The laparoscopic surgical technique is now the preferred method for removal of the gall bladder. About 90% of all gall bladder operations are performed in this way.
In laparoscopic surgery method is to dispense with a large abdominal incision and instead just cut small holes in the stomach. The operation is performed with the so-called laparoscopes under the perspective of a camera.
The small abdominal incisions to get to such an operation very quickly back on its feet, the recovery is significantly faster than after conventional surgery. Moreover, leaving only tiny scars that stand little later.
Only in difficult and special problems inflammation of the gallbladder is not removed today in a conventional way. When it comes to complications during laparoscopic surgery, is sometimes switched to the open surgery method.
Confusion of terms
For laparoscopic surgery, there are many terms that describe all of the same operation method. By different names but it can come to some uncertainty.
Here are the most common name for the laparoscopic surgical technique.
Laparoscopy: Refers to the laparoscopes, the devices with which you can see inside the abdomen and work.
Minimally invasive: Refers to the smoothness of the operation. The injury to the skin is minimal in this operation method. This term is used for operations outside of the abdomen.
Endoscopic: This term is an umbrella term for medical devices which are inserted through small openings into the body in order to see anything. For a gallbladder removal you need except a rigid endoscope and instruments with which we cut and pack can to operate.
Keyhole surgery: This is a colloquial term that expresses that they are working through a very small hole in the belly, as small as a keyhole.
Laparoscopy: Refers originally ie a laparoscopy for diagnostic purposes, to look into the inside of the abdomen to detect a disease. The term is also used for laparoscopic surgery.
Cholecystectomy: This is the medical term for the removal of the gall bladder. He does not distinguish between the minimally invasive and traditional surgical method.
In all such terms, it is therefore the same surgical procedure.
A minimally invasive gall bladder removal is performed in approximately the following manner:
First the patient is anesthetized with general anesthesia. In this anesthesia is the most profound form, in which a ventilation tube is used. The respiration per barrel is needed to counter the pressure in the inflated abdomen a ventilation pressure. The air is then pumped to a certain pressure in the lungs.
Once the patient is anesthetized completely, the entire abdominal disinfected and made a small hole beneath the navel in the abdominal wall. Healthy Weight Loss The position under the belly button is used because the abdominal wall is very thin there. In addition, the scar is hardly seen there later.
Through the small hole in the abdominal cavity is inflated with CO2, so the surgical team can better see the inside of the abdomen. The inflated abdomen is medically referred to as pneumoperitoneum. They used mostly carbon dioxide, because after the surgery can be absorbed by the body and broken down.
After the abdomen was inflated, an endoscope through the belly button-hole is introduced in order to look into the belly can.
For the actual surgery for another two or three small holes are cut in the abdomen, are inserted through the laparoscope.
The gallbladder is identified below the liver and at the top and packed folded. Then the connection to the bile duct is disconnected by using clips. The blood vessels of the gall bladder to be disconnected. Then the vessels are separated and disconnected passages.
Since the gall bladder is grown in the liver, it is still separated from the liver. The resulting bleeding is stopped by coagulation.
If the gallbladder is connected by scar adhesions with other parts of the abdomen, these adhesions can be separated.
When the gallbladder was successfully separated from the vessels and the liver, it is pulled through the hole below the belly button outward.
In some cases, the gallbladder is already heavily damaged, so they could get broken if drawn out. In these cases it is still packed in the abdominal cavity in a small mountain bag and then pulled the bag out of the belly.
Even with a porcelain gallbladder, the gallbladder is packed in a bag mountains, as a porcelain gallbladder is no longer stable shell.
If a lot of very large stones or stones in the gall bladder are, they may not fit through the small hole below the navel. Then they will initially only partially pulled out of the belly and the stones are extracted before the gallbladder is removed completely from the stomach.Extremely large stones are crushed prior to suctioning.
Once the gallbladder has been removed from the body, it is examined by members of the surgical team. If you say before the surgery decision, you can often get the gall stones and take them home.
The CO2 is released again from the abdominal cavity. The most successful but not completely, so that gas residues remain in the abdominal cavity. These residual gases are absorbed by the body in the following days.
The holes in the abdominal wall are then sewn together.
In some cases, is routed through one of the holes have a drainage tube, water can flow through the wound. This drainage-tube is then removed after a few hours or days. Mostly, however, are now all equal sewn holes so that the abdomen is closed.
Once the abdomen is closed, the anesthesia is complete.
It is placed in a recovery room, where one gradually comes back to consciousness.
Here you also get first pain medication, to a level at which the pain disappeared or are only very slightly.
If the pain medication delivery was successful and the condition is stable, it is placed in his room at the hospital station. There you can recover from the surgery.
This description is naturally only one of many possible variants of laparoscopic surgery dar. In each hospital operates somewhat differently, and also different degrees of severity of gall bladder disease care for different surgical procedures.