Is cholecystectomy complicated?

This is an automatically translated article.

The article was written by MSc Vu Van Quan - Gastroenterologist - Department of General Surgery & Anesthesiology - Vinmec Hai Phong International General Hospital

Laparoscopic cholecystectomy is the most common surgery in the treatment of hepatobiliary disease. Phillipe Mouret made the first time in 1987 in Lyon - France and in Vietnam in 1992.

1. Advantages of laparoscopic cholecystectomy


Compared with the traditional open cholecystectomy, laparoscopic surgery has many outstanding advantages as follows:
● Increased accuracy thanks to optimal quality images, no vision limitations such as: Open surgery
Patients have less pain after surgery
Small surgical scars help limit the risk of wound infection and ensure aesthetics
Short hospital stay due to the quick healing of the incision
Early life normal
● Minimize immune disorders and affect respiratory function...

Mổ nội soi cắt túi mật có nhiều ưu điểm vượt trội hơn phương pháp thông thường
Mổ nội soi cắt túi mật có nhiều ưu điểm vượt trội hơn phương pháp thông thường

2. Indications for laparoscopic cholecystectomy


Symptomatic or large gallstones Cholecystitis Symptomatic gallbladder polyps, multiple polyps or polyps > 1cm in size

3. Perform laparoscopic cholecystectomy


The patient is under general anesthesia.
The surgeon will open small holes in the abdomen, usually 03- 04 holes, the position of the holes depends on the surgeon. From those small holes, the surgeon will inflate CO2 to inflate the abdomen, then insert the instrument to conduct an examination to assess the condition of the peritoneal cavity, exposed organs and assess the condition of the gallbladder and liver. , liver stalk, common bile duct, stomach - duodenum - pancreatic head, ... ; cut the gallbladder and remove it from the abdominal wall; then those openings will be closed.

Người bệnh được gây mê toàn thân trước khi tiến hành thủ thuật
Người bệnh được gây mê toàn thân trước khi tiến hành thủ thuật

4. Complications of laparoscopic cholecystectomy


Intra-abdominal bleeding: due to clipping of the gallbladder artery or from the gallbladder bed, endoscopic examination or open surgery to stop bleeding. Peritonitis: due to slippage of the cystic duct clip or injury to the main biliary tract, laparotomy is to be examined and treated according to the lesion. Residual abscess: common in the gallbladder fossa, antibiotic treatment is combined with aspiration under ultrasound. Currently, Vinmec Hai Phong International General Hospital has implemented the laparoscopic cholecystectomy method with the strengths of:
A team of experienced doctors, proficient in each surgical step. Anesthesia and postoperative pain relief are very good, leading in the application of the world's leading anesthetic - anesthetic methods. Modern equipment system such as modern endoscope system. Along with the dedication of the hospital staff will certainly bring satisfaction to the patient.
For ileocecal TB treatment at Vinmec Hai Phong International General Hospital, you can contact hotline: 0225 7309 888.
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