Cholecystectomy in India

What is Cholecystectomy ?

Cholecystectomy (/ˌkɒləsɪsˈtɛktəmi/; plural: cholecystectomies) is the surgical removal of the gallbladder. It is a common treatment of symptomatic gallstones and other gallbladder conditions. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy.

Indications

Indications for cholecystectomy include inflammation of the gall bladder (cholecystitis), biliary colic, risk factors for gall bladder cancer,and pancreatitis caused by gall stones.

Cholecystectomy is the recommended treatment the first time a person is admitted to hospital for cholecystitis.Cholecystitis may be acute or chronic, and may or may not involve the presence of gall stones. Risk factors for gall bladder cancer include a "porcelain gallbladder," or calcium deposits in the wall of the gall bladder, and an abnormal pancreatic duct.

Procedure Laparoscopic cholecystectomy

Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones and inflammation of the gallbladder unless there are contraindications to the laparoscopic approach. This is because open surgery leaves the patient more prone to infection.Sometimes, a laparoscopic cholecystectomy will be converted to an open cholecystectomy for technical reasons or safety.

Open cholecystectomy

Open cholecystectomy is occasionally performed in certain circumstances, such as failure of laparoscopic surgery, severe systemic illness causing intolerance of pneumoperitoneum, or as part of a liver transplant. In open cholecystecomy, a surgical incision of approximately 10 to 15 cm is typically made below the edge of the right ribcage. The liver is retracted superiorly, and a top-down approach is taken (from the fundus towards the neck) to the remove of the gallbladder from the liver, typically using electrocautery.