Gall Bladder Surgery
What is cholecystectomy? How is it performed?
The surgery used to remove the gall bladder is called cholecystectomy. Cholecystectomy can be done in two different ways:
Open cholecystectomy, where a 5-7 inch incision (cut) is made on the right side of abdomen just below the ribs.
Laparoscope cholecystectomy (key-hole surgery), where, few small cuts are made just below the navel and in the right upper part of abdomen. A camera inserted through one of the cuts is used to see the gallbladder on a television screen. Gall bladder is removed using special long instruments. The gallbladder is then taken out through one of the incisions. Recent developments in surgical techniques enable surgeons to perform this operation using a single incision (SILS), through natural orifices (NOTES) or even using the surgical robot.
What are the situations where laparoscopic cholecystectomy is advised (Indications)?
Gallbladder removal surgery (cholecystectomy) is recommended for patients with gallstones causing pain or other symptoms:
How will I benefit from this operation / procedure?
The outcome of cholecystectomy is usually good. The symptoms disappear completely in 90% of patients.
What are the risks of this operation?
Laparoscopic cholecystectomy is a very safe operation. The risk in an emergency cholecystectomy is higher, but still acceptable, because the patient is sicker. The overall complication rate is less than 2%. Some of the complications that can occur include bleeding, infection, leakage of bile in the abdomen, pneumonia, blood clots, or heart problems. Surgical injury to adjacent structures such as the common bile duct, duodenum or the small intestine may occur rarely and may require another surgical procedure to repair it.
When will I go home after surgery?
Most people go home on the same day or the day after this surgery.
What should I expect after the surgery?
Patients can remove the dressings and shower the day after the operation. Most patients are able to get back to normal activities within a week's time, including driving, walking up stairs, light lifting and work. Manual labor or heavy lifting may require two to four weeks of recovery.