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Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy in Mukundapur

In India, gallbladder removal is one of the most commonly performed surgical procedures. Nowadays, Gallbladder Removal Surgery is done by laparoscopic technique. Another name for this surgical approach is Laparoscopic Cholecystectomy. The gallbladder usually stores bile formed in the liver until it is required for digestive purposes. However, often there is the formation of gallstones in the gallbladder.

At Manipal Hospitals, our surgeons begin the procedure by making 3 to 4 very small incisions while the patient is asleep under general anaesthesia. The surgeon then uses a long, narrow instrument known as a laparoscope. The laparoscope features a tiny video camera and some surgical tools. The surgeon inserts the instrument with the special camera and tools and performs the surgery while looking at a television screen. The gallbladder is then separated from its attachments and removed through one of the incisions. This laparoscopic surgery is relatively less invasive as compared to open surgery. In other words, very small incisions are made in your belly with minimal bleeding. Also, the recovery time is comparatively shorter in comparison to open surgery.

FAQ's

The gallbladder is a pear-shaped organ that is located below your liver. Its main function is the storage of bile, which is a digestive liquid used by your body to digest fats in the small intestine.

Gallbladder issues usually occur as a result of the presence of gallstones. These stones are formed in your gallbladder. You are at increased risk of having gallstones as you get older and if you consume a fat-rich diet. Severe symptoms can appear in some people as a result of gallstones, with the most common being recurrent attacks of pain in the abdomen.

Gallbladder removal is optimally done through a minimally invasive surgical approach called laparoscopic surgery. Advantages may include:

  • Only four small incisions in the abdomen are required, rather than a five to seven-inch opening

  • Patients experience much less pain after the operation.

  • Patients have quicker recovery times as compared to patients who had open surgery.

  • Most patients get discharged in less than two days and can quickly resume their normal activities.

Having gallstones is the major reason behind the removal of the gallbladder. You may need to undergo this type of surgery if you are diagnosed with conditions like:

  • Biliary dyskinesia: This occurs when the gallbladder doesn’t correctly empty the digestive liquid due to some defect

  • Choledocholithiasis: Happens when gallstones get transferred to the common bile duct and lead to a blockage that prevents the gallbladder from emptying the fluids

  • Cholecystitis: When the gallbladder gets inflamed

  • Pancreatitis: There is inflammation of the pancreas related to gallstones

The removal of the gallbladder through a laparoscope is generally safe. The rate of complications varies from .5 to 6 per cent. Some potential risks of Laparoscopic Cholecystectomy may include:

  • Allergic or adverse reactions to sedatives

  • Bleeding

  • Blood clots

  • Damage to blood vessels

  • Heart problems like a rapid heart rate

  • Infection

  • Damage to the liver, small intestine, or bile duct

  • Pancreatitis

Your surgeon will perform a complete physical examination and review your medical history before the surgery. This will help minimise these complications.

The following events may happen before your Laparoscopic Surgery:

  • Preoperative preparation includes blood tests, medical evaluation, and imaging tests 

  • Your doctor may ask you to stop taking certain medicines before surgery

  • You will be given instructions including arranging for a ride home, having someone stay after surgery, not eating or drinking anything for four or more hours before scheduled surgery, planning for a hospital stay, and bathing using an antibacterial soap on the day of the surgery

You will be put under general anaesthesia, which means that you will be asleep throughout your surgery. The steps will include:

  • Using a narrow, tube-like instrument, the surgeon will enter your abdomen 

  • A tiny telescope connected to a special camera is then inserted through the tube, which will give the surgeon a magnified view of your internal organs on a TV monitor.

  • Then the surgeon will insert other tools, which will lead to him separating the gallbladder from its attachments 

  • The gallbladder is then removed through the incisions.

  • Many surgeons use a special X-ray or cholangiogram to look for stones that may be in the bile channels or check for other abnormalities

  • After the surgeon is satisfied with the procedure, the openings are closed with a stitch or surgical bandage

  • After the surgery, you’re taken to a room to recover from the anaesthesia. 

  • Your vital signs are closely monitored throughout your recovery.

The after-effects you may experience are usually mild and uncommon, but you might have to deal with symptoms such as diarrhoea. Once liquids or a diet are tolerated, you may leave the hospital the same day or day following your surgery. You will be encouraged to walk. You can also remove the dressings and bathe the day after the surgery. At a later date, your stitches will be taken out.

You should call your doctor if you face any of the below issues:

  • Persistent fever over 39 degrees Celsius

  • Bleeding

  • Increasing abdominal swelling

  • Pain that is not relieved by medicines

  • Nausea or vomiting, which is persistent

  • Chills

  • Persistent cough or shortness of breath

  • Purulent drainage or pus from the incision site

  • The redness surrounding any of your incisions is getting bigger

  • You are not able to eat or drink fluids

At Manipal Hospitals, we do not compromise patient safety, even if you need to stay in the hospital for a short period after the surgery. Our strict infection control protocol keeps you comfortable and safe from infection.

To book an appointment, you can contact us directly by phone or visit our website to schedule a consultation and learn more about Laparoscopic Gallbladder Surgery.

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