Laparoscopic cholecystectomy
Minimally Invasive Gallbladder Surgery for Quick Recovery, Safe Outcomes, and a Faster Return to Daily Activities.
Laparoscopic cholecystectomy
The surgery is performed under general anaesthesia and during it 4 small incisions (up to 2 cm) are made on your abdomen to allow the passage of the laparoscopic instruments. The abdomen is inflated with gas (carbon dioxide) so that enough room is created for the surgeon to perform the surgery with safety. The gas is harmless and gets absorbed very quickly by the body a few hours after the surgery. Once your gallbladder has been removed in the operating room, the gas insufflation of your abdomen will stop and the incisions will be closed with absorbable sutures. The procedure typically takes 1 hour and most patients get discharged from hospital on the following day. Patients will be allowed to eat on the same day following their surgery and will be able to mobilise independently. Most patients return to their normal activities within 10-14 days from the day of surgery.
It is worth mentioning that between 1 out of 30 to 1 out of 40 cholecystectomies cannot be completed with the laparoscopic approach for a variety of reasons and in these situations the surgeon will choose to convert to an open operation in the interest of patient safety. Recovery following surgery will be slower in such cases.
What are the complications associated with laparoscopic cholecystectomy?
- Bile duct injury > injury to the main duct (pipe) that drains the bile away from the liver may occur in approximately 1/400 surgeries.
- Leakage of bile from the liver/bile duct to the abdomen > 1/100 surgeries
- Retained bile duct stones
- Hernia at the site of surgery (port site hernia)
- Diarrhoea and excessive wind (flatulence) may be reported by up to 5/100 patients undergoing gallbladder surgery. The symptoms are usually mild and improve with time by making dietary modifications.
- Thromboembolic events (blood clots lungs/legs) > low risk procedure
- General anaesthetic risk > depends on the patient’s health status. All patient should undergo a pre-operative assessment by an anaesthetist.