Laparoscopic Gallbladder Removal Surgery

𝐆𝐀𝐋𝐋 𝐁𝐋𝐀𝐃𝐃𝐄𝐑 𝐒𝐓𝐎𝐍𝐄: 

 

 

Gall bladder is a small organ below liver in the right side of upper abdomen. It is a pouch that stores bile, a green-yellow liquid that helps with digestion of fat.

Gallbladder removal is commonly done surgical procedures in the world that are performed using minimally invasive techniques and high-end medical equipment that is called laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.

Dr. Atul Mishra has done more than 5000 laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal surgeries in India along with his team of trained physicians and has handled complex cases. He has vast experience in treating complicated cases of gallbladder stone and managing it’s complications.

 

Removal of gallbladder doesn’t bring digestion problems in most people; however, a good surgeon is always the best option to have a look at the medical history and perform the surgery after evaluating every aspect of the surgery to produce fruitful results.

 

 

𝑪𝒂𝒖𝒔𝒆𝒔 𝒐𝒇 𝒔𝒕𝒐𝒏𝒆 𝒇𝒐𝒓𝒎𝒂𝒕𝒊𝒐𝒏:

80% of gall stones are made of cholesterol and 20% are made of calcium salts and bilirubin.

Having excess cholesterol in bile can lead to yellow, hard cholesterol stones. It may develop when liver makes more cholesterol than bile can dissolve.

Bilirubin is a chemical produced when liver destroys old red blood cells. Some conditions causing liver damage and certain blood disorders cause liver to produce more bilirubin. Pigment gall stones form when gall bladder can’t breakdown the excess bilirubin. These stones are dark brown or black.

Healthy and properly functioning gall bladder should empty bile regularly. If it fails to empty, the bile becomes over concentrated causing stone formation.

 

𝑺𝒚𝒎𝒑𝒕𝒐𝒎𝒔: 

Gall bladder stones can lead to pain in the upper right abdomen. Pain may start after intake of food high in fat, such as fried food. The pain usually lasts for a few hours.

It can also cause-

Nausea

Vomiting

Dark Urine

Clay colored stool

Stomach pain

Burping

Indigestion

 

𝑪𝒐𝒎𝒑𝒍𝒊𝒄𝒂𝒕𝒊𝒐𝒏𝒔

Acute Cholecystitis

When a gallstone blocks the duct where bile moves from the gall bladder, it can cause inflammation and infection in the gall bladder. 

Symptoms are: Intense pain in the upper stomach or mid-right back, fever, chills, appetite loss, nausea and vomiting.

Urgent medical consultation should be sought if symptoms last more than 1 to 2 hours.

Other complications:

Jaundice- Yellowish tint of skin or eyes

Cholangitis- Bile duct infection

Sepsis- blood infection

Pancreas inflammation

Gall bladder cancer

 

𝑹𝒊𝒔𝒌 𝒇𝒂𝒄𝒕𝒐𝒓𝒔 𝒇𝒐𝒓 𝑮𝒂𝒍𝒍 𝑺𝒕𝒐𝒏𝒆𝒔

Lifestyle

• Overweight (Obese)

• Eating diet high in fat or cholesterol, low in fiber

• Having rapid weight loss in a short period of time

• Diabetes Mellitus

Uncontrollable risk factors

• Female sex

• Family history of gall stone

• Age more than 60 years

Medical risk factors

• Cirrhosis of liver

• Pregnancy

• Medication for lowering cholesterol

• Medication high in estrogen content

 

𝑫𝒊𝒂𝒈𝒏𝒐𝒔𝒕𝒊𝒄 𝑻𝒆𝒔𝒕𝒔

Ultrasound

Abdominal CT scan

Gall Bladder Radionuclide Scan

Endoscopic Retrograde Cholangio Pancreatography (ERCP)

It is a procedure that uses camera and X-rays to look at the problems in the bile and pancreatic duct. It helps to remove gallstones stuck in bile duct.

 

𝑻𝒓𝒆𝒂𝒕𝒎𝒆𝒏𝒕

If gallstone is causing pain or other symptoms, surgery is recommended.

𝑳𝒂𝒑𝒂𝒓𝒐𝒔𝒄𝒐𝒑𝒊𝒄 𝑪𝒉𝒐𝒍𝒆𝒄𝒚𝒔𝒕𝒆𝒄𝒕𝒐𝒎𝒚

Surgical removal of gall bladder by minimally invasive key hole technique.

After gall bladder removal one may experience loose or watery stools. Removing the gall bladder involves rerouting the bile from the liver to small intestine. Bile no longer goes through the gall bladder and it becomes less concentrated. The result is a laxative effect that causes diarrhea. To treat this, a diet low in fat and high in fiber should be taken.

 

Advantages of Laparoscopic Gallbladder Removal Surgery

> Only four small openings in the abdomen.

> Minimal post-operative pain.

> Faster recovery.

> Quicker return to the daily activities

 

𝐓𝐈𝐏𝐒 𝐅𝐎𝐑 𝐇𝐄𝐀𝐋𝐓𝐇𝐘 𝐆𝐀𝐋𝐋 𝐁𝐋𝐀𝐃𝐃𝐄𝐑

Life style changes in a patient having gallstone

• Maintain a healthy weight

• Avoid rapid weight loss

• Eat anti-inflammatory diet (Bell pepper, citrus fruits, green leafy vegetables, tomatoes, milk, fish, beans, nuts, lentils)

• Regular exercise

• Supplements – Vitamin C, Iron, Lecthin

Foods to avoid to reduce risk of gallstone

• Avoid high fat, greasy and fried foods

• Add fiber to your diet

• Avoid caffeinated drink, high-fat dairy produce and very sweet food

• Eat several small meals per day

• Drink sufficient amount of water (8-10 glasses /day)