If patients who apply to the doctor with the complaint of gallstones are symptomatic due to the stone, it may be necessary to have gallbladder surgery. The general standard in surgery is the closed procedure of removing the gallbladder, which is called laparoscopic cholecystectomy.
During the treatment of gallstones, stone removal surgery is not applied. The gallbladder is removed completely from its location. However, if there is a stone in the bile duct besides the gall bladder, the stone removal process is first performed by the endoscopic method. After this procedure, laparoscopic cholecystectomy is applied.
Patients with gallstones that do not show septom should definitely be seen by a general surgeon. Regarding this issue, the patient’s condition should be evaluated and the decision should be made accordingly.
How Is Gallbladder Surgery Performed?
After all the necessary preparations are made, the patient, who will have a sac surgery, is taken to the gallbladder surgery. The gallbladder surgery is started by inflating the abdomen with carbon dioxide gas through a thin needle inserted under the navel. Patients with a history of abdominal surgery are operated with open technique.
Previous abdominal surgery does not constitute an obstacle to laparoscopic cholecystectomy. Later, the laparoscopic devices are inserted into the patient’s abdomen and the entrance gates called ports that allow the operation to be performed there are used in the form of 3 or 4 and the operation is started.
A camera is opened in one hole in the abdomen, and the surgeon’s working tools are used through the other two holes. The gallbladder is hung upwards from the 4th hole in the abdomen and the anatomical planes are revealed. If present before, the state of adhesion in the gallbladder is eliminated. These adhesions may be more in patients with pain attacks.
Afterwards, the gallbladder artery and the bladder canal are found separately. Afterwards, the separation process is performed by paying extreme attention to the main arteries that feed the liver and the main bile ducts. Titanium clips are placed in the gallbladder artery and gallbladder duct.
In some cases, it may be possible to use different clips. After the gallbladder is separated from its duct and artery, the gallbladder is scraped from the liver bed. Afterwards, the gallbladder is placed in a special bag and removed from the incision site. In cases where the gallstone is larger than the incision site, it is either broken into the stone bag or removed, or the existing incision is slightly enlarged and the stone is removed.
If everything is fine, other thin tubes inserted into the abdomen while under sight are removed from the abdomen. Afterwards, the gas in the abdomen is evacuated and the surgery is completed by approximating the tiny incisions with hidden stitches.
What Should Be Considered Before Gall Bladder Surgery?
After the gallbladder surgery is decided, the patient should be examined by an anesthesiologist. Liver work and blood tests related to jaundice should be checked in patients who have recently had biliary obstruction or jaundice.
Patients with health problems such as high blood pressure, diabetes and asthma should be consulted by the relevant branches, possible risks should be determined and necessary measures should be taken. If he has used blood thinners such as aspirin, coraspin, coumadin, the risk of bleeding is high if he is operated under the effect of these drugs.
The operation process should be planned after the patients with muscle thinning should stop taking these drugs and wait for the effects of the drugs for 5-6 days. Before the operation, the patient should be hungry after 24 o’clock at night without eating or drinking anything by mouth, including water. In other words, the patient should come to the operation as if fasting. Patients using medication due to high blood pressure are recommended to take their medication with a sip of water in addition to fasting the morning of the surgery.
What Should Be Considered After Gall Bladder Surgery?
After being discharged from the hospital, the surgery areas should remain closed for one more day. Wounds can be left open after 48 hours after the operation. At the end of this period, the patient can be bathed and the operation site does not need dressing again. Postoperative infection risk is very low. The patient can start taking food orally 4-4 hours after surgery.