Gallbladder Surgery With Laparoscopy, Here's What You Should Know

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Gallbladder Surgery With Laparoscopy, Here's What You Should Know
Gallbladder Surgery With Laparoscopy, Here's What You Should Know

Laparoscopic gallbladder removal surgery is surgery to cut and remove the gallbladder through small incisions with the help of a special tool in the form of a thin tube with a camera (laparoscope). Another name for this surgery is laparoscopic cholecystectomy

The gallbladder is a small organ located near the liver. This organ is a storage place for bile produced by the liver and a place for digesting fat.

Gallbladder Removal Surgery With Laparoscopy, Here's What You Should Know - Alodokter

Laparoscopic cholecystectomy is performed by making a small, keyhole-sized incision in the skin, as the entry point for the laparoscope. The laparoscope, which is a thin tube with a camera at the end, will display the condition of the gallbladder to be removed.

Compared to conventional surgery (open surgery), the incision in a laparoscopic cholecystectomy is much smaller. Therefore, the pain that occurs after laparoscopic gallbladder removal surgery is lighter and the postoperative care is also shorter.

Indications for Laparoscopic Gallbladder Surgery

Laparoscopic cholecystectomy is often used by doctors to treat the following conditions:

  • C holelithiasis or gallstones
  • Cholecystitis or inflammation of the gallbladder
  • Pancreatitis or inflammation of the pancreas gland
  • Biliary dyskinesia,is a disorder of the gallbladder and its ducts, so that the gallbladder cannot fill or empty its contents properly
  • Choledocholithiasis or bile duct stones, namely gallstones that were originally in the gallbladder moving towards the bile duct, so it is feared that it will clog the duct

Warning for Laparoscopic Gallbladder Surgery

Laparoscopic cholecystectomy is usually performed in patients with gallstones who experience symptoms. Meanwhile, in patients with gallstones who do not experience any symptoms, doctors usually only provide treatment in the form of medication and dietary adjustments.

However, laparoscopic gallbladder removal surgery can also be recommended for asymptomatic gallstone sufferers if there are the following conditions or diseases:

  • Uncontrolled blood clotting disorders (coagulopathy)
  • Chronic obstructive pulmonary disease
  • Heart failure
  • Decomposed gallbladder
  • Obesity
  • Pregnant
  • Suspected of having gallbladder cancer
  • cirrhosis

Patients who also suffer from chronic obstructive pulmonary disease or heart failure should undergo conventional gallbladder removal surgery. This is because patients with the disease are sensitive to the gases used to distend the abdominal cavity during laparoscopic surgery.

Patients suspected of having gallbladder cancer should also undergo conventional gallbladder removal surgery. The aim is to allow doctors to better examine the condition of the tissues around the gallbladder and to reduce the risk of organ leakage during surgery.

Before Gallbladder Removal Surgery by Laparoscopy

Before undergoing gallbladder removal surgery, the digestive surgeon or general veterinarian will ask questions about the patient's medical history and examine the patient's physical condition thoroughly. The doctor will also run some tests, such as blood tests and X-rays.

Patients need to tell their doctor if they are taking any medications, supplements or herbal products. If necessary, the doctor will ask the patient to stop taking the drug or supplement.

Some other things that patients should also do before undergoing a laparoscopic cholecystectomy are:

  • Do not eat and drink a few hours before the procedure is done
  • Bath with antiseptic soap
  • Ask family or friends to accompany you during surgery and postoperative care
  • Consuming laxatives to clean feces or feces in the intestines

Surgery Procedure for Laparoscopic Gallbladder Removal

Before undergoing surgery, patients need to change into special clothes that have been provided by the hospital. The doctor will then give general anesthesia (total anesthesia), so that the patient sleeps and does not feel pain during the operation.

After the anesthetic has worked, the doctor will begin the process of a laparoscopic cholecystectomy. The following are the stages of the laparoscopic cholecystectomy procedure:

  • The patient is placed in the supine position.
  • The doctor makes four small incisions in the skin on the patient's abdomen, close to the gallbladder.
  • Through the incision, the doctor inserts a laparoscope which will display a picture of the gallbladder condition on the monitor.
  • Then the gas is channeled into the abdominal cavity, so that the patient's abdominal cavity swells and the area to be operated on is not covered by other tissues. With the help of the monitor, the doctor will insert the tools needed during the operation into the patient's stomach.
  • Once the tools are in the right position, the doctor will cut and remove the gallbladder. If there is an abnormality in the gallbladder, the doctor will correct the abnormality.
  • After the gallbladder is removed, the doctor will examine the condition of the organs around the gallbladder with X-rays. This procedure is called cholangiography.
  • If there are no other problems, the doctor will close and suture the skin incision.

If there are problems or complications during a laparoscopic cholecystectomy, the doctor can switch to a conventional cholecystectomy, which is to make a larger incision to open the abdominal cavity.

Laparoscopic gallbladder removal surgery usually takes about 1-2 hours. Patients who have completed surgery will be taken to the treatment room for recovery.

After Gallbladder Removal Surgery with Laparoscopy

After surgery, the patient can go home immediately or need to stay in the hospital, depending on the condition. In patients who have been discharged, the doctor will arrange a control schedule to monitor recovery after surgery. Doctors can also prescribe painkillers and antibiotics to prevent infection.

Wound healing after laparoscopic cholecystectomy generally takes about 1 week. If conventional cholecystectomy is performed, the healing may take longer.

Please note, laparoscopic gallbladder removal surgery can cause some complaints during the recovery period. This is normal. These complaints will generally subside and disappear as the patient's condition improves. Some of the complaints that may arise during the recovery period are:

  • stomach ache
  • Sore throat
  • Nausea and vomiting
  • Diarrhea
  • bruising around the surgical wound
  • Redness around the surgical wound

Other things to consider and do after undergoing a laparoscopic cholecystectomy are:

  • Do not lift heavy objects
  • Drink enough water
  • Take care of stitches and take medicine as recommended by the doctor
  • Increasing activity gradually
  • Keep moving or walking leisurely so that blood flow is smooth and blood doesn't clot

Complications of Laparoscopic Gallbladder Removal

Although rare, the possibility of complications after laparoscopic cholecystectomy still exists. Some of the complications that can occur are:

  • Gallbladder leak
  • Bleeding
  • Surgery wound infection
  • Pneumonia
  • Injury or damage to the tissues or organs around the gallbladder, such as the intestines and liver
  • Blood clot
  • Heart disorders, such as a fast heartbeat
  • Pancreatitis
  • Blood vessel damage
  • Allergic reaction to anesthetic drugs or other drugs used during surgery
  • Hernia in surgical incision
  • Numbness in the operating area
  • Infection of the abdominal cavity (peritonitis)

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