Operation liftbiologicalgallbladder by laparoscopy is surgical cutting and removal of the gallbladder through small incisions with the help of a special instrument in the form of a thin tube with a camera (laparoscope). Another name for this operation is Laparoscopic cholecystectomyk.
The gallbladder is a small organ located near the liver. This organ is a storage place for bile produced by the liver and a place to digest fat.
Laparoscopic cholecystectomy is performed by making a small, keyhole-sized incision in the skin, as the entry point for the laparoscope. The laparoscope, which is a thin tube with a camera at the end, will display the condition of the gallbladder to be removed.
Compared to conventional surgery (open surgery), the incision in a laparoscopic cholecystectomy is much smaller. Therefore, the pain that occurs after laparoscopic gallbladder removal surgery is lighter and the postoperative care is also shorter.
Indication Gallbladder Removal Surgery dith Laparoscopy
Laparoscopic cholecystectomy is often used by doctors to treat the following conditions:
- Cholelithiasisor gallstones
- Cholecystitis or inflammation of the gallbladder
- Pancreatitis or inflammation of the pancreas
- dyskinesiabiliary, that isdisorders of the gallbladder and its ducts, so that the gallbladder cannot fill or empty its contents properly
- Choledocholithiasis or bile duct stones , i.e. gallstones that were originally in the gallbladder move towards the bile duct, so it is feared that it will clog the duct
Warning Operation AK levelgrandmother Ebile dith Laparoscopy
Laparoscopic cholecystectomy is usually performed in patients with gallstones who experience symptoms. Meanwhile, in patients with gallstones who do not experience any symptoms, doctors usually only provide treatment in the form of drug administration and dietary regulation.
Even so, laparoscopic gallbladder removal surgery can also be recommended for asymptomatic gallstone sufferers if there are the following conditions or diseases:
- Uncontrolled blood clotting disorders (coagulopathy)
- Chronic obstructive pulmonary disease
- Heart failure
- Decomposed gallbladder
- Is pregnant
- Suspected of having gallbladder cancer
Patients who also have chronic obstructive pulmonary disease or heart failure should undergo conventional gallbladder removal surgery. This is because patients with the disease are sensitive to the gases used to distend the abdominal cavity during laparoscopic surgery.
Patients suspected of having gallbladder cancer should also undergo conventional gallbladder removal surgery. The goal is to allow the doctor to better examine the condition of the tissue around the gallbladder and to reduce the risk of leaking the organ during surgery.
BeforeE Bladder Lift Surgerympedu dith Laparoscopy
Prior to undergoing gallbladder removal surgery, the digestive surgeon or general veterinarian will ask questions about the patient's medical history and examine the patient's physical condition thoroughly. The doctor will also run some tests, such as blood tests and X-rays.
Patients need to tell their doctor if they are taking any medications, supplements, or herbal products. If necessary, the doctor will ask the patient to stop taking the drug or supplement.
Some other things that patients should also do before undergoing a laparoscopic cholecystectomy are:
- Do not eat or drink a few hours before the procedure
- Take a bath with antiseptic soap
- Ask family or friends to accompany you during surgery and postoperative care
- Taking laxatives to clear feces or feces in the intestines
Procedure Operation Aincrease gallbladder dith Laparoscopy
Before undergoing surgery, patients need to change their clothes with special clothes that have been provided by the hospital. The doctor will then give general anesthesia (general anesthesia), so that the patient is asleep and does not feel pain during the operation.
After the anesthetic has worked, the doctor will begin the process of a laparoscopic cholecystectomy. The following are the stages of the laparoscopic cholecystectomy procedure:
- The patient is placed in a supine position.
- The doctor makes four small incisions in the skin on the patient's abdomen, close to the gallbladder.
- Through the incision, the doctor inserts a laparoscope that will display a picture of the condition of the gallbladder on a monitor.
- Then the gas is channeled into the abdominal cavity, so that the patient's abdominal cavity swells and the area to be operated on is not covered by other tissues. With the help of a monitor, the doctor will insert the tools needed during the operation into the patient's stomach.
- Once the tools are in the correct position, the doctor will cut and remove the gallbladder. If there is an abnormality in the gallbladder, the doctor will correct the abnormality.
- After the gallbladder is removed, the doctor will examine the condition of the organs around the gallbladder with X-rays. This procedure is called cholangiography.
- If there are no other problems, the doctor will close and suture the skin incision.
If problems or complications occur during a laparoscopic cholecystectomy, the doctor may switch to a conventional cholecystectomy, which involves making a larger incision to open the abdominal cavity.
Laparoscopic gallbladder removal surgery usually lasts about 1-2 hours. Patients who have completed surgery will be taken to the treatment room for recovery.
After Gallbladder Removal Surgery dith Laparoscopy
After surgery, the patient can go home immediately or need to stay in the hospital, depending on the condition. For patients who have been allowed to go home, the doctor will arrange a control schedule to monitor recovery after surgery. Doctors can also prescribe pain medication and antibiotics to prevent infection.
Wound healing after laparoscopic cholecystectomy generally takes about 1 week. When performed conventional cholecystectomy, healing can take longer.
Please note, surgery to remove the gallbladder by laparoscopy can cause some complaints during the recovery period. This is normal. These complaints will generally subside and disappear as the patient's condition improves. Some of the complaints that can arise during the recovery period are:
- Stomach ache
- Sore throat
- Nausea and vomiting
- Bruises around the surgical wound
- Redness around the surgical wound
Other things to consider and do after undergoing a laparoscopic cholecystectomy are:
- Don't lift heavy things
- Drink enough water
- Treat stitches and take medication as recommended by the doctor
- Increase activity gradually
- Keep moving or walking leisurely so that blood flow is smooth and blood does not clot
Complications of Gallbladder Removal Surgery dno Laparoscopy
Although rare, the possibility of complications after laparoscopic cholecystectomy remains. Some of the complications that can occur are:
- Gallbladder leak
- Surgical wound infection
- Injury or damage to the tissues or organs around the gallbladder, such as the intestines and liver
- Blood clotting
- Heart problems, such as a fast heartbeat
- Damage to blood vessels
- Allergic reaction to anesthetic drugs or other drugs used during surgery
- Hernia in the surgical incision
- Numbness in the operating area
- Infection of the abdominal cavity (peritonitis)