Laparoscopic Gall Bladder Removal/Gallstones Surgery Laparoscopic Cholecystectomy

What is a Gallstone?

A gallstone is a lump of hard material usually ranges in size from a grain of sand to 3-4 cms. They are formed inside the gall bladder as a result of precipitation of cholesterol and bile salts from the bile.

What are types of gallstones?

  • Cholesterol stones
  • Pigment stones
  • Mixed stones - the most common type.
    They are comprised of cholesterol and salts

What are symptoms of gallstone disease?

Many people with gallstones have no symptoms. These patients are said to be asymptomatic, and these stones are called "silent stones. "The symptoms may vary and often follow fatty meals.

  • Abdominal pain that is steady in the upper abdomen and increases rapidly and lasts from 30 minutes to
  • several hours
  • Nausea or vomiting
  • Indigestion & belching

How gallstones are diagnosed?

Ultrasound is the most sensitive and specific test for gallstones.

What complications can accur if not treated at an early stage?

With prompt diagnosis and treatment, the outcome is usually very good. However, if delayed it may end up in some serious illnesses.

  • Bile-duct blockage and infection caused by stones in the biliary tract can be a life-threatening illness.
  • Pancreatitis – Inflammation of pancreas gland cause by passage /slippage of gall stone out of the gall bladder through the common bile duct.
  • Jaundice / Cholangitis: is an infection of the common bile duct cause by blockage from gall stones.

What is the treatment option?

Surgical removal of the gallbladder is the ultimate and the only treatment option

  • Standard Open Gallbladder surgery
  • Standard Laparoscopic Gallbladder Surgery
  • Scarless Laparoscopic Gallbladder Surgery

Open Gallbladder Surgery

Open gallbladder surgery is very rarely indicated only in those conditions where laparoscopic surgery is not feasible. Therefore, now this has no longer remained the first option in treating the gallstone disease in experience hands.

Standard Laparoscopic Surgery

Surgery to remove the gallbladder is the most common way to treat
symptomatic gallstones. Laparoscopic Surgery is now considered as
the gold standard method for the gallbladder surgery. In standard laparoscopic surgery, the surgeon makes three or four tiny incisions in the abdomen and inserts surgical instruments and a miniature video camera
into the abdomen.


The camera sends a magnified image from inside the body to a video monitor, giving the surgeon a close up view of the organs and tissues. While watching the monitor, the surgeon uses the instruments to carefully separate the gallbladder from the liver, ducts, and other structures.

Comparison between Open and Laparoscopic Surgery


 

 
 Laparoscopic SurgeryOpen Surgery
Posoperative Pain Less Marked
Wound Infection Minimal Can Develop
Hospital Stay Same day discharge or one day stay Three to five days
Wound Scar Cosmetic Bigger
Incisional Hernia Minimal Chance Can Develope
Return to work Within Three days After two weeks

Scarless Laparoscopic Gallbladder Surgery (SILS)

Single incision laparoscopic surgery (SILS) is a scarless surgical technique used to remove diseased organs through just one hole in the belly button. This includes:

  • Gall bladder removal (cholecystectomy)
  • Appendix removal (appendectomy)

Standard keyhole surgery involves several small incisions (usually 3 to 4). The single port surgical technique allows us to do the same procedure but through a single incision in the umbilicus (belly button), thus leaving no new visible scar.
The goal is to reduce postoperative pain, speed recovery and improve the aesthetic results for patients.

Note: The detail of scarless surgery is also described in the another page of this website)

Additional information