HealthMedicine

Laparoscopy of the gallbladder and its advantages

The gallbladder is an organ that belongs to the digestive system. It is located on the right, under the liver, and has a pear-shaped form. Its main function is the storage and concentration of bile, which is produced by the liver. Bile is involved in the cleavage of lipids and the activation of enzymes during digestion. Removal of the gallbladder, if it is necessary for medical reasons, does not lead to disruption of digestion. Bile will simply come from the liver directly into the duodenum.

One of the most frequent operations is the removal of the gallbladder. Laparoscopy (laparoscopic holicectectomy) is by far the most convenient and regularly used method for conducting this operation.

Indications for laparoscopy of the gallbladder are the formation of stones that block outflow of bile and cause inflammation of the gallbladder. Until now, it has not been established exactly why some people develop gallstones, and no means have been identified that can prevent their occurrence.

To date, there are many advantages, considering that laparoscopy of the gallbladder as a type of surgical intervention takes the first place in use among all other methods of removing gallbladder:

  1. This operation requires only 4 small incisions.
  2. After the operation, the patient feels very weak pain.
  3. In patients after removal of the gallbladder, recovery from open surgery occurs much longer than in those who have undergone laparoscopic surgery.
  4. Laparoscopy of the gallbladder allows patients after the hospital to return quickly to a normal lifestyle and habitual motor activity.

Like any operation, laparoscopy requires a certain preparation of the patient. So, initially the doctor appoints a full medical examination (blood tests, ultrasound, chest X-ray and ECG). This is done so that the surgeon can find out if there are any contraindications to the operation. When the doctor sees and examines all the results of the examinations, he will offer you possible types of surgery. After you sign the consent to the operation, the thin and large intestines are cleaned. At night before the operation (starting at 12 o'clock) and in the morning you can not eat and drink anything, except for those medicines that the doctor prescribed.

The operation is performed under general anesthesia. The gallbladder is removed through one of four abdominal incisions . After carrying out all necessary medical procedures, laparoscopy of the gallbladder is completed by the application of sutures.

Variants are possible, when the operation can not be completed laparoscopically. This happens with extensive inflammation and the presence of adhesions in the biliary region. The bubble in this case is tense, tightly adjacent to neighboring organs, so there is a risk of their damage during surgery. In this case, you can go to the open form of the operation. The surgeon before laparoscopy should warn the patient about such variant of surgical intervention.

After the operation is completed, the patient is brought to the ward, where he leaves the anesthesia for an hour. The next day the patient is not allowed to eat. After two or three days the patient can already lead a normal life. If there are no such consequences of laparoscopy, like fever, inflammation of the wounds and persistent pain, the patient can already be discharged. Seven days after the operation, he needs to go back to the hospital to remove stitches and get recommendations on the diet he's prescribed. After this, we can say that the operation was carried out successfully.

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