The camera shows your gallbladder on a TV screen. This allows the doctor to see the gallbladder while he or she removes it. Your doctor will do this using tools inserted in the other cuts. Your gallbladder is then taken out through one of the incisions. After the gallbladder is removed, your doctor will clamp off all the bile ducts. He or she will close the incisions with stitches, staples, or glue.
The procedure takes 1 to 2 hours. Most people go home the same day or the day after the surgery. Laparoscopic gallbladder removal has many advantages. Unlike traditional surgery, laparoscopic surgery can be done without cutting the muscles of your abdomen. This may allow you to:. In addition, the intestines, liver, or major blood vessels may be injured when the instruments are inserted into the abdomen.
Remember, these complications are rare. Last Updated: April 9, This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
Your spleen is an organ in the upper left side of your abdomen. The surgical procedure to remove it…. The carbon dioxide gas is let out through the incisions. Most of it will be reabsorbed by your body. After the procedure, you will be taken to the recovery room to be watched. Your recovery process will depend on the type of surgery and the type of anesthesia you had.
Once your blood pressure, pulse, and breathing are stable and you are awake and alert, you will be taken to your hospital room. A laparoscopic cholecystectomy may be done on an outpatient basis. In this case, you may be discharged home from the recovery room.
You will get pain medicine as needed. A nurse may give it to you. Or you may give it to yourself through a device connected to your IV intravenous line. You may have a thin plastic tube that goes through your nose into your stomach. This is to remove air that you swallow. The tube will be taken out when your bowels are working normally.
You may have 1 or more drains in the incision if an open procedure was done. The drains will be removed in a day or so. You might be discharged with the drain still in and covered with a dressing. You will be asked to get out of bed a few hours after a laparoscopic procedure or by the next day after an open procedure. Depending on your situation, you may be given liquids to drink a few hours after surgery. You will slowly be able to eat more solid foods as tolerated.
Arrangements will be made for a follow-up visit with your provider. This is usually 2 to 3 weeks after surgery. Your provider will give you specific bathing instructions. If stitches or surgical staples are used, they will be removed during a follow-up office visit. If adhesive strips are used, they should be kept dry and usually will fall off within a few days. The incision and your abdominal muscles may ache, especially after long periods of standing. If you had a laparoscopic surgery, you may feel pain from any carbon dioxide gas still in your belly.
This pain may last for a few days. It should feel a bit better each day. Take a pain reliever as recommended by your provider. Aspirin or other pain medicines may raise your risk of bleeding. Jump to content. Laparoscopic gallbladder surgery cholecystectomy removes the gallbladder and gallstones through several small cuts incisions in the abdomen. The surgeon inflates your abdomen with air or carbon dioxide in order to see clearly.
The surgeon inserts a lighted scope attached to a video camera laparoscope into one incision near the belly button. The surgeon then uses a video monitor as a guide while inserting surgical instruments into the other incisions to remove your gallbladder.
Before the surgeon removes the gallbladder, you may have a special X-ray procedure called intraoperative cholangiography , which shows the anatomy of the bile ducts. After surgery, bile flows from the liver where it is made through the common bile duct and into the small intestine.
Because the gallbladder has been removed, the body can no longer store bile between meals. In most people, this has little or no effect on digestion. In 5 to 10 out of laparoscopic gallbladder surgeries in the United States, the surgeon needs to switch to an open surgical method that requires a larger incision. Most people can return to their normal activities in 7 to 10 days. People who have laparoscopic gallbladder surgery are sore for about a week.
But in 2 to 3 weeks they have much less discomfort than people who have open surgery. No special diets or other precautions are needed after surgery. Laparoscopic gallbladder surgery is the best method of treating gallstones that cause symptoms, unless there is a reason that the surgery should not be done. Laparoscopic surgery is used most commonly when no factors are present that may complicate the surgery.
Your surgeon can explain why they feel an open procedure is best for you. If you're due to have keyhole surgery, the risk of it becoming an open procedure should be discussed beforehand. Page last reviewed: 03 December Next review due: 03 December Keyhole surgery During keyhole gallbladder removal surgery: a small incision about 2 to 3cm is made by your belly button and 2 or 3 smaller incisions about 1cm or less are made on the right side of your tummy a small tube is inserted into 1 of the incisions and carbon dioxide gas is pumped into your tummy, inflating the abdomen to make it easier for your surgeon to access your gallbladder a laparoscope a long, thin telescope with a light and camera at the end is inserted through the larger incision, which allows your surgeon to see inside your tummy on a monitor special surgical instruments are inserted through the other incisions and are used to remove your gallbladder the gas is released from your tummy, and the incisions are closed with stitches and covered with dressings You can usually go home later the same day.
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