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Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy

Background to laparoscopic cholecystectomy

It is the surgical removal of the gallbladder.

A common treatment of symptomatic gallstones and other gallbladder conditions

The eighth most common operating room procedure performed in hospitals in the United States

It can be performed either laparoscopically, or via an open surgical technique

Persistence of symptoms after cholecystectomy is called postcholecystectomy syndrome.

 

Video Clip : Laparoscopic Cholecystectomy

 

Indications for laparoscopic cholecystectomy

Biliry colic

Acute cholecystitis

Cholangitis

Gall bladder pancreatitis

Gall bladder cancer

Liver transplantation

 

Contraindications of laparoscopic cholecystectomy

No specific contraindications for laparoscopic cholecystectomy

Inability to tolerate surgery under general anesthesia

Patients with ASA categories III, IV, and V are considered high risk for cholecystectomy

Elderly people and people with co-existing illness, such as end-stage liver disease with portal hypertension and whose blood does not clot properly

 

Laparoscopic cholecystectomy in pregnancy

It is generally safe for pregnant women to undergo laparoscopic cholecystectomy during any trimester of pregnancy

Early elective surgery is recommended for women with symptomatic gallstones to decrease the risk of spontaneous abortion and pre-term delivery

Without cholecystectomy, more than half of such women will have recurrent symptoms during their pregnancy, and nearly one in four will develop a complication, such as acute cholecystitis, that requires urgent surgery

Acute cholecystitis is the second most common cause of acute abdomen in pregnant women after appendectomy

 

Complications of laparoscopic cholecystectomy

Bile duct injury

Wound infection

Bleeding

Retained gallstones

Abscess formation

Stenosis of the bile duct

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