Best Hospital in Jubilee Hills

Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy involves laparoscopic removal of the Gall Bladder. 90-95% cholecystectomies in the world are now done laparoscopically.


Indications:




  1. Symptomatic Gallstones: Biliary colic, Acute or chronic cholecystitis,Gallstone pancreatitis, Bile duct stones, Obstructive jaundice




  2. Gall bladder polyps if >10mm size




  3. Porcelain gall bladder




  4. Asymptomatic stones in patients with Diabetes mellitus, Sickle cell disease, undergoing bariatric surgery




  5. Biliary dyskinesia




  6. Acalculous cholecystitis




Advantages:




  1. Reduced postoperative pain




  2. Shortened hospital stay from




  3. Early returns to full activity




  4. Better cosmesis




  5. Early return of bowel function




Contraindications:


Gall Bladder Carcinoma


Inablility to tolerate General Anaesthesia


Childs C Cirrhosis patients


Complications: Conversion to open surgery is not considered a complication.




  1. Trocar injury to bowel or blood vessel: Open technique of trocar insertion is preferred




  2. Bleeding : If severe may need conversion to open surgery




  3. Injury to Common Bile duct(CBD) : Can be detected intra op or postoperatively. May require Endoscopic stenting or repeat surgery




  4. Injury to duodenum, colon, liver during dissection




  5. Bile duct stricture formation: May develop late following an undetected biliary injury. May require endoscopic treatment or repeat surgery.




  6. Retained CBD stones: May need endoscopic treatment




  7. Post Cholecystectomy syndrome: In the form of persistent pain, dyspepsia, flatulence etc. usually treated with antacids and dietary modifications. May require endoscopy.



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One of the best hospitals in Jubilee Hills