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LAPAROSCOPIC GALLBLADDER REMOVAL (CHOLECYSTECTOMY) / 腹腔镜胆囊切除术 / PEMBEDAHAN PUNDI HEMPEDU

October 14, 2018

Added By :
DR LAM RUEY SHYANG 蓝瑞祥医生

LAPAROSCOPIC GALLBLADDER REMOVAL (CHOLECYSTECTOMY) / 腹腔镜胆囊切除术 / PEMBEDAHAN PUNDI HEMPEDU

Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed with minimally invasive techniques and the medical name for this procedure is Laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.




What are the Advantages of Performing Laparoscopic Gallbladder Removal?

 
  • Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
  • Patients usually have minimal post-operative pain.
  • Patients usually experience faster recovery than open gallbladder surgery patients.
  • Most patients go home the same day of the surgery and enjoy a quicker return to normal activities.


How is Laparoscopic Gallbladder Removal Performed?

 
  • Under general anesthesia, so the patient is asleep throughout the procedure.
  • Using a cannula (a narrow tube-like instrument), the surgeon enters the abdomen in the area of the belly-button.
  • A laparoscope (a tiny telescope) connected to a special camera is inserted through the cannula, giving the surgeon a magnified view of the patient’s internal organs on a television screen.
  • Other cannulas are inserted which allow your surgeon to delicately separate the gallbladder from its attachments and then remove it through one of the openings.
  • An X-ray called a cholangiogram may be performed during the operation to identify stones which may be lodged in the bile channels or to verify the anatomy of structures that have been identified.
  • If the surgeon finds one or more stones in the common bile duct, he/she may remove them with a special scope, may choose to have them removed later through an endoscope placed through the mouth into the stomach using a procedure called ERCP or may convert to an open operation in order to remove all the stones during the operation.
  • After the surgeon removes the gallbladder, the small incisions are closed with absorbable stitches or with surgical tape or glue.


What Happens if the Gallbladder Removal Cannot Be Performed or Completed by the Laparoscopic Method?

 

In a small number of patients the laparoscopic method cannot be performed for gallbladder removal. Factors that may increase the possibility of choosing or converting to the “open” procedure may include a very inflamed and scarred gallbladder, obesity, a history of prior abdominal surgery causing dense scar tissue, inability to visualize organs or bleeding problems during the operation.

The decision to perform the open procedure is a judgment decision made by your surgeon either before or during the actual operation. When the surgeon feels that it is safest to convert the laparoscopic procedure to an open one, this is not a complication, but rather good surgical judgment. The decision to convert to an open procedure is strictly based on patient safety.




What Should I Expect after Gallbladder Removal Surgery (Cholecystectomy)?

 
  • Gallbladder removal is a major abdominal operation and a certain amount of postoperative pain occurs. Transient or temporary nausea and vomiting may occur as a side effect of both the surgery and the medications used for anesthesia. This tends to be limited to 1-2 days after surgery.
  • Most patients who have a laparoscopic gallbladder removal go home from the hospital the day of surgery once liquids are tolerated. Some patients remain in the hospital overnight and go home the next morning.
  • Activity is dependent on how the patient feels. Walking is encouraged and patients can go up and down stairs the day of surgery. Patients can remove the dressings and shower the day after the operation.
  • Patients will probably be able to return to normal activities within a week’s time, including driving, light lifting and working.
  • In general, recovery should be progressive, once the patient is at home.
  • The onset of fever, yellow skin or eyes, worsening abdominal pain, distention, persistent nausea or vomiting, or drainage from the incision indicate that a complication or other problem has occurred. Your surgeon should be contacted in these instances.
  • Most patients can return to work within seven days following the laparoscopic procedure depending on the nature of your job. Patients with administrative or desk jobs usually return in a few days while those involved in manual labor or heavy lifting may require a bit more time. Patients undergoing the open procedure usually resume normal activities in four to six weeks. Other aspects of recovery can be slower with an open operation.
  • Make an appointment with your surgeon within 2-3 weeks following your operation.

PREPARED BY
DR LAM RUEY SHYANG
CONSULTANT GENERAL SURGEON AND LAPAROSCOPIC SURGEON
JOHOR

Contact Pasir Gudang Specialist Hospital Call: 07-257 3999
Email: pgsh@kpjpgsh.com