What is a Laparoscopic
Laparoscopic cholecystectomy (gall bladder surgery) is surgical removal
of the gall bladder.
When is a Laparoscopic cholecystectomy performed?
laparoscopic cholecystectomy is usually performed if one has been
diagnosed with gallstones in the gall bladder.
gall bladder is a small organ that sits under the liver. Its function
is to store bile and discharge bile into the intestine as required
during food intake.
presence of gallstones may interfere with the flow of bile, which can
cause pain in the abdomen or back, nausea and vomiting or heartburn. In
some cases, gallstones may lead to serious complications such as
jaundice, inflammation of the gall bladder, rupture of the gall bladder,
fatal infection or inflammation of the pancreas.
What happens to bile when the gall bladder is
Following removal of the gall bladder, the body adapts and discharges
bile from the liver into the intestine by bile ducts.
are two ways in which your surgeon can remove the gall bladder : Open
surgery or Laparoscopic technique.
procedure involves making four small cuts in the abdomen. A fiberoptic
telescope is inserted into a cut made near the navel. Carbon dioxide
gas is used to inflate the inside of the abdomen to obtain a clear view
of abdominal structures. The three other cuts are for instruments. The
gall bladder is carefully cut away from the liver bed, vessels and
cystic duct are tied off and the gall bladder is then removed. At the
time of the procedure, an x-ray of the duct system will be taken to find
out whether there is any abnormality here or there are any stones in the
surgery involves making a larger cut over the site of the gall bladder.
The tissue is cut in layers until the gall bladder is accessible. As
with the Laparoscopic technique, the gall bladder is carefully removed
from the liver bed.
Advantages of Lapaoscopic Cholecystectomy
Smaller cuts therefore less pain and discomfort after surgery’
Less time in hospital
Shorter recovery period – days rather than weeks
Early return to normal physical activities and work
Risks of Laparoscopic Cholecystectomy
of General Anaesthetic
Injury to major vessels - excessive bleeding
Injury to nearby structures such as the intestine
Bile leakage causing abdominal irritation
Injury to bile duct or cystic duct - may require a stent placement
or another operation
Gas embolism – a rare but potentially serious complication; occurs
when carbon dioxide gas gets into the vessels
Prior to the procedure,
it is important that you inform the doctor/hospital of any health
problems, allergies or reactions to drugs that you are aware of. You
will be required to fast from midnight. You may be advised not to take
aspirin, medicines containing aspirin, garlic, medicine for the heart
that thins the blood, large amounts of vitamins or anti-imflammatory
medication for at least 10 days prior to the procedure as they may
increase the risk of bleeding during the operation.
After the procedure
you will be taken to the recovery room and subsequently transferred to
the ward. Pain relief will be offered if necessary. Sometimes nausea
and vomiting can be a problem and these will be controlled by
medications from the nursing staff. Sometimes a drainage tube is left
inside that will come out of the side of your abdomen. Drainage tubes
are usually removed within the first 24 to 48 hours. You will be
encouraged to mobilise as soon as possible after the operation.
Most patients are fit for discharge within one of
two days. Some mild pain and soreness may be present for about a
week and you are advised to take things easy during this time.
Regular light duties and activities may be resumed within one week.A follow up appointment will be made with Dr
Warrier in a week after the procedure. However, if you have any
unwanted side effects such as fever (more than 37.8ºC), chills, very red
or discharging wound, increasing pain or any serious concerns, please
contact Dr Warrier for advice.
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