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CODS- Lap digestive

Cholecystectomy

Discomfort and Pain in Gallblader
When you experience discomfort or pain due to the formation of stones in your gallbladder it is likely you need a laparoscopic gallbladder surgery or cholecystectomy. Traditionally this procedure was performed through open surgery but at CODS we do it laparoscopically without cutting open the abdomen. This ensures you experience minimal pain and scarring.

This procedure can also be performed through a single incision which you can read about here.

Know the symptoms

Stone Formation in Gallbladder
If you experience more than one of these symptoms it's likely that medical intervention is required.

  • Indigestion post-consumption of food
  • Severe acidity or fullness in the abdomen after meals
  • Acute pain in the upper right side of the abdomen that lasts between 2 to 4 hours
  • Pain in the back that lasts for 2 to 4 hours
  • Repeated episodes of pain in the right upper abdomen
  • Chills
  • Fever
  • Vomiting
  • Skin and urine turning yellow (Jaundice)

Surgery step-by-step

  • You will be administered general anesthesia so that you experience no pain 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 your 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.
  • Many surgeons perform an X-ray, called a cholangiogram, to identify stones, which may be located in the bile channels, or to ensure that structures have been identified.
  • After the surgeon removes the gallbladder, the small incisions are closed with a stitch or two or with surgical tape.
  • The surgeon may insert a small tube (drain) if needed. This will be removed before you are discharged.
  • If the surgeon finds one or more stones in the common bile duct, he may remove them with a special scope or the surgeon may choose to have them removed later through a second minimally invasive procedure (ERCP).

FAQs

How are gall bladder stones diagnosed?

Ultrasound is the most sensitive test used to find gallstones.

What are the advantages of doing it laparoscopically?

  • Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen or a single incision in the belly button.
  • Post-operative pain is minimal.
  • Minimal or no visible scarring.
  • Faster recovery than open gallbladder surgery patients.
  • Most patients go home within one day and enjoy a quicker return to normal activities.

What sort of preparation is required prior to surgery?

Depending on your age and medical condition you may need to have blood work, medical evaluations, chest x-rays and an EKG performed. Post midnight, the night before the operation you should not eat or drink anything except medications prescribed by your surgeon. In rare cases you may need an ERCP prior to the surgery if you already have stones in your bile duct.

How long does the procedure take?

The procedure usually lasts for 30 to 60 minutes but may take longer.

Will I experience any pain during the surgery?

You will be administered general anesthesia during the operation and will hence be under sedation.

What happens after the surgery?

  • You will be discharged the same day or the day after the surgery, once liquids or a diet is tolerated.
  • Activity is dependent on how you're feeling. Walking is encouraged. You can shower the day after the operation.