Laparoscopic cholecystectomy or gall bladder surgery aims at treating symptomatic gall bladder stones. It is considered as the gold standard procedure for gall bladder removal. The choice is due to the several advantages of laparoscopic surgery, which includes reduced postoperative pain, early post operative recovery, early return to work, improved cosmesis and minimal intake of pain killer medicines.
There are several indications for gallbladder surgery:
Sonography (ultrasound scan) indicates the presence of identifiable gallbladder stones. Laparoscopic surgery is done for acute cholecystitis diagnosed within 72 hours of the onset of the symptoms. Beyond that period, open surgery may be required or the patient is treated with antibiotics and after recovery, an interval gallbladder removal is done. Another indication of a laparoscopic procedure is recording an ejection fraction of < 35% at 20 minutes if the patient has typical gallbladder related symptoms.
Silent gallstones are asymptomatic and can go on to become symptomatic. A diagnostic abdominal ultrasonography leads to the detection of unsuspected gallstones. In such a case, the patient needs to be under close follow up and gallbladder removal is done if he or she develops symptoms.
Gallstone pancreatitis, incidental gallbladder cancer, calculous cholecystitis, Mirizzi syndrome, cholecystoduodenal fistula, and choledocholithiasis are all complex gallbladder diseases which require a laparoscopic cholecystectomy.
Our team of surgeons review each case and prepare a preliminary treatment plan best suited to the patient s disposition. The patient is also advised a post-operative course of treatment inclusive of monitoring and follow-up schedules before the operation itself.Authored by Dr. Deepak Varma, MBBS, MS (General Surgery)
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