The cholecystectomy is also called
as gallbladder surgery. It is the process to remove the gallbladder.
Types
of gallbladder surgery:
1. Gallbladder
surgery : The surgeon will remove the
gallbladder and gallstones through various small cuts made in the abdomen.
The surgeon inflates the abdomen with air or carbon dioxide in order to see
clearly.
2. Open
gallbladder surgery: During this procedure, the surgeon will make a 5 to 7 inch
incision (cut) on the abdomen to take out the gallbladder. You’ll have to
undergo open surgery if you have a bleeding disorder. You may also need it if
you are suffering from a severe kind of gallbladder disease, are very overweight,
or are in the last trimester of pregnancy.
After surgery, bile flows from the
liver (where it is produced) through the bile duct into the small intestine. As
the gallbladder has been removed, the body will no longer store bile between
meals but it has very minimal effect on digestion.
Why
is gallbladder surgery required?
Laparoscopic gallbladder surgery is
the best possible way of treating gallstones that cause the symptoms.
Laparoscopic surgery is most commonly used when there are no other factors to
complicate the surgery.
Who needs gallbladder surgery?
If the gallstones are
causing any symptoms, then no surgery is required. The surgery is required if stone
blocks one of your bile ducts. This causes a gallbladder attack.
Procedure:
General anesthesia is administered before the
Cholecystectomy. The procedure can be either laparoscopic or open according to
the condition.
Open Cholecystectomy generally takes 1 to 2 hours. The
surgeon will put a cut in right side of the abdomen. The liver and gallbladder
are visible by pulling muscles around it. The gallbladder is removed and the cut
is sutured.
The surgeon begins the laparoscopic cholecystectomy by
making four small incisions in the abdomen. An instrument with a camera fitted
at the end called a laparoscope is inserted in one of the incisions, and other
surgical tools are inserted in the other incisions. The laparoscope allows the
surgeon to see the area which is affected on a monitor or screen and remove the
gallbladder. The bile duct is also screened beforehand for any abnormalities.
Once the gallbladder is removed, incisions are sewed and the patient is taken
to the recovery area.
Risks:
The overall risk of gallbladder
surgery is very low. The most serious possible complications may be:
·
Infection of an incision.
·
Internal bleeding.
·
Injury to the common bile duct.
Other uncommon complications may include:
·
Gallstones that remain in the
abdominal cavity.
·
Bile that leaks into the abdominal
cavity.
·
Injury to the major blood vessels in
the abdomen that is carrying blood from the heart to the liver (hepatic
artery). This is rare.
·
A gallstone can get into the common
bile duct.
·
The liver being cut.
Cost
The cost of cholecystectomy
surgery in Bangalore varies from Rs. 60,000 to Rs. 1,50,000. Click here to know exact cost.
