Cholecystectomy

Of all surgical procedures for which laparoscopy is an option, cholecystectomy - gallbladder removal - is the most widely recognized.

Cholecystectomy is the surgical removal of the gallbladder. Using advanced laparoscopic technology, it is now possible to remove the gallbladder through a tiny incisions in front of the abdomen.

A specialist trained in laparoscopic procedures will recognize any adjunct problems encountered, and be in a position to deal with them, for example adhesions, cysts, or hernias.

Indications for Laparoscopic Gall Bladder removal (Cholecystectomy)

• if an attack hasn't settled after 12 hours.
• if there are complications such as jaundice, pancreatitis.
• if patient suffers recurrent pain or vomiting
• if patient suffers cholangitis.

What are the Benefits?

The main benefit of this procedure is that it is minimally invasive surgery. Minimally invasive surgery means "Less Pain" and "Faster Recovery".

There is no incision pain as occurs with standard abdominal surgery. So the recovery time is much quicker. Also, there is no scar on the abdomen.

Is laparoscopy always advised?

There are very few instances when laparoscopic surgery is not preferable to conventional surgery for cholecystectomy. This is especially true when the surgical and nursing team is well experienced in the procedures and post-operative care.

The only real contraindication is if the anesthetic risk is too high. Other, lesser contraindications - such as during the first trimester of pregnancy - need not pose a problem to the experienced laparoscopic surgeon.

Risks & Complications

Like any abdominal surgery, Laparoscopic Cholecystectomy carries some risks. Even though infrequent, it still carries some of 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.

Complications are rare and may include:

• Bleeding & infection may occur but is rare with experienced surgeons.
• In a few 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.