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Cholecystectomy Surgery In India

 

Cholecystectomy

 

Cholecystectomy is the surgical removal of the gall bladder. The gall bladder is a muscular sack that stores a substance produced in the liver called bile. Bile assists in digestion. When the gall bladder is blocked or inflamed it swells and can be very painful and sometimes it is necessary to remove the gall bladder. This surgery will involve either laparoscopic (small incision) surgery or open (large incision) surgery...

During laparoscopic surgery, the surgeon makes four small incisions in the abdomen, usually less than 2.5cm each in length. The abdomen is then gently inflated with carbon dioxide, lifting the abdominal wall to enable clear viewing and freer movement for the surgeon, and then an instrument called a laparoscope is inserted. A laparoscope is a tube containing optical fibres attached to a video camera that enables the surgeon to see inside the abdomen and to remove the gall bladder with several thin instruments...

 

Q. Why is it performed ?

Generally, your doctor will recommend a cholecystectomy to treat : - 

gallstones that are causing symptoms such as pain, nausea and vomiting (the most common reason for cholecystectomy) infection or inflammation of the gall bladder, medically known as cholecystitis gall bladder cancer (which is rare) abnormal gall bladder function, medically known as biliary dyskinesia...

 

 

Laparoscopic Cholecystectomy

A cholecystectomy is the surgical removal of the gallbladder. Using advanced laparoscopic technology, it is now possible to remove the gallbladder through a tiny incision at the navel. The technique is performed as follows. The patient receives general anesthesia. Then a small incision is made at the navel (point A) and a thin tube carrying the video camera is inserted. The surgeon inflates the abdomen with carbon dioxide, a harmless gas, for easier viewing and to provide room for the surgery to be performed. Next, two needle-like instruments are inserted (points B). These instruments serve as tiny hands within the abdomen...

 

Complication

While the procedure seems very easy for the patient, it is still abdominal surgery. And, even though infrequent, it still carries the same risks as general surgery. Current medical reports indicate that the low complication rate is about the same for this procedure as for standard gallbladder surgery.

 

These complications may include : - 

In about 5 to 10% of cases, the gallbladder cannot be safely removed by laparoscopy. Standard open abdominal surgery is then immediately performed. Nausea and vomiting may occur after the surgery. Injury to the bile ducts, blood vessels, or intestine can occur, requiring corrective surgery. Quite uncommonly, a diagnostic error or oversight may occur...

 

Open Cholecystectomy

The surgery is performed under general anesthesia, which renders the patient unconscious. After the anesthesia is administered, the abdomen is cleaned with an antiseptic solution to reduce the risk for infection. The surgeon makes a 4- to 6-inch incision in the right upper portion of the abdomen. The liver is lifted out of the way and the gallbladder is carefully removed. The incision is closed and sutured...

 

benefits

The operation will remove the dangers of the present stones. It will also remove the gallbladder so that new stones cannot form. You do not need a gallbladder. The small bile ducts in the liver just become a little larger to act as a store for the bile...

 

Q. Are there any benefits of laparoscopic cholecystectomy compared with open cholecystectomy ? With laparoscopic cholecystectomy, you may return to work sooner, have less pain after surgery, and have a shorter hospital stay and a shorter recovery time. Surgery to remove the gallbladder with a laparoscope does not require that the muscles of your abdomen be cut, as they are in open surgery. The incision is much smaller, which makes recovery go quicker...  

 

 

 

 

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