Visit Us for Best Laparoscopic Cholecystectomy (Removal of Gall Bladder) in Punjab (Jalandhar) by Dr. Jasmeet Singh Ahluwalia – Super Specialist in Key Hole Surgery.
This surgery is performed to remove gall bladder. Gall Bladder is a small pear shaped organ which lies under liver in right upper part of your abdomen as shown in pictures above.
Its function is to store bile (digestive juice) secreted by liver in-between meals. Since its size is small as compared to amount of bile produced by liver, it concentrates bile inside it. When bile becomes too concentrated, stones are formed.
Common symptoms of Gall Bladder stones –
- They may not cause any symptoms at all for many years.
- Pain in the right upper abdomen (Can be in upper centre abdomen as well) when stone blocks gall bladder. Pain may be short lasting if stone dislodges quickly (called biliary colic) or may be long lasting when gall bladder becomes inflamed and may start to have infection inside it.
- Nausea or vomiting may occur as well.
- Loss of appetite or dyspepsia.
- Jaundice can occur if stone slips into bile duct thereby blocking the flow of bile (liver juice).
- Fever may occur if infection becomes severe.
- But all these symptoms may not be present and others may be present. Hence examination by your doctor is very crucial to diagnose or rule-out gall stone pain.
- It usually occurs in females of 20 to 40 but no age is immune and many males also have gall stones.
There are many reasons for it and it is usually impossible to find out exact cause in most patients. Too much cholesterol, too much bilirubin, or not enough bile salts in bile can cause gall stones.
This surgery is required in following conditions –
- Gall bladder containing stones which are causing symptoms (sometimes even without symptoms).
- Gall bladder containing large polyps.
- Inflammation of gall bladder.
- If gall bladder stones have slipped to bile duct (choledocholithiasis).
- If gall bladder stones have caused pancreatitis (inflammation of pancreas).
Complications from Gall Stones –
- Cholecystitis – Inflammation of gall bladder.
- Mucocoele of gall bladder – Gall bladder is filled with clear fluid.
- Empyema of gall bladder – Gall bladder is filled with pus.
- Gangrene of gall bladder – Gall bladder becomes blackish due to cut-off of its blood supply.
- Perforation of gall bladder – Gall bladder ruptures due to gangrene.
- CBD stone – Stone from gall bladder can slip into common bile duct (choledocholithiasis).
- Jaundice – Slipped stone into bile duct blocks bile coming from liver leading to jaundice. It usually requires a separate procedure (ERCP) to remove slipped stone and gall bladder surgery is done later.
- Pancreatitis – Inflammation of pancreas due to slipped stone from gall bladder.
- Examination by doctor – After taking appropriate history, surgeon will examine abdomen of patient to look for signs of inflammation in gall bladder like pain on pressing right upper abdomen etc.
- Blood Tests – It may show signs of infection like high leukocyte count, alteration in liver tests etc.
- Ultrasound of abdomen – It very sensitive in picking up stones in gall bladder. It also shows complications arising out of gall stones like swelling of gall bladder wall, slippage of gall stones etc.
- MRI (MRCP) – Some patients may require this test if their ultrasound and blood tests create a doubt of complication but ultrasound is not able to give clear answer.
- CT scan – Some patients may require to undergo CT scan in case there is doubt of ultrasound that gall bladder may have a tumour.
- Once the diagnosis of gall stones is confirmed and you have any symptom because of gall stones, surgery is generally recommended. Once gall bladder has been removed, you can not have same problem again as the organ will be removed during surgery.
- Open Surgery – Involves about 5 to 7 cm incision in right upper abdomen to remove appendix.
- Laparoscopic or Key Hole Surgery – Usually involves four very small cuts, one for camera and three for instruments used to perform the surgery. Size of the cuts vary from 0.5 cm to maximum of 1 cm. After few months, these cuts are hardly visible in most individuals. Usually two are of just 0.5 cm and two is of 1 cm. In mini-laparoscopic surgery, some cuts can be further reduced to 0.23 cm. In single incision surgery, this can be done through a single incision hidden inside umbilicus.
Advantages of Laparoscopic Appendicectomy over Open Surgery –
- Smaller incision (cut) and scar.
- Better visualization of inside abdomen so as to diagnose any other pathology.
- Less chances of infection of wound (cut from where gall bladder is removed).
- Lesser pain, quicker recovery and discharge from hospital.
- Much better cosmetic result.
Why choose us?
Dr. Jasmeet Singh Ahuwalia (MS, FNB-MAS, FBMS) is a super-specialist in the field of Laparoscopic Surgery (key – hole surgery). After finishing his MS in surgery, he has done Fellowship of National Board in Minimal Access Surgery (FNB-MAS) from one of the best known Laparoscopic Surgery Centre in the world. Later he also got trained internationally in Bariatric & Metabolic Surgery (FBMS). He now performs all routine and complex abdomen surgeries with key-hole method in his well equipped centre. Even in badly infected gall bladder, experience and equipment allows us to finish almost all surgeries laparoscopically without converting to open surgery. We also have special vessel sealing devices to deal with difficult cases.
Frequently Asked Questions-
- Is there any medicine to dissolve gall bladder stones? No drug has been reliably effective in dissolving gall bladder stones and hence surgical treatment is usually required.
- Why can’t only stones be removed from gall bladder? – This will lead to formation of stones again and is also dangerous as bile may leak from the point from where stones are removed leading to life threatening consequences.
- Is digestion affected after this surgery? – No, Patient can eat as before after surgery. Gall bladder with stones already can not function like a normal gall bladder, so digestion is hardly affected after its removal.
- Is laparoscopic surgery completely removes gall bladder or part of it is left behind? – It completely removes gall bladder as in open surgery. Gall bladder and stones are removed from a small (1 cm) incision which is otherwise used to insert camera / other instruments for surgery.
- What is the reason for formation of Gall Bladder Stones? – There are many reasons for it and it is usually impossible to find out exact cause in most patients. Too much cholesterol, too much bilirubin, or not enough bile salts in bile can cause gall stones.
- Is it a big surgery? – It is one of the most common surgery performed worldwide and is not a big surgery. You can go home same evening or maximum next day morning in most cases.
Please feel free to watch our Patient Education Video on Laparoscopic removal of Gall Bladder Surgery…..
LAPAROSCOPIC CBD EXPLORATION
This surgery is performed to remove stones from common bile duct (CBD)
once they slip from gall bladder.
Advantages of Laparoscopic over Open CDB Surgery:
- Lesser pain
- Quicker recovery
- Quicker return to work
- Smaller cuts so more cosmetic
- Lesser chances of wound infection
- Lesser chances of incisional hernia in later life
Feel free to watch our Video on Laparoscopic Common Bile Duct (CBD) Exploration Surgery….
Disclaimer : – Results may vary from person to person