What are the indications of cholecystectomy?
What are the indications of cholecystectomy?
Your doctor may recommend a cholecystectomy if you have:
- Gallstones in the gallbladder (cholelithiasis)
- Gallstones in the bile duct (choledocholithiasis)
- Gallbladder inflammation (cholecystitis)
- Large gallbladder polyps.
- Pancreas inflammation (pancreatitis) due to gallstones.
What are the indications for laparoscopic cholecystectomy?
Indications
- Cholecystitis (Acute/Chronic)
- Symptomatic cholelithiasis.
- Biliary dyskinesia- hypofucntion or hyperfunction.
- Acalculous cholecystitis.
- Gallstone pancreatitis.
- Gallbladder masses/polyps.
What is the most common complication of cholecystectomy?
The most common complication is iatrogenic perforation of the gallbladder with spilt gallstones with an incidence of 10-30% [8]. Injuries during the laparoscopic cholecystectomy can be prevented by precise operative technique, clear visualisation of anatomical landmarks, and careful dissection of tissues.
When is gallbladder removal indicated?
You may need gallbladder surgery if you have pain or other symptoms caused by gallstones — small stones that can form in the gallbladder. They can block the flow of bile and irritate the gallbladder. Common symptoms of gallbladder problems include: Indigestion, with bloating, heartburn, and gas.
What are the types of cholecystectomy?
What is a cholecystectomy?
- Open (traditional) method. In this method, 1 cut (incision) about 4 to 6 inches long is made in the upper right-hand side of your belly. The surgeon finds the gallbladder and takes it out through the incision.
- Laparoscopic method. This method uses 3 to 4 very small incisions.
What are the symptoms of post cholecystectomy syndrome?
Symptoms of postcholecystectomy syndrome may include:
- Upset stomach, nausea, and vomiting.
- Gas, bloating, and diarrhea.
- Persistent pain in the upper right abdomen.
Is it harder to lose weight without a gallbladder?
Without the gallbladder, the body cannot store as much bile, and it does not break down as much fat. While the possible immediate adverse effects of surgery, such as diarrhea, may lead to weight loss in the short term, gallbladder removal may actually lead to a higher long-term body mass index (BMI).
Is it harder to lose weight after gallbladder removal?
Traditional surgery tends to come with a more difficult and painful recovery. For most people, weight loss after gallbladder surgery is a temporary issue. Once the body has adjusted — usually within a few weeks — weight loss will typically slow down or stop.
What are the consequences of not having a gallbladder?
Without the gallbladder, the liver still produces the bile necessary to digest fat in food. But instead of entering the intestine all at once with a meal, the bile continuously drains from the liver into the intestine. This means it may be harder and take longer for your body to digest fat.
Can you pass a 1 cm gallstone?
Summary: We report two cases in which gallstones greater than 1 cm in diameter passed spontaneously from the common bile duct into the duodenum. The possibility of spontaneous passage should be borne in mind in the management of patients with common duct stones.
What are the indications for a laparoscopic cholecystectomy?
The indications for laparoscopic cholecystectomy are the same as for open cholecystectomy: ●Symptomatic cholelithiasis with or without complications. (See “Treatment of acute calculous cholecystitis” and “Overview of gallstone disease in adults”.)
What are the symptoms of acute cholecystitis?
Cholecystitis (inflammation) of the gallbladder is one of the indications for laparoscopic cholecystectomy. Cholecystitis can occur suddenly, with symptoms such as fever along with intense pain in the right upper tummy. This is called acute cholecystitis.
Are there any articles in the literature for cholecystectomy?
The literature of late has been filled with articles by many surgeons, the enthusiastic advocating cholecystectomy for all cases, the conservative decrying its general adoption.
Can a gallbladder be drained with a cholecystectomy?
The operation of cholecystectomy has been accepted by experienced surgeons as the one of choice for most cases of gallbladder disease that in former years were simply drained.