What Is Gallbladder Surgery (Cholecystectomy)?

Gallbladder surgery, or cholecystectomy, is performed to alleviate extreme pain caused by gallstones obstructing the flow of bile juice. It can be minimally invasive, involving a small incision in the abdomen through which surgical tools, including a laparoscope for internal visualization, are used to remove the gallbladder. In some cases, open cholecystectomy may be necessary, which requires larger incisions for gallbladder removal.

What Are The Symptoms Of Gallstones In Gallbladder?

Gallstones are abnormal stone-like masses, primarily composed of undissolved cholesterol, that accumulate in the gallbladder, causing extreme pain in the right side of the abdomen. They often occur due to factors such as obesity, excessive estrogen levels from multiple pregnancies, hormone replacement therapy, biliary infections, excessive dieting, cholesterol-reducing drugs, and hereditary blood disorders. Symptoms of gallstones include severe abdominal pain (gallstone attack), nausea, vomiting, pain under the right shoulder, pain between the shoulder blades, and abdominal bloating. Gallstone attacks typically occur after consuming fatty meals and can last from minutes to hours. Additionally, insignificant symptoms like belching, indigestion, and intolerance to fatty foods may also be present.

Reasons for gallbladder removal surgery include:

  • Gallstones: Formation of crystalline structures made of bile salts or cholesterol due to the inability of the gallbladder to flush out excess bile salts and fats, leading to the formation of stones.
  • Gangrenous Gallbladder: Insufficient blood flow to the gallbladder causes decay of tissues, leading to gangrene.
  • Inflammation: Swelling of the gallbladder, often accompanied by infection, causing pain and discomfort.
  • Cancer: In rare cases, gallbladder cancer may necessitate gallbladder removal, though it is typically asymptomatic and requires specific medical examination for detection.

How Is The Diagnosis Of Cholecystectomy Done?

The diagnosis for gallbladder surgery or cholecystectomy is done with the help of the given below test such as:

  • Ultrasound
  • Blood test
  • MRI HIDA
  • Endoscopic Ultrasonography

Cholecystectomy, the surgical removal of the gallbladder, can be performed using two methods:

  • Laparoscopic Method: This minimally invasive technique involves making a few small incisions in the abdomen through which a laparoscope, equipped with a tiny camera, is inserted to visualize internal organs. Surgical tools are used to remove the gallbladder. Laparoscopic surgery is faster, easier, and has a good recovery rate compared to the traditional method.
  • Traditional (Open) Method: In this classic surgical approach, a large incision is made over the area corresponding to the gallbladder's location. Recovery time is longer compared to laparoscopic surgery. After the surgery, patients may experience common changes in how their body handles food, but with proper care and precautions, adaptation is comfortable. Gallbladder removal surgery is generally safe with a good recovery rate.

What Are The Risk Factors That Are Related To Gallbladder Surgery?

The gallbladder stores bile juice produced by the liver to aid digestion, but its removal typically doesn't cause significant changes in digestive function. Gallbladder surgery, or cholecystectomy, is generally safe, but complications may arise during or after the procedure. These can include bleeding, swelling, pneumonia, infections, bile leakage, heart problems, bile duct damage, deep vein thrombosis, and damage to the intestines, bowel, or blood vessels.

Recovery After Gallbladder Surgery:

  • Recovery time varies based on the type of surgery: laparoscopic or traditional.
  • For traditional surgery, patients may need to stay in the hospital until discharged by doctors, with a recovery time of about 6-8 weeks.
  • Laparoscopic surgery typically has less pain and shorter recovery time, around 2 weeks.

Ways to Avoid Post-Surgery Complications:

  • Moderate movement and avoid lifting heavy objects.
  • Change bandages regularly and maintain hygiene in the operated area.
  • Drink fluids and avoid tight clothing for comfort.

Gallbladder Surgery Cost in India:

  • Costs range from US$ 1729 to $ 4290 (INR 1,35,000 to 3,35,000) depending on the city and healthcare provider.
  • Affordable options exist due to high competition, but patients should inquire about all costs before the procedure.

Non-Surgical Treatment Methods:

  • Non-surgical options are considered when a patient is unfit for anesthesia or surgery.
  • These methods provide temporary relief but are not a permanent solution.