Cholecystectomy

Cholecystectomy: removal of the gallbladder

Cholecystectomy is a surgical procedure in which the gallbladder is removed. This operation is usually performed when there is cholecystitis (inflammation of the gallbladder) or a large number of gallstones.

Previously, cholecystectomy was performed only during laparotomy, a surgical procedure in which an incision is made in the abdominal wall to access internal organs. However, with the advancement of technology and the advent of laparoscopy (a surgical technique using thin instruments and an optical camera inserted through small incisions in the abdominal wall), cholecystectomy can be performed using a laparoscopic technique - percutaneous laparoscopic cholecystectomy.

Laparoscopic cholecystectomy surgery has several advantages over laparotomy cholecystectomy, such as faster recovery from surgery, fewer complications and less pain after surgery. In addition, laparoscopic cholecystectomy surgery typically requires less hospitalization and recovery time, allowing patients to return to their normal activities more quickly.

However, like any surgical procedure, cholecystectomy may have risks and complications. Possible complications may include bleeding, infection, damage to the bile ducts and other internal organs. Therefore, the decision about the need for cholecystectomy should be made only after a thorough examination and consultation with an experienced surgeon.

Cholecystectomy is a form of surgery that may be necessary to treat gallbladder disease. Modern methods, such as laparoscopic cholecystectomy, allow the operation to be performed with minimal complications and fewer risks for the patient. However, as with any surgery, you must carefully discuss the risks and benefits with your surgeon to make the right decision.

Cholecystectomy (Latin chole - bile + Greek ἔκτομαι - remove) is a surgical operation to remove the gallbladder. It is one of the most common abdominal operations in abdominal surgery. Modern cholecystectomy is based on the principle of creating a wide and sufficiently long incision in the abdominal wall, allowing direct access to the gallbladder and its ducts.

Cholecystectomy is performed routinely and urgently. Indications for planned cholecystectomy include cholelithiasis, chronic calculous cholecystitis, gallbladder polyps, cancer of the gallbladder and extrahepatic bile ducts, as well as strictures (narrowing) of the extrahepatic bile ducts. Indications for emergency cholecystectomy are acute cholecystitis and acute pancreatitis.

The operation is performed in a hospital under general anesthesia. As a rule, a cholecystostomy is not installed, but if necessary, temporary drainage can be installed according to Vishnevsky.

Currently, cholecystectomy is often performed using a laparoscope. In this case, a small incision is made in the abdomen, 5-10 cm long. A laparoscope is inserted through it, with the help of which the surgeon sees all the internal organs on the monitor screen. The gallbladder is removed using special instruments. After the operation, the patient is discharged from the hospital after 3-5 days.

Cholecystectomy is a surgical procedure performed to remove the gallbladder. The surgery can be performed in several ways, but the most common is laparoscopy, which removes the gallbladder through small incisions in the abdomen.

Laparoscopy is a minimally invasive technique in which the surgeon makes a small incision in the abdominal wall and then inserts instruments and an imaging camera into the abdomen. The camera allows the surgeon to see all the organs and tissues located inside the abdomen, as well as control the process of removing the gallbladder during surgery.

The laparoscopy procedure usually takes about an hour and does not require a long hospital stay. After the operation, the patient can return home the very next day.

Laparoscopy surgery has a number of advantages over the classical laparotomy method. First, it is less invasive because it does not require a large incision in the abdomen, which can reduce the risk of infection and reduce post-operative pain. In addition, laparoscopy may be more effective than laparotomy because it allows the surgeon to remove the gallbladder without having to cut it, which can reduce surgical time and reduce the risk of complications.

However, laparoscopy may still have some risks. For example, some patients may experience nausea or vomiting, which may be related to the gas administered during the procedure or other factors. In addition, damage to other organs may sometimes occur during surgery, which may require additional surgery.