The standard gallbladder stone surgery is the removal of the whole of gallbladder called as cholecystectomy. In gallbladder stone disease whole of the gallbladder is removed, unlike renal stones in which only stones are removed. It may be done by a laparoscopic approach called laparoscopic cholecystectomy or open approach called as open cholecystectomy.
Open Gallbladder stone surgery
Open cholecystectomy is performed only when it is expected that there will adhesions at gallbladder fossa or suspected difficult cases. Still, a trial of laparoscopy can be given in these cases also. Recovery in these patients is late as the length of the incision is more and as compared to laparoscopic cholecystectomy patients is discharged late.
Laparoscopic Gallbladder stone surgery
Gallbladder removal surgery is commonly called as Laparoscopic cholecystectomy as mostly it is done by laparoscopic approach. Laparoscopic surgery is also called as Minimally invasive surgery because of small size incision. Small incisions mean less pain in the post-operative period. It allows early mobilization of the patient and early recovery. Laparoscopic cholecystectomy come under day care surgery. It means if the patient is comfortable in the post-operative period then the patient can be discharged on the same day of surgery.
The standard gallstone surgery is laparoscopic cholecystectomy. Gallstone surgery is done under general anesthesia. Generally, four ports are placed but in the simple gallbladder, without much adhesions, it can be done with three ports also. Surgery duration last from 15 mins to 1 hr. It depends on surrounding adhesion of gallbladder to other structures.Complications of gallstone surgery is rare but includes bleeding and bile duct injury. After 4 hr of surgery, the patient is allowed to have sips of water. The patient is advised to walk and pass urine. Allowed a soft diet on an evening and can be discharged if the patient is comfortable. Next day onwards patient can do all his day to day activities
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