Removal of the Gallbladder is one of the most common surgical operations performed in India. It is estimated more than 10,0000 gallbladder removals are performed every year in India. Today, gallbladder surgery are mostly performed laparoscopically. The medical term for this surgical procedure of gallbladder is Laparoscopic Cholecystectomy and it is performed by expert laparoscopic surgeons.
What Is The Gallbladder?
The gallbladder is a pear shaped small organ in the upper right part of the abdomen that rests beneath your liver. Gallbladders primary purpose is to store bile (digestive fluid) produced by the liver. Bile is release from the gallbladder after eating that helps in digestion process.
What Causes Gallbladder Problems?
In majority of the cases, the problem associated with gallbladder is due to the presence of gallstones. Gallstones are small, hard masses formed from cholesterol, bile salts and waste products. They often cause no symptoms and in many cases remain undetected. In certain cases, gallstones block the flow of bile out of the gallbladder causing the swelling of gallbladder that results in abdominal pain, indigestion and vomiting.
Gallbladder removal using laparoscopic
Surgery using a laparoscope is the most common way to remove the gallbladder in most countries. A laparoscopic surgeon performs cholecystectomy, we have expert laparoscopic surgeons in Mumbai who have successfully performed hundreds of laparoscopic cholecystectomy surgery. In Laparoscopic gallbladder surgery removes the gallbladder and gallstones through several small incisions in the abdomen. The laparoscopic surgeon inflates the patient’s abdomen with carbon dioxide in order to see clearly. During the surgical procedure, tiny incisions of about half an inch are made and plastic tubes (called as ports) are placed through these small incisions. The laparoscope which has camera at mounted at the tip is introduced through the ports to allow access to the inside of the patient’s abdomen. The video camera transmit images of the organ to the monitor. Some of the important steps in the laparoscopic operation are as follows:
- General anesthesia is utilized, so the patient is asleep throughout the surgical procedure.
- A small incision (cut) of the size of half an inch is made in the area of the belly button. 3 more incisions of quarter to half inch incisions are made in the abdomen. Four narrow tubes called laparoscopic ports are placed through the small incisions for the laparoscopic camera and instruments.
- A laparoscope (a tiny telescope) connected to a special camera is inserted through the port, giving the laparosopic surgeon a magnified view of the patient’s internal organs on the monitor.
- Specially designed instruments are used by surgeon to separate the gallbladder from the liver and bile duct and it is then removed from one of the ports.
- If your surgeon finds more gallstones in the common bile duct, he or she may remove them with a special scope or may choose to have them removed later through a second minimally invasive procedure, or may perform an open operation in order to remove all the stones during a single operation.
- After the gallbladder is removed, all the tiny incisions are closed.
Risks in Laparoscopic Gallbladder Surgery
As in any kind of surgery or operation, there are certain risks associated. But in vast majority of the cases, patients experiences few or low complications and in most cases quickly return to his or her normal activities. Some of the complications that can occur during laparoscopic cholecystectomy include bleeding, leakage of bile in the abdomen, infection, pneumonia and blood clots. It is important that before you undergo any type of surgery, be it laparoscopic or open surgery; you should ask your surgeon about his/her qualification and experience. Injury to an adjacent structures such as the common bile duct or the small intestine may occur in some rare cases. If such happens another surgery may be required to repair the damage. If during the surgical procedure stones fall out of the gallbladder and in to the abdomen, it may give rise to later scarring.
Advantages of Laparoscopic Cholecystectomy
- In a laparoscopic surgery, a tiny incision of about half an inch is required unlike in open surgery where a large incision of about 7 inch is needed.
- In most cases, patients have minimal post operative pain
- Patients recover faster in laparoscopic cholecystectomy compare to open gallbladder surgery
- Most patients go back to home next day and enjoy a quicker return to normal activities.