In medical parlance, cholecystectomy is the surgical procedure attempted to remove gallbladder. The primary reason for conducting cholecystectomy is gallstones as they may cause acute pain in the abdomen. This discomfort, termed biliary colic, is due to the blockage of the bile or cystic duct.
A quick recollection of your school-time education may help you recall the function of this tiny pear-shaped organ also known as the gallbladder.
Albeit small, the gallbladder, under the liver, plays an essential role in collecting and storing bile that liver produces. On an average, the liver produces around three to four cups of bile. Bile is a yellowish, bitter-tasting liquid that aids in digesting fats. When fatty foods ingestes, the gallbladder releases bile into the small intestine through a duct. This process helps in digestion by breaking down the fat and removing the waste.
What Are Gallstones
As the name suggests, gallstones are stones or lumps or tiny pebbles of hard digestive fluid. They can form in the gallbladder or even in the bile duct. The gallstones vary in size. For instance, there can be one large gallstone of the size of a golf ball or hundreds of gallstones as tiny as a speck of sand. Though, usually, they are said to be around 5-10 mm in diameter.
Cholelithiasis is the medical term for formation of gallstones. It is called choledocholithiasis if gallstones develop in the bile duct. Moreover, gallstones in the pancreas may cause inflammation, giving rise to a condition called pancreatitis.
Not all gallstones need surgical removal. However, some may cause the gallbladder to inflame, triggering infection and excruciating pain. This is defined as cholecystitis which could be chronic if it develops over a period of time or acute if it is a sudden development.
Symptoms of Cholecystitis
- Pain in the back, between the shoulder blades to be precise
- Aching in the right shoulder
- Sharp, unbearable pain in the right abdomen
- Sudden pain in the centre of abdomen that may rapidly become unbearable
- Yellowing of skin (jaundice): This happens when gallstones form in the common bile duct
Cholecystitis can be diagnosed after physical examination by a general practitioner who may then advise the patient to consult a specialist. There are a number of tests that the patient may be required to undergo before opting for cholecystectomy.
A patient may need to undergo some tests before the surgery, for instance abdominal ultrasound, urinalysis, blood work evaluation, and so on and so forth. Your healthcare provider, may need you to help them with your health background, medical history, medications.
The surgical procedure of removing the gallbladder is the technique to alleviate the pain that occurs due to gallstones.
Standard procedure for treating the pain arising out of any of the severe conditions caused by gallstones comprises pain medication, IV fluids, and an eventual cholecystectomy. Doctors may advise you about the precautions to be taken after the operation.
Cholecystectomy laparoscopic surgery is the most common method by quite a lot of medical professionals since it is minimally invasive. There are several small incisions on the abdomen. Thereafter, hollow tubes called ports get inside via the openings. Post this, a tiny video camera and surgical tools get into the tubes. For a better view of the internal organs, the doctor inflates the abdomen with carbon dioxide. The camera displays the image on a monitor. This aids the surgeon in manoeuvring the surgical instruments for the removal of gallstones and gallbladder.
After the removal of the gallbladder, doctor sutures the incisions. They may also use glue or surgical clips for this purpose. The procedure may take about 1 to 2 hours.
In some cases, patients can go home the same day after the effect of the drugs wear off. However, some may need to stay for a night or two. The complete recovery usually takes about a week’s time.
In open cholecystectomy, the surgeon makes a 6-inch long incision in the abdomen on its upper right-hand side. This cuts through the muscle and the fat so as to pull them aside to reveal the gallbladder. The surgeon removes the organ and closes the ducts using sutures. The opening is then sutured or stapled with surgical clips. For some time, doctors may put little channel passing through the inside the abdomen with an opening on the surface. Later the surgeon removes it during the patient’s stay at the hospital. This procedure may go about for 1 to 2 hours.
A patient may stay at the hospital for two to three weeks in case of open surgery. The doctor checks for your recovery and once they notice your recovery, they send you home. Mostly your ability to digest fluids and solids without any pain, and check if can move around without any assistance.
After Surgery Discomforts, Complications
Some patients may complain of the following complications post cholecystectomy. Doctors, however, dub them as minor risks or symptoms and advise their patients to immediately consult them if the condition/s persist.
- Blood clots
- Bleeding from abdominal cavity
- Heart problems
- Bile leakage
- Injury to the bile duct
- Injury to bile duct, liver, bowel, blood vessels, small intestine owing to their proximity to the organ
Benefits Outnumber Risks, Contraindications
- Cholecystectomy is said to relieve you of severe pain and inflammation that may later develop into a chronic infection.
- It may stop re-occurrence of gallstones.
- By not getting surgery, you may risk bursting of the gallbladder, acute illness.
- In worst cases, it can cause worsening symptoms and eventual fatality.
Also Read: Benefits of Laparoscopic Surgery
So, this is hopefully all you need to know about cholecystectomy. If you have any complications around gallbladder, it is advisable to consult a doctor as soon as possible as any delay will only result in the further worsening of your condition and overall wellbeing.