Gallbladder Removal

 

Indication:
Commonly patients with gallbladder problems have nausea, vomiting, or various types of pain due to their gallbladder not functioning properly. In the majority of patients the problem is the presence of stones within the gallbladder (cholelithiasis) although in some patients the problem is that the gallbladder doesn’t contract, (or squeeze) normally. This is termed biliary dyskinesia, and is another indication for gallbladder removal.

Preoperative Evaluation:
Blood work to evaluate the liver enzymes are checked in all patients. The gallbladder is imaged using ultrasound or in some cases a CAT scan. If biliary dyskinesia is suspected a HIDA scan is performed to evaluate the gallbladder function.

Procedure:
In the vast majority of patients, the gallbladder can be removed laparoscopically using small incisions, a television camera, and long thin instruments. In some patients a longer, traditional incision is required.

Length of Stay: Outpatient or sometimes overnight stay after laparoscopic surgery, three to five days after open surgery.

Recovery: Activity as tolerated after laparoscopic surgery except no driving on prescription pain medication. After open surgery no driving for two weeks and no lifting over five pounds for six weeks

 

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