Laparoscopic gallbladder removal is also known as laparoscopic cholecystectomy. It is a minimally invasive procedure in which the surgeon removes the diseased or inflamed gallbladder using small incisions and advanced instruments.
The gallbladder is a tiny organ in your right upper abdomen, just below your liver. Bile, a substance formed by the liver, is stored here. The gallbladder secretes bile into the small intestine, which aids in the breakdown and absorption of dietary fats. However, without a gallbladder, normal digestion is possible.
Nowadays, most people opt for laparoscopic gallbladder surgery (cholecystectomy) in Pune instead of open surgery as smaller incisions are made, which reduces bleeding, infection, and recovery time.
There are few surgeons as experienced as Dr. Samrat Jankar, one of the best gastroenterologist in Pune when it comes to laparoscopic surgery. He is the most-sought-after laparoscopic surgeon in pune for advance invasive surgeries, including laparoscopic gallbladder surgery in Pune. He has successfully performed thousands of surgeries and is an expert in minimally invasive procedures.
Why is laparoscopic gallbladder removal surgery done?
Gallstones and the complications they cause are the most common reasons for gallbladder removal.
The presence of gallstones is known as cholelithiasis. Mainly, gallstones develop when substances in the bile solidify within the gallbladder. They can vary in size from a grain of sand to a golf ball.
You may also need this surgery if you have any of the following conditions:
- Biliary dyskinesia - A disorder in which the gallbladder fails to empty bile properly due to a defect.
- Choledocholithiasis - A condition in which gallstones travel to the common bile duct and block it, preventing the gallbladder and the rest of the biliary tree from draining.
- Cholecystitis - Gallbladder inflammation.
- Pancreatitis - Inflammation of the pancreas due to gallstones.
Preparation for laparoscopic gallbladder removal
If you are taking some drugs, like over-the-counter (OTC) medications or dietary supplements, inform your doctor. Certain drugs may have to be stopped before surgery as they increase the risk of bleeding. Also, let the doctor know if you are pregnant.
Your surgeon will ask you to avoid eating and drinking anything four hours before the surgery.
How is laparoscopic gallbladder surgery (Cholecystectomy) performed?
The doctor will put you under general anesthesia, which means you will be unconscious during the operation.
Dr. Samrat Jankar will make four tiny incisions in your abdomen for the operation. Through these incisions, he will direct a tube into your abdomen with a small, lighted camera.
Then he will use other instruments through the incisions while watching the screen that displays the images captured by the camera.
Gas is inflated in your abdomen to give your surgeon more room to operate. He will remove the gallbladder through the incisions.
Dr. Samrat Jankar, a competent gastroenterologist in Pune, will use a special X-ray called intraoperative cholangiography after removing your gallbladder to scan for complications in your bile duct. It indicates abnormalities in the remaining bile duct structures that your surgeon will need to remove, such as a bile stone.
When the surgeon is satisfied with the outcome, the incisions are stitched and bandaged. You will be taken to a room to recover from the anesthesia after the operation. Throughout the procedure, your vital signs are closely monitored.
After the procedure
Patients can usually go home the same day as their surgery. In general, you should be able to go home once you can eat and drink without discomfort and walk unassisted. Normally if the surgery is invasive i.e. laparoscopic, the patient is sent home the same day, after few hours under observation. It takes about a couple of days to recover completely.
Laparoscopic cholecystectomy helps relieve the pain and discomfort due to gallstones. Mostly, a cholecystectomy will prevent gallstones from returning.
After a cholecystectomy, most people may not have any digestive issues. The gallbladder is not necessary for healthy digestion. Following the operation, some people can experience occasional loose stool, which usually goes away with time.
Patients who have a laparoscopic gallbladder removal surgery may be able to return to work next day itself. Infact with laparoscopic surgery the patient can return home the same day after a couple of hours under observation.
Frequently Asked Questions
How is gallbladder disease diagnosed?
The most common test to find gallstones is ultrasound. The surgeon may also ask you to undergo MRI or endoscopic ultrasound. Apart from this, you will need some blood tests.
Within how many days will my bowel movements return to normal?
It will take three or four days to return to your regular bowel movement.
Are there any dietary restrictions after laparoscopic gallbladder removal surgery?
There are no dietary restrictions after gall bladder removal, and you can eat as soon as you feel hungry. It can take a few days for you to recover your appetite. Start with small, regular meals when you are hungry, and gradually increase at your own rate.
When do I need to contact the doctor after surgery?
Contact your doctor if you have any of the following symptoms after surgery:
- Fever above 101 F
- Constant nausea or vomiting
- Swelling in your abdomen
- Severe pain
- Pus at the incision site
- Redness at the incision site