Scribd
Upload
540 views2 pages

Laparoscopic vs Open Cholecystectomy

A cholecystectomy is a surgical procedure to remove the gallbladder, a pear-shaped organ below the liver that stores bile. It is commonly performed through four small incisions using laparoscopic techniques, but sometimes requires a single larger incision. Indications for the procedure include gallstones, gallbladder inflammation, and pancreatitis caused by gallstones. The surgery carries a low risk of complications and patients often go home the same day.

Uploaded by

Corrine Ivy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
540 views2 pages

Laparoscopic vs Open Cholecystectomy

A cholecystectomy is a surgical procedure to remove the gallbladder, a pear-shaped organ below the liver that stores bile. It is commonly performed through four small incisions using laparoscopic techniques, but sometimes requires a single larger incision. Indications for the procedure include gallstones, gallbladder inflammation, and pancreatitis caused by gallstones. The surgery carries a low risk of complications and patients often go home the same day.

Uploaded by

Corrine Ivy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

CHOLECYSTECTOMY

 A cholecystectomy (koh-luh-sis-TEK-
tuh-me) is a surgical procedure to
remove your gallbladder — a pear-
shaped organ that sits just below
your liver on the upper right side of
your abdomen. Your gallbladder
collects and stores bile — a digestive
fluid produced in your liver.
 A cholecystectomy is a common surgery, and it carries only a small risk of
complications. In most cases, you can go home the same day of your
cholecystectomy.
 A cholecystectomy is most commonly performed by inserting a tiny video camera and
special surgical tools through four small incisions to see inside your abdomen and
remove the gallbladder. Doctors call this a laparoscopic cholecystectomy.
 In some cases, one large incision may be used to remove the gallbladder. This is
called an open cholecystectomy.

Indications

 Gallstones in the gallbladder (cholelithiasis)


 Gallstones in the bile duct (choledocholithiasis)
 Gallbladder inflammation (cholecystitis)
 Large gallbladder polyps
 Pancreas inflammation (pancreatitis) due to gallstones

Contraindications

 Inability to tolerate general anesthesia


 Uncontrolled coagulopathy.
 Patients with severe obstructive pulmonary disease
 Patients with congestive heart failure (eg, cardiac ejection fraction <20%)

2 types of Cholecystectomy Procedures

1. Minimally invasive (laparoscopic) cholecystectomy


 During a laparoscopic cholecystectomy, the surgeon makes four small incisions
in your abdomen. A tube with a tiny video camera is inserted into your abdomen
through one of the incisions. Your surgeon watches a video monitor in the
operating room while using surgical tools inserted through the other incisions in
your abdomen to remove your gallbladder.
 Next you may undergo an imaging test, such as an X-ray or ultrasound, if your
surgeon is concerned about possible gallstones or other problems in your bile
duct.
 A laparoscopic cholecystectomy takes one or two hours.
 A laparoscopic cholecystectomy isn't appropriate for everyone. In some cases
your surgeon may begin with a laparoscopic approach and find it necessary to
make a larger incision because of scar tissue from previous operations or
complications.
2. Traditional (open) cholecystectomy
 During an open cholecystectomy, the surgeon makes a 6-inch (15-centimeter)
incision in your abdomen below your ribs on your right side. The muscle and
tissue are pulled back to reveal your liver and gallbladder. Your surgeon then
removes the gallbladder.
 The incision is sutured, and you're taken to a recovery area. An open
cholecystectomy takes one or two hours.

You might also like