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Gallbladder Cancer Surgery Tips

All About Gallbladder Surgery

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
All About Gallbladder Surgery

Surgery using a laparoscope is the most common way to remove the gallbladder. A laparoscope is a thin, lighted tube that lets the doctor see inside our belly. It is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or infected gallbladder.

The gallbladder is a small organ that sits right under the liver and is credited with bile storage, which can help the body in breaking down various kinds of fats that enter it. So, what all do you need to know about this operation? Read this list.

Reasons for Gallbladder Operation: The gallbladder is not a very efficient organ. It can lead to blockages and choking as the bile it stores can become very thick and difficult to handle. Also, this bile can harbour deposits that are hard ball like substances, usually known as gallbladder stones. The size of these stones can vary from the size of a grain to the size of a golf ball. 

Further, these gallbladder stones can cause infections, which can lead to symptoms like nausea, vomiting, bloating and more. Another reason can also be the gallbladder disease known as chloelithiasis, which can cause abdominal pain. Inflammation in the pancreas, also known as pancreatitis, can lead to gallbladder open removal surgery.

Risk: While the gallbladder removal surgery is usually considered a safe one, with little or no complications, there are risks attached to this surgery too. These include sudden and excessive bleeding and the creation of blood clots, allergic reactions to the drugs used as well as anaesthesia, blood vessel damage, accelerated heart rate which leads to an increased risk of contracting a heart attack or heart disease, infections, inflammation or swelling in the pancreas, and injuries caused to the bile duct during surgery.

You might also need this type of surgery if you have the following:

  1. biliary dyskinesia, which occurs when the gallbladder doesn't fill or empty correctly due to a defect
  2. choledocholithiasis, which occurs when gallstones move to the bile duct and potentially cause a blockage that prevents the gallbladder from draining
  3. cholecystitis, which is an inflammation of the gallbladder
  4. pancreatitis, which is an inflammation of the pancreas

Laparoscopic surgery is preferred over open cholecystectomy surgery because the smaller incisions that are made reduce your risk of infection, bleeding, and recovery time.

Preparation: To prepare for your gallbladder removal surgery, the doctor may ask you to have a prescription fluid so that your bowels are flushed clean. You may also be asked to fast for at least six hours before the surgery so that there is no hindrance to the same. Also, the use of an antibacterial soap to bathe is usually prescribed so that the risk of contracting infections decreases.

While this surgery can be a simple one, you will have to take due care after the surgery to ensure that the recovery is fast and virtually pain free.

3379 people found this helpful

Hole In Gallbladder - Can It Be Treated?

DNB, Surgical Gastroenterology, MS(Surgery)
Gastroenterologist, Chennai
Hole In Gallbladder - Can It Be Treated?

When a hole develops in the wall of the gallbladder, rectum, large bowel, small intestine, stomach or oesophagus, it is called gastrointestinal perforation. It is a medical emergency that needs urgent medical attention.

Symptoms of gastrointestinal perforation (GP) usually include
1. Serious stomach pain
2. Chills
3. Fever
4. Nausea
5. Vomiting

Peritonitis (abdominal cavity lining inflammation) can also accompany the abovementioned condition. So in addition to the above symptoms, you may also experience peritonitis symptoms such as:
1. Fatigue
2. Passing less gas, urine or stools
3. Breathing difficulties
4. Fast heartbeats
5. Dizziness

Certain diseases can cause Gastro-intestinal perforation, such as:
1. Appendicitis
2. Diverticulitis (A type of digestive disorder)
3. Stomach ulcer
4. Gallstones
5. Gallbladder infection
6. Inflammatory bowel diseases (inflammation in the small intestine and the colon)
7. Swollen Meckel’s diverticulum (abnormal bulging of the small intestine at birth)
8. Gastrointestinal tract cancer

Besides diseases, the following conditions can also lead to Gastro-intestinal perforation:
1. Blunt abdominal trauma
2. Gunshot or knife wound to the abdomen
3. Abdominal surgery
4. Stomach ulcers caused by excessive consumption of steroids, anti-inflammatory drugs and aspirin
5. Ingestion of caustic substances or foreign objects
Other than these, drinking alcohol, smoking and bowel injuries (caused by colonoscopy or endoscopy) can lead to GP as well.

Treatment options available
This condition is mostly treated with surgery. The goal of the surgery is to repair the anatomical problem and cause of peritonitis, along with removal of any foreign object in the abdominal socket, such as food, faeces and bile. However, if your doctor deems surgery unnecessary (in instances where the hole closes voluntarily) you will be only given antibiotics.
In some cases, a section of the intestine might need to be removed. An ileostomy or colostomy is performed where a portion of the large or small intestine is removed, which grants intestinal contents to empty or drain into a bag implanted on the wall of your abdomen.

The complications include:
1. Bleeding
2. Sepsis (Critical and fatal bacterial infection)
3. Belly ulcers
4. Wound infection
5. Bowel infarction (impaired supply of blood to the bowels)
6. Permanent colostomy or ileostomy

In case you have a concern or query you can always consult an expert & get answers to your questions!

3838 people found this helpful

Gallbladder Stone Treatment Through Surgery!

MBBS, MS - General Surgery, Fellowship in Gastroenterology
General Surgeon, Hyderabad
Gallbladder Stone Treatment Through Surgery!

The gallbladder is the small organ that is located on your liver’s underside, and functions primarily to store bile that aids the body in breaking down fats. The extra bile produced by the liver is then stored in the gallbladder, so that it is later released into the system when you consume fats that need to be broken down. However, one must remember that normal digestion is possible without a gallbladder, but the bile keeps flowing into the small intestine, but isn’t stored along its way in your gallbladder.

Often, gallstones are the primary reason that happens to prompt an individual to undergo a surgery. Another reason why you might have to rid yourself of the gallbladder itself is owing to the fact that the case of gallstones might be an acute one, or due to the incidence of other complications usually associated with your gallbladder. In most cases, however, the following procedures are employed to provide the patient relief:

Open Cholecystecomy
This surgery is generally performed with the use of an anaesthetic, by rendering the patient unconscious. Once the anaesthesia is employed, an antiseptic solution is used to clean the abdomen so that the risk of infection is drastically reduced. Incisions are made in the upper portion (on the right) of the abdomen, while the liver is carefully lifted out of the way in order to facilitate easy removal of the gallbladder. The next step deals with closing and suturing the incision. The recovery period for this procedure is longer than most other options, and is accompanied by a lot of postoperative pain.

Laprascopic Cholecystecomy
In this method, the surgery is carried out with the help of general anaesthesia, and instead of creating one large incision, four tiny cuts are made into the abdomen. One incision is purposely made under the navel wherein a laparoscope is inserted. Instruments are then inserted through other incisions, and the gallbladder is then cut free and drawn out through one of these incisions. Once the procedure ends, the incisions are stapled or sutured.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3222 people found this helpful

Laparoscopic Gallbladder Removal Surgery!

MS - General Surgery, MBBS
General Surgeon, Delhi
Laparoscopic Gallbladder Removal Surgery!

What is Laparoscopic Gallbladder Removal Surgery (Laparoscopic Cholecystectomy)?

Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed with minimally invasive techniques and the medical name for this procedure is Laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.

The gallbladder is a pear-shaped organ that rests beneath the right side of the liver. Its main purpose is to collect and concentrate a digestive liquid (bile) produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile travels through narrow tubular channels (bile ducts) into the small intestine. Removal of the gallbladder is not associated with any impairment of digestion in most people.

What Causes Gallbladder Problems?

Gallbladder problems are usually caused by the presence of gallstones which are usually small and hard, consisting primarily of cholesterol and bile salts that form in the gallbladder or in the bile duct.

It is uncertain why some people form gallstones but risk factors include being female, prior pregnancy, age over 40 years and being overweight. Gallstones are also more common as you get older and some people may have a family history of gallstones. There is no known means to prevent gallstones.

These stones may block the flow of bile out of the gallbladder, causing it to swell and resulting in sharp abdominal pain, vomiting, indigestion and, occasionally, fever. If the gallstone blocks the common bile duct, jaundice (a yellowing of the skin) can occur.

Diagnosing 

  1. Ultrasound is most commonly used to find gallstones.
  2. In a few more complex cases, other X-ray test such as a CT scan or a gallbladder nuclear medicine scan may be used to evaluate gallbladder disease.

Gallstones do not go away on their own. Some can be temporarily managed by making dietary adjustments, such as reducing fat intake. This treatment has a low, short-term success rate. Symptoms will eventually continue unless the gallbladder is removed. Treatments to break up or dissolve gallstones are largely unsuccessful.

Surgical removal of the gallbladder is the time-honored and safest treatment of gallbladder disease.

What are the Advantages of Performing Laparoscopic Gallbladder Removal?

  1. Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
  2. Patients usually have minimal post-operative pain.
  3. Patients usually experience faster recovery than open gallbladder surgery patients.
  4. Most patients go home the same day of the surgery and enjoy a quicker return to normal activities.

Are you a Candidate?

Although there are many advantages to laparoscopic gallbladder removal (cholecystectomy), the procedure may not be appropriate for some patients who have severe complicated gallbladder disease or previous upper abdominal surgery. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in laparoscopy, can determine if laparoscopic gallbladder removal (cholecystectomy) is an appropriate procedure for you.
 

1 person found this helpful

Gallbladder Surgery - Why Is It Required?

Dr. Purnendu Bhowmik 87% (20 ratings)
MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
Gallbladder Surgery - Why Is It Required?

Surgery using a laparoscope is the most common way to remove the gallbladder. A laparoscope is a thin, lighted tube that lets the doctor see inside our belly. It is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or infected gallbladder.

The gall bladder is a small organ that sits right under the liver and is credited with bile storage, which can help the body in breaking down various kinds of fats that enter it. So, what all do you need to know about this operation? Read this list.

Reasons for Gall Bladder Operation: 

  1. Symptomatic gall stones 
  2. Acalculous cholecystitis 
  3. Gallbladder polyp 
  4. Gallbladder tumour 
  5. Porcelain gallbladder where there is calcification of gallbladder wall 
  6. Gallbladder infection

Risks of Operation:

  1. Bleeding
  2. Intra peritoneal abscess
  3. Bile duct injury
  4. Post-operative sepsis
  5. Intestinal injury 

You might also need this type of surgery if you have the following:

  • Biliary dyskinesia, which occurs when the gallbladder doesn't fill or empty correctly due to a defect
  • Choledocholithiasis, which occurs when gallstones move to the bile duct and potentially cause a blockage that prevents the gallbladder from draining
  • Cholecystitis, which is an inflammation of the gallbladder
  • Pancreatitis, which is an inflammation of the pancreas

Laparoscopic surgery is preferred over open cholecystectomy surgery because the smaller incisions that are made reduce your risk of infection, bleeding, and recovery time.

2015 people found this helpful

Complications After Gallbladder Surgery

MBBS, DNB ( General Surgery )
General Surgeon, Indore
Complications After Gallbladder Surgery

These Gallstones don’t cause any problems in most cases. But prompt treatment is required if stones block ducts and cause infections and inflammation in the pancreas. This may lead to the removal of the gallbladder through a surgery, known as cholecystectomy, which further includes techniques such as laparoscopic (keyhole) cholecystectomy or open surgery.

Although it is a less vital organ, the body can cope up even after removal.

Procedure of surgery:

  1. The surgery involves removal of gallbladder and gallstones through several incisions in the abdomen. In order to see clearly, the surgeon inflates the abdomen with air or carbon dioxide.
  2. A lighted scope attached to a video camera is inserted into one incision near the belly button. The video monitor is used as a guide for inserting other surgical instruments into the other incisions to remove the gallbladder.
  3. Intraoperative cholangiography is the X-ray procedure which shows the anatomy of bile ducts. This is done before the surgeon removes the gallbladder.
  4. Bile flows from the liver through the common bile duct after the surgery into the small intestine. As the gallbladder has been removed, the gallbladder can no longer store bile between meals but has no effect or little effect on digestion.
  5. In case of open surgery, the surgeon reaches the gallbladder through a large, single incision in the abdominal wall.

Complications after gallbladder surgery:

This surgery carries some degree of risk like any other surgery. Complications such as internal bleeding, infection, injury to nearby digestive organs, injury to the bile duct and injury to blood vessels.

Types of gallstones:

There are three main types of gallstones. They are

  1. Mixed stones: They are made up of cholesterol and salts. They tend to develop in batches.
  2. Cholesterol stones: Mainly made of cholesterol, which is crucial to many metabolic processes. They can grow large enough to block the bile ducts.
  3. Pigment stones: The colour of bile is greenish-brown, due to some particular pigments.

Medical factors to consider before cholecystectomy:

The most important factor is a consideration of your medical history. This is because the pre-existing conditions influence decisions on surgery and anaesthetic and information about any bad reactions or side effects from any medications would be helpful for surgery.

Self-care after the surgery:

Taking rest is the most important thing after surgery. Avoid things such as heavy lifting and physical exertion. The usual recovery period after the surgery is one week.

3019 people found this helpful

Holes In Gallbladder - Signs You Are Suffering From It!

MBBS, M.S. (Gold Medalist), MCh - Surgical Gastroenterology/G.I. Surgery
Gastroenterologist, Agra
Holes In Gallbladder - Signs You Are Suffering From It!

When a hole develops in the wall of the gallbladder, rectum, large bowel, small intestine, stomach or oesophagus, it is called gastrointestinal perforation. It is a medical emergency that needs urgent medical attention.

Symptoms of gastrointestinal perforation (GP) usually include
1. Serious stomach pain
2. Chills
3. Fever
4. Nausea
5. Vomiting

Peritonitis (abdominal cavity lining inflammation) can also accompany the abovementioned condition. So in addition to the above symptoms, you may also experience peritonitis symptoms such as:
1. Fatigue
2. Passing less gas, urine or stools
3. Breathing difficulties
4. Fast heartbeats
5. Dizziness

Certain diseases can cause Gastro-intestinal perforation, such as:
1. Appendicitis
2. Diverticulitis (A type of digestive disorder)
3. Stomach ulcer
4. Gallstones
5. Gallbladder infection
6. Inflammatory bowel diseases (inflammation in the small intestine and the colon)
7. Swollen Meckel’s diverticulum (abnormal bulging of the small intestine at birth)
8. Gastrointestinal tract cancer

Besides diseases, the following conditions can also lead to Gastro-intestinal perforation:
1. Blunt abdominal trauma
2. Gunshot or knife wound to the abdomen
3. Abdominal surgery
4. Stomach ulcers caused by excessive consumption of steroids, anti-inflammatory drugs and aspirin
5. Ingestion of caustic substances or foreign objects
Other than these, drinking alcohol, smoking and bowel injuries (caused by colonoscopy or endoscopy) can lead to GP as well.

Treatment options available
This condition is mostly treated with surgery. The goal of the surgery is to repair the anatomical problem and cause of peritonitis, along with removal of any foreign object in the abdominal socket, such as food, faeces and bile. However, if your doctor deems surgery unnecessary (in instances where the hole closes voluntarily) you will be only given antibiotics.
In some cases, a section of the intestine might need to be removed. An ileostomy or colostomy is performed where a portion of the large or small intestine is removed, which grants intestinal contents to empty or drain into a bag implanted on the wall of your abdomen.

The complications include:
1. Bleeding
2. Sepsis (Critical and fatal bacterial infection)
3. Belly ulcers
4. Wound infection
5. Bowel infarction (impaired supply of blood to the bowels)
6. Permanent colostomy or ileostomy

In case you have a concern or query you can always consult an expert & get answers to your questions!

3476 people found this helpful

Gallbladder Stones - Laparoscopic Surgery For It!

Dr. Manish K. Gupta 93% (75 ratings)
F.I.A.G.E.S , MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS
General Surgeon, Delhi
Gallbladder Stones - Laparoscopic Surgery For It!

The gallbladder is responsible for storing and releasing bile. This bile aids in digestion by breaking down fat cells. If the gallbladder does not function optimally, small crystals begin to develop within the gallbladder. These are known as gallstones and can range from being the size of a salt crystal to a golf ball. Gallstones can be extremely painful and do not go away on their own. Since the body can function without a gallbladder, a surgeon may advise removing this organ to treat gallstones. This is known as a cholecystectomy. Today, this surgery is usually performed laparoscopically.

What is a laparoscopic cholecystectomy?
This surgery is also known as a keyhole surgery. Unlike an open surgery, in this case, the surgeon makes a few small incisions through which instruments may access the gallbladder. The removal of the gallbladder is also done through one of these incisions. A laparoscopic cholecystectomy may also be performed if the gallbladder is inflamed or in the case of pancreatitis. There are a number of advantages to this type of surgery. Most important amongst them is that the patient recovers faster and has less scarring.

Laparoscopic Cholecystectomy Procedure
This surgery is usually performed while the patient is under general anaesthesia. The surgeon begins by making a number of small incisions in the patient’s abdomen. A tube is then inserted into one of the incisions. Carbon dioxide gas is passed through this tube to separate the underlying organs from the abdominal wall. A tiny camera is inserted into another cut. The feed from this camera is displayed on a large monitor. Clips are sued to cut off the arteries and ducts servicing the gallbladder. The gallbladder is them cut free and pulled out of the abdomen through one of the incisions. During the surgery, special x-rays may also be used to check for gallstones lodged in the bile ducts. The incisions will then be stitched and dressed. In most cases, patients may go home on the same day.

Recovery from Laparoscopic Cholecystectomy
This surgery has a high success rate and is considered relatively safe. However, there are some risks associated with the procedure. These include:

  1. Allergic reaction to anaesthesia
  2. Bleeding or clotting of blood
  3. Infections
  4. Increased heart rate
  5. Injury to the small intestine or bile duct

Recovering from a gallbladder removal surgery usually takes a week. Unless there are any complications, extended hospitalization is not required. In the first few days after the surgery, patients may experience slight diarrhoea. Patients are advised to walk but should avoid lifting weights. Special antibacterial soaps should be used while bathing to avoid the onset of infections. In case you have a concern or query you can always consult an expert & get answers to your questions!

1954 people found this helpful

What To Expect From Laparoscopic Gallbladder Surgery?

Dr. Nandakishore Dukkipati 87% (21 ratings)
Fellowship in Gastrointestinal and Endocrine Surgery, Fellowship in Advanced Laproscopy & Bariatric Surgery
General Surgeon, Hyderabad
What To Expect From Laparoscopic Gallbladder Surgery?

 The gallbladder is a very important organ in the human body. This is a pear-shaped organ which is used for storing the bile. Bile is a fluid which helps in digesting your food. When the gallbladder does not function well, then hard fragments will form in the gallbladder and they are calledgallbladder stones. The size of these stones differs from person to person. For a few people, they are just the size of a small rice grain and for few, it can be as large as a golf ball.

When gallbladder stones are formed, they will not vanish by themselves. They will cause pain and many other symptoms which are unbearable. You need to consult a doctor and you may have to get the gallbladder removed. This kind of gallbladder removal surgery is called cholecystectomy.

How are gallbladder stones removed?
More than 80 percent of people with gallbladder stones will need a cholecystectomy. This surgery can be performed in two different ways.

  • Open gallbladder surgery: In an open gallbladder surgery, a 5-inch incision is made in the abdominal area which is not required for a laparoscopic surgery. Nowadays, people are opting for laparoscopic surgery for any kind of surgery as it is safe, less painful, requires a shorter stay at the hospital and there are fewer scars.
  • Laparoscopic gallbladder surgery: In a laparoscopic gallbladder surgery, 4 small incisions are made in the abdominal area. A small tube with a very small camera and light will be inserted into the abdomen through one of the incisions made. Equipment required for the removal of the gallbladder is also inserted through the other incisions and the surgery is performed.

Before performing the laparoscopic gallbladder removal surgery, you will have to undergo a few tests such as blood test, complete physical test, gallbladder imaging tests and a review of your past medical history. After going through the reports of all these tests and checking all other medications that you take, your doctor will decide if you need gallbladder surgery or not.

Post Gallbladder surgery: Post-surgery, you may see some symptoms, but they are rare and mild. One of the common symptoms experienced after the surgery is diarrhea. You can start walking as soon as you start feeling better. But you should talk to the doctor in order to get back to your normal routine.

Regarding your diet, you will have to start with a liquid diet and make sure that you do not take heavy and fatty food. Your body will take some time to get back to digesting a normal diet and hence you will have to take good care.

1936 people found this helpful

Cancer Surgery - How Laparoscopy Can Help Treat It?

M.CH - Surgical Oncology, MBBS
Oncologist, Visakhapatnam
Cancer Surgery - How Laparoscopy Can Help Treat It?

Laparoscopy essentially means a surgical technique that aims at minimizing the trauma of general surgery. This is also known as minimally-invasive surgery. This procedure can take the form of endoscopic and robotic technique as well. The laparoscopic technique involves making small incisions, the involvement of a camera and removing/ operating the affected part with the help of light through machines.

Laparoscopic technique in cancerLaparoscopic surgeries are being extensively used for removal of the colon, rectum, stomach, uterus, kidney, lymph node removal etc. The laparoscopic procedure helps to reduce the size of the incision, reduce pain related complications, reduce the hospital stay and a quicker recovery period.

How old is the process?

It’s been a couple of decades since the first procedure of laparoscopy was performed. The first procedure was a gallbladder removal followed by a kidney removal. Laparoscopic procedures for cancer surgeries have only come into effect in the last 5-6 years. Since most cancer surgeries are complicated and demand a holistic involvement of a surgeon, this procedure is not followed by too many surgeons. This being said, cancer-related to the kidney, abdomen and gall bladder, laparoscopic treatments are getting more preference among surgeons.

Understanding the benefits of Laparoscopic surgery

The biggest advantage of this procedure is the minimization of pain. Apart from this, some other benefits include less bleeding, shorter duration of stay at the hospital, less scarring etc. Having said this, a lot of these factors depend on the type and location of the surgery. Typically, cancer-related surgeries involve intense pain and high recovery time. A laparoscopic procedure can help in this regard.

Know the risks involved: Every operation has its fair share of risks and complication- be it conventional surgery or laparoscopic surgery and inexperienced hands and complex surgeries can make the matter worse. Some bigger risks involved in laparoscopic procedures include complications related to the anesthesia, injury to other organs, internal infections and the risk of punctures. Patients who have undergone surgeries before runs more risk than the one who has not undergone any operation.

Cost involved: The cost involved for laparoscopic surgeries are comparatively lesser than conventional surgeries. Then again, the location and complication of the surgery also pay a deciding factor of the final cost involved. In case you have a concern or query you can always consult an expert & get answers to your questions!

2026 people found this helpful
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