Laparoscopic Cholecystectomy: What Is Done

Indication for Laparoscopic Cholecystectomy

The most common indication for laparoscopic cholecystectomy is gallbladder stones disease or gallstone. Not all gallstones disease require surgery. It is only symptomatic one which require surgery. Gallstone disease may lead to biliary colic, acute cholecystitis or chronic cholecystitis. Porcelain gallbladder which is a risk factor for gallbladder cancer is also an indication for laparoscopic cholecystectomy

Patient Preparation

As it is an elective procedure all routine lab investigations are done. Pt require Chest-X ray and ECG. Pre-Anesthetic check up is done. Patient require fasting for 6hr before surgery. Avoid hypogylcemic drug on day of surgery. Continue anti-hypertensive drug and thyroxine tablet on day of surgery with sips of water

Surgical Procedure

Done mostly through four ports, but if there are no so much adhesions it can be done through four ports.Camera port is inserted. Under vision other ports are placed. Adhesionolysis is done if present. Cystic duct and artery dissected, clipped and divided.Gallbladder is dissected out. Gallbladder is extracted. Bile and stone spillage is avoided

Post-op Recovery after Laparoscopic cholecystectomy

Patient is allowed orally four hrs after surgery, starting from liquids and gradually increased to normal diet. Patient is encouraged to walk. It is day care surgery. If patient is comfortable can be discharged on same day of surgery otherwise next day. From next day onwards patient can do all his normal activities

Diet after Laparoscopic Cholecystectomy

Generally it is advised to avoid excessive fat in the dist for 2-3 months post surgery. After that patient can have normal diet

Dr Amit Jain MS MCh (GI Surgery) is Best Laparoscopic Surgeon in Noida. Take an appointment on 7351088686 to consult Dr Amit Jain. To know more on Gallbladder stone disease and its management visit our facebook page Dr Amit Jain Laparoscopic Gastrointestinal Cancer & Bariatric Surgeon

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