GALLBLADER SURGERY

Types of Surgery

GALLBLADER CONDITIONS

GALLSTONES (Cholelithiasis)

What is Cholelithiasis?

Gallstones are small, solid particles or stones that form in the gallbladder, a small organ located beneath the liver. The gallbladder stores bile, a digestive fluid produced by the liver, and releases it into the small intestine to aid in the digestion of fats.

Factors contributing to gallstone formation
  • Gender: Women are more prone to developing gallstones than men
  • Obesity
  • Genetic predisposition
  • Rapid weight loss
  • Dietary factors such as consuming a high-fat, high-cholesterol diet
  • Age,risk increasing with age
Symptoms of gallstones
  • Many people with gallstones may not experience any symptoms
  • Nausea and vomiting
  • Bloating
  • Jaundice (yellowing of the skin and eyes) if a stone obstructs the bile ducts
  • Sudden and intense pain in the upper right abdomen (biliary colic).
Gallstones complications

Acute Cholecystitis: Gallstones can block the cystic duct, leading to inflammation and infection of the gallbladder. Recurrent or long-standing inflammation of the gallbladder due to gallstones can result in chronic cholecystitis, characterized by repeated episodes of abdominal pain, bloating, and indigestion.

  • Pancreatitis: Gallstones that pass through the bile duct and obstruct the pancreatic duct.This can result in potentially life-threatening complications
  • Cholangitis
  • Gallbladder Cancer although rare
  • Choledocholithiasis
Diagnosis

Ultrasound imaging is the most common and effective method for diagnosing gallstones.Ultrasound can also detect complications such as gallbladder inflammation or bile duct obstruction.

Other imaging modalities include:

  • MRCP
  • ERCP
  • Computed Tomography (CT)
Laparoscopic Cholecystectomy:

Laparoscopic cholecystectomy is a minimally invasive surgical procedure (keyhole surgery) used to remove the gallbladder. It is the preferred method for treating symptomatic gallstones and gallbladder-related conditions, offering several advantages over traditional open surgery, including shorter recovery times, reduced postoperative pain, and smaller incisions.

During the procedure the patient is under general anesthesia. Four small incisions, typically 0.5 to 1 centimeter in length, are made in the abdomen. These incisions serve as access points for the laparoscopic instruments and camera.

Using specialized laparoscopic instruments, the surgeon carefully dissects the gallbladder from its attachments to the liver and surrounding tissues. Once freed, the gallbladder is removed through one of the small incisions.

Advantages of laparoscopic cholecystectomy
  • Minimally invasive
  • Short hospital stay,usually one day
  • Reduced postoperative pain
  • Recovery time is generally quicker, allowing patients to resume normal activities sooner
  • Lower risk of complications
  • Improved cosmetics
GALLBLADER POLYPS

What is a gallblader polyp?

Gallbladder polyps are abnormal growths or lesions that protrude from the inner lining (mucosa) of the gallbladder. These polyps can vary in size, shape, and composition, and they may be benign (non-cancerous) or malignant (cancerous). Gallbladder polyps are relatively common, and many are discovered incidentally during imaging tests performed for unrelated reasons.

When is laparscopic gallblader removal is indicated?

  1. Polyps larger than 1 centimeter in diameter are generally considered at higher risk of malignancy
  2. Symptomatic πolyps
  3. Rapidly growing polyps
  4. Gallbladder polyps coexisting with gallstones may increase the risk of complications such as cholecystitis (inflammation of the gallbladder) or biliary colic.