Cholecystectomy (Removal of Gall Bladder)
There are two main techniques of removing a gallbladder- Open Cholecystectomy and laparoscopic (keyhole) Cholecystectomy
In open Cholecystectomy the gallbladder is removed through one large incision, which is called open surgery. It is a more invasive than keyhole surgery and thus the stay at the hospital and recovery time is longer. Open surgery is now done only when it is not safe to do a laparoscopic Cholecystectomy.
Laparoscopic (keyhole) Cholecystectomy
This is now the most commonly performed procedures for the removal of gallbladder. The procedure involves using a tiny camera and surgical instruments which are inserted through small incisions in the abdomen to remove gall bladder.
Adavantages of Laparoscopic Cholecystectomy
- 3-4 tiny incisions instead of a seven inch incision.
- Minimum pain after the surgery
- Shorter hospital stay and faster recovery
- Quick return to normal activities after the surgery
- Gallbladder surgery cost in India is comparatively lower.
Candidates for Laparoscopic Cholcystectomy
Though there are many advantages of undergoing Cholecystectomy laparoscopically, not everyone is a candidate for it. The surgery cannot be done on patients with pre existing medical conditions or who have had previous abdominal surgery. A laparoscopic surgeon can advise if you are a candidate for laparoscopic Cholecystectomy after a thorough medical evaluation.
Procedure for Laparoscopic Cholecystectomy
Laparoscopic Cholecystectomy is done under general anaesthesia and takes about 2 hours. The surgeon inserts a lighted scope attached to a video camera (laparoscope) into one incision near the belly button. The surgeon then uses a video monitor as a guide while inserting surgical instruments into the other incisions to remove the gallbladder.
After surgery, bile flows from the liver (where it is made) through the common bile duct and into the small intestine. Because the gallbladder has been removed, the body can no longer store bile between meals. In most people, this has little or no effect on digestion.
Recovery after Laparoscopic Cholecystectomy
You may need to stay at the hospital for 1 or 2 days. Most people can return to their normal activities in 7 to 10 days. People who have laparoscopic gallbladder surgery are sore for about a week. But in 2 to 3 weeks they have much less discomfort than people who have open surgery. No special diets or other precautions are needed after surgery.