Download Gallbladder Surgery - Christchurch Surgical Associates

Gallbladder Surgery
Cholecystectomy or removal of the Gallbladder is normally
performed by either of the following procedures.
Laparoscopic:
This is the preferred operation to remove the gallbladder where
the surgery is performed through several small incisions in the
abdomen. A laparoscope ( a thin telescope-like instrument) is
inserted through an incision in the navel. A small video camera
attached to the laparoscope allows the surgeon to view your
gallbladder on a video monitor in the theatre. The gallbladder is
then removed and withdrawn through one of the small incisions.
For most people, laparoscopic cholecystectomy has benefits
over open surgery including less time in hospital, less discomfit,
minimal recovery time and small incisions as opposed to a larger
incision and subsequent scar.
Open:
Open Cholecystectomy or Laparotomy may become necessary if the surgeon finds a
Laparoscopic procedure is not safe and the Gallbladder will be removed through a larger
incision in the abdomen. Sometimes although the surgeon may have recommended
laparoscopy to remove the gallbladder, after starting the procedure, it is necessary to change
to the open method due to unexpected findings or events.
Alternatives To Cholecystectomy:
Other techniques may be suitable for removing gallstones depending on the condition of the
patient
One drawback is that gallstones may reoccur because the gallbladder has not been removed.
Alternatives include:
•
•
•
Therapy which attempts to dissolve gallstones
Mechanical extraction of the gallstones using a small catheter
Breaking the gallstones into small fragments using shock waves (lithotripsy)
Recovery after Laparoscopic Surgery:
Following surgery some patients experience right shoulder discomfit from the Carbon Dioxide
used during the procedure. This is usually only temporary and normal eating and drinking can
resume as soon as the patient feels able . Mobilising is encouraged soon after the surgery to
reduce any post operative complications and most people feel well enough to go home the
day after their operation. A complete recovery within a week is normal and this is assisted by
observing the following:
•
•
•
No heavy lifting
No vigorous exercise
Following the doctor's advice on showering,driving and returnng to work
Being aware some pain medications can cause temporary changes in bowel habits.
Image Courtesy Mi-tec Medical Publishing:
Pamphlet: Royal Australasian College of Surgeons: Laparoscopic Gallbladder Surgery - A
guide for patients with Gallstones
© 2004 Christchurch Surgical Associates
This information is provided as basic background and does not contain all of the known facts
about this type of surgery. It is not a substitute for advice from your surgeon.