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Laproscopic cholecystectomy
Discussion in 'All Categories' started by SYED FAZLE ELAHI - Apr 7th, 2012 12:05 pm.
My general symptom is that whenever I eat normal amount of food, there is a formation of gas; this become very uncomfortable. My doctor Who deals with my high cholesterol problem) recommended ultrasonogram of whole abdomen. This resulted in discovery of a stone of 8 mm diameter in gall bladder and cyst in kidney. Relevant doctor prescribed either (a) removal of gallbladder or (b) wait and see. What should I do? I can send the reports if you want.

What is laparoscopic surgery?
How soon can I start eating after surgery?
How long do I have to stay in hospital?
Do I have to take absolute bed rest?
re: Laproscopic cholecystectomy by Dr M. K. Gupta - Apr 7th, 2012 10:07 pm
Dr M. K. Gupta
Dr M. K. Gupta

You can send the report to us but as you have described your symptoms according to this you should go for laparoscopic cholecystectomy as soon as possible.

Laparoscopic cholecystectomy is now the defacto standard treatment of symptomatic gallstones and it is the commonest operation performed laparoscopically world-wide. The indications for its use within the treatment of gallstone are the same as open operation although the cholecystectomy rate has increased by typically 20%, since the introduction of Lap chole. The exact causes of this are not known however the rise is somehow associated with perceptions for patients, general practitioners and surgeons that the magnitude of the intervention is reduced by the laparoscopic approach.

To a large extent, this is correct however the possibility of overall morbidity linked to the surgical treatment of gallstone disease is increased by the higher cholecystectomy rate that also impacts on the overall health care costs. In comparison, large retrospective number of LCs from several countries indicate the overall mortality of cholecystectomy has decreased because the advent of the laparoscopic approach.

laparoscopic cholecystectomy is indicated in patients who develop symptoms or complications from the disease. In patients with gall-stone dyspepsia careful assessment is required to establish that the gallstones are indeed the reason for the symptoms since in certain of these patients, the symptoms might be of functional origin, for example irritable bowel syndrome or even the consequence of other organic pathology such as colonic diverticular disease, gastro-oesophageal reflux etc. In the elderly, hilar cholangio-carcinoma and cancer from the gallbladder may present with vague dyspeptic symptoms due to gallstones.

Obesity, previous surgery and acute cholecystitis are not contraindications but may necessitate elective conversion when the anatomy of Calots triangle is obscured, and in the case of acute cholecystitis, if the gallbladder has gangrenous patches or there is gross inflammatory oedema from the porta hepatis. Patients with lower abdominal incisions really don't pose any difficulty, but the dissection may prove hazardous in patients with previous surgery within the supracolic compartment, especially partial gastrectomy. Patients with cirrhosis and portal hypertension are in risk for two reasons: low peripheral resistance and the chance of bleeding thats difficult to control throughout the procedure. Cholecystectomy in these patients should not be attempted laparoscopically.

With regards

M.K. Gupta
re: Laproscopic cholecystectomy by plapoulvasia - Apr 10th, 2012 10:39 pm
Laparoscopic surgical treatment is a technique by which surgery is performed through small incisions in the abdominal wall and inserting the instruments through engineered ports. The procedure will be visualized with the aid of a camera, which will also be introduced through one of these simple ports.

A proper person without any other medical ailments and complications can be investigated with an out- patient basis. They are able to come in on the day of surgical procedures or the previous day. Carrying out a laparoscopic procedure for gallstones or perhaps a hernia they may be discharged either on the day of surgery or the next day. For additional advanced procedures 3 to 4 days in hospital would be the norm.

When the surgery is uneventful, feeding could be going on the same day once the patient has recovered directly from the effects of anaesthesia, provided no procedure has been performed on the bowel.

Often a weeks rest from the day of surgery should suffice. But it could be advisable for the surgeon to advice according to your progress.

No. The benefit of this method as has been earlier mentioned would be that the incisions are extremely small, thereby reducing pain and danger of hernia. You are able to become ambulant as early as pain and anaesthetic factors permit.

The potential risks of laparoscopic surgery?

There are some risks if you have general anaesthesia.
There is possibility of infection or bleeding in the wounds.
The abdominal organs, glands, intestines, or arteries may be damaged.
A blood clot may enter the bloodstream, and clog an artery in the lung.
A hernia can develop to begin from the wounds.
re: Laproscopic cholecystectomy by carpinteyrodjo - Nov 16th, 2012 8:50 am
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