuclear imaging study involving the use of radioactive tracers. The scan is useful in diagnosing acalculous cholecystitis

General instructions you can follow in preparing yourself for Laparoscopic Cholecystectomy include:

  • Sharing your concerns or asking any questions related to the procedure if you have any anxiety or nervousness

  • Informing our specialists regarding past allergies induced by certain medications, such as anaesthesia or other medicines

  • Notifying our specialist if you are pregnant or think you might be pregnant, and current medications and co-morbidities

  • Refraining from medications, such as Anti-coagulants and Non-steroidal Anti-inflammatory Drugs (NSAIDs), before the procedure

  • Arranging your transportation to and from the hospital 

  • If requiring hospitalisation, prepare your clothes and other comfort items for your stay

  • Avoiding drinking beverages or consuming food for at least 8 hours before the procedure

  • Adhering to other instructions provided by our specialists.
     

Some complications that can arise during or after Laparoscopic Cholecystectomy include:

  • Heavy bleeding or infection around the incision site
  • Blood clots 
  • Damage to surrounding organs, especially the common bile duct
  • Conversion to open procedure
  • Leakage of bile fluids
  • Complications related to anaesthesia

Recovery time for Laparoscopic Cholecystectomy generally spans around two weeks, although this can vary based on the severity of the condition. Nevertheless, you can return to work within one to two weeks, depending on the type of profession. You can expect mild-to-moderate pain around your abdominal region that lasts for a few days. Our specialist will schedule follow-up appointments to monitor your progress, which will be discussed during your discharge. In cases of post-procedural symptoms such as fever or chills, redness or swelling around the incision site, yellowish skin or around your sclera, abdominal pain, and constipation for more than 3 days, you must seek medical attention.

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