Types of Cholecystectomy
Cholecystectomy, the surgical removal of the gallbladder, is performed using two primary methods:
Indications for Surgery
Surgery may be necessary for conditions including symptomatic gallstones causing pain, gallbladder inflammation (cholecystitis), pancreatitis from gallstones, or presence of gallbladder polyps or cancer.
Preoperative Preparation
Before surgery, patients undergo comprehensive medical evaluation, blood tests, and imaging (ultrasound, CT, MRI). Fasting is required, and adjustments to medications may be necessary.
Postoperative Care
Following surgery, pain is managed with medications. Patients begin with clear liquids and gradually advance to a normal diet. Activity is limited initially with a gradual return to regular routines, avoiding heavy lifting for several weeks. Regular follow-up appointments monitor recovery and address any complications.
Risks and Complications
Potential risks include infection, bleeding, injury to nearby organs (bile duct, liver, intestines), blood clots, and anesthesia-related complications. Long-term digestive changes like diarrhea can occur.
Outcomes
Most patients fully recover within a few weeks and experience relief from gallstone symptoms. Cholecystectomy is highly effective in treating gallstone-related issues.
Alternatives
For patients not suitable for surgery, alternatives include medications to dissolve gallstones (less effective and slow) or non-surgical procedures like extracorporeal shock wave lithotripsy (ESWL) to break up stones (less common).
Discuss with your healthcare provider to explore all options, risks, and benefits before deciding on gallbladder stone removal surgery tailored to your specific condition.