Gallbladder removal -known to physicians as cholecystectomy (Ko le sis TEK to me) - is a relatively straightforward and commonly performed surgical procedure. Until recently, however, the surgery required a six- to nine-inch incision and a weeklong stay in the hospital, followed by four to six weeks of recovery at home. Healing of the surgical incision could entail considerable pain.

Today, gallbladder surgery can be performed by laparoscopy, a minimally invasive technique not requiring a large incision. Patients usually return home on the morning following surgery, and they can resume their normal routine within a week. With laparoscopy, patients lose less blood during surgery, and they experience far less pain.




Gallbladder problems are usually caused by gallstones, which are small hard masses that form in the gallbladder or in the bile duct. These stones may block the flow of bile, a digestive agent produced by the liver. As a result, the gallbladder may swell, causing sharp abdominal pain, vomiting, and indigestion.

Some gallstones can be treated with drugs or managed by changing one's diet, particularly by eliminating fat. When these options fail, however, removing the gallbladder becomes necessary. After removal, bile will continue to flow from the liver to the small intestine, but it will no longer be stored in the gallbladder.



The first step in laparoscopic gallbladder removal is the insertion into the abdomen of four trocars, narrow tube-like instruments that require only very small surgical incisions. Into one trocar, which is a telescopic videocamera that provides magnified and dramatically enhanced views of internal organs. Other surgical instruments are inserted through the other trocars.

During surgery, the common bile duct and artery at the base of the gallbladder are severed from the liver using electronic instruments, then sealed. The surgeon empties the gallbladder of its contents and draws it out through one of the incisions. The incisions are then closed with surgical tape or stitches.



Immediately after surgery, you will be taken to a recovery room. In the hours following the operation, you will experience some pain from the small incisions made to permit insertion of the trocars. Under normal circumstances, you will be able to return home the next day.

At home, you will be able to take care of yourself and enjoy your regular diet. In as few as three or four days, you can return to your normal routine, including work. If you exercise, you can also resume a fitness program and sports competition.

After a few months, the surgical incisions will be barely visible.



تاریخ آخرین بروزرسانی   :  1389-10-18 9:38        برو بالای صفحه نسخه قابل چاپ