Operation (Laparoscopic Cholecystectomy or ‘Lap Chole’)
Laparoscopic Cholecystectomy is the treatment for symptomatic gallstone disease and is one of most commonly performed operation by Mr Jayanthi. This procedure is a key hole operation and is performed via four small cuts, each not wider than half an inch. The first cut is made around the belly button to insert the camera. Another cut on the top of the tummy & two more much smaller cuts are made on the right side of the tummy. The operation is carried out by introducing instruments through these cuts. Cystic artery (blood supply to the gall bladder) and cystic duct (duct which drains bile from the gall bladder into bile duct) are identified, clips applied and divided. Gall bladder is then dissected off the liver and retrieved in a bag.
Risks of the operation
Common risks to any key hole operations:
- Possibility of an open operation
Risks specific to this operations
- Injury to the bowel
- Injury to the liver
- Injury to the bile duct. Bile duct is a pipe that carries bile from the liver to the bowel. Gall bladder is very near to this structure. There is a small chance of injury to the bile duct during this operation. The consequences to the injury could be from nothing at all (if it’s a very minor injury) to needing more complex operations. Injury of this kind is very rare.
What happens after the surgery?
If you are otherwise healthy, this operation can be done as a day case. You can be discharged home on the day of the operation. However, if you have other health conditions, it is safer to stay in the hospital the night of the operation. All the cuts are closed using absorbable sutures. This means that you do not need to go to the doctors to have the sutures / clips removed from the skin. No routine follow up is required after this operation.
Any ill effects of having the gall bladder taken out?
Very few patients suffer from any major ill effects after laparoscopic cholecystectomy. The fact that stones were formed in the gall bladder means that it wasn’t working properly. Therefore the body was used to work and digest food without a normal gall bladder even before the operation. By getting rid of the gall bladder, you will not get any symptoms that you were suffering from the gall stones.