A healthy gallbladder is an important and necessary organ involved in digestion, but its normal work is impossible with pathological changes. On the contrary, the altered gallbladder becomes a source of problems – it is a potential focus of pain and the development of infections. Therefore, its removal does not have a serious effect on physiological processes, facilitating the condition of a person. The surgical procedure for its removal is known as Cholecystectomy.
Types of Cholecystectomy
If the therapeutic treatment of the gallbladder does not bring results or there are clear indications for surgical intervention, the doctors of the clinic will give recommendations on the choice of the method of operation. This can be a classic open cholecystectomy, endoscopic gallbladder surgery, or mini-access surgery.
- Laparoscopic cholecystectomy is an intervention that is characterized by minor surgical trauma, quick and relatively easy recovery. Instruments and a video camera are inserted through punctures in the abdominal wall. As a result of air injection, an overview is provided for the necessary operations. In some cases, upon completion of the operation, the doctor ensures that fluid from the sub hepatic space is drained. After 2-3 days, the patient leaves the clinic on his own and recovers at home.
- Operation from mini access (incision 3-7 cm) – the objective desire of most patients is to conduct a laparoscopic operation of cholecystectomy of the gallbladder. However, this type of surgical treatment is not suitable for all clinical cases. To reduce the degree of injury during gallbladder removal, a decision can be made to perform an operation from a mini-access under the right costal arch – this is a compromise option between traditional abdominal surgery and laparoscopic surgery.
Laparoscopic cholecystectomy is the most preferred method to treat chronic cholecystitis routinely.
Benefits of Using Laparoscopic Cholecystectomy
- Reducing pain after surgery.
- Short hospital stay (less than a day).
- Rapid return of the patient to the usual organization of life.
- Good cosmetic effect.
- Improving the quality of life.
- The likelihood of developing a ventral hernia is practically excluded.
- Minimal trauma to the abdominal wall.
Indications for Laparoscopic Surgery
First, a decision is made on the need for an operation, and then a technique is selected. Currently, the use of the laparoscopic procedure is considered justified at any age of patients, even if they are overweight.
Laparoscopic cholecystectomy is indicated for the following diseases:
- Cholecystitis, not amenable to treatment with conservative methods;
- Gallbladder cholesterosis;
- Cholecystitis in the acute stage;
- Cholecystolithiasis, asymptomatic;
- Tumors of the gallbladder (including papillomas)
If the disease is accompanied by pain, patients are not surprised at the prescribed operation. When the condition is asymptomatic and is detected by chance, surgical treatment is also recommended. In this case, the operation is easier to transfer.