There also was a significantly lower incidence of bile duct injury in upper GI cases 0. Conclusion: In their institution, the authors found evidence of improved outcomes when laparoscopic cholecystectomy was performed under the care of surgeons with a specialist interest in upper GI or hepatopancreaticobiliary surgery.
Michael L. Kendrick, M. David M. Nagorney, M. David G. Pearson, M. Stephanie F. Polites, M. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Kim SS, et al. Laparoscopic cholecystectomy. Lamberts MP. The gallbladder is not considered an essential organ. You can live without one. Bile can be passed to the small intestine through other paths.
Open gallbladder surgery is usually done when the gallbladder is severely inflamed, infected, or scarred from other operations. A surgeon may perform open surgery if problems occur during a laparoscopic surgery. Laparoscopic gallbladder surgery laparoscopic cholecystectomy is a minimally invasive procedure that uses several tiny incisions. Smaller incisions reduce the risk of infection, blood loss and recovery time. In this procedure, the surgeon makes four small incisions around the abdomen.
The incisions are used to guide a tube with a small camera into the abdomen. The surgeon then guides other long, narrow surgical tools through the incisions while looking at a monitor. Robotic gallbladder removal is much like laparoscopic surgery. Instead, the instruments are attached to robotic arms. The surgeon sits at a computer console and guides the robot. Once the drugs take effect, your health care team will insert a tube down your throat to help you breathe.
Your surgeon then performs the cholecystectomy using either a laparoscopic or open procedure. 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. Then your incisions are sutured, and you're taken to a recovery area.
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.
During an open cholecystectomy, the surgeon makes a 6-inch 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'll be taken to a recovery area as the anesthesia drugs wear off. Then you'll be taken to a hospital room to continue recovery. Recovery varies depending on your procedure:.
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