Laparoscopic Surgery for Gallstone
Gallstones is the most common surgical gallbladder disease. It is the most common indication for laparoscopic surgery for abdomen disease.USG abdomen is the best investigation for diagnosis of gallbladder stones. Most commonly patient present with biliary colic.The standard treatment for gallstones is laparoscopic cholecystectomy.Gallstones can cause various complications like jaundice, cholangitis, pancreatitis. There is no role for medicine in the management.Laparoscopic cholecystectomy is a day care surgery in which patient is operated early in the morning and can be discharged on same day by evening. From next day onwards patient can do all his day to day normal activities. There is no special diet after gallbladder removal.Patient has to avoid excess fat in the diet for next 2-3 months post-surgery
Laparoscopic Surgery for Gallbladder Cancer
It is the surgical gallbladder disease which if detected early and treated carries a good prognosis. Most common symptom of gallbladder cancer is pain right upper abdomen along with anorexia and weight loss. Patient can have jaundice if gallbladder mass most likely at neck compress the biliary symptom.If there is doubt of gallbladder cancer on ultrasound CECT abdomen should be done. There is no role of FNAC if the gallbladder cancer is resectable. The standard surgery for gallbladder cancer is radical cholecystectomy in which gallbladder is removed along with liver wedge and standard lymphadenectomy is done. Earlier cancer surgery was not done laparoscopically in fear of port site metastases. Now we have sufficient data in literature which supports that even cancer surgery can be done laparoscopically with early benefits of minimally invasive approach and long term same survival rate compared to open surgery. Gallbladder cancer surgery is also being done laparoscopy in early stage cancers
Dr Amit Jain MS MCh (GI Surgery) is best gastrosurgeon in Ghaziabad India.Call us at 7351088686 for your queries.