Image via WikipediaCholecystectomy is removal of gall bladder. This is commonly done in case of cholecystitis and carcinoma of gall bladder.Cholecystectomy can be performed through;
· Open method, open cholecystectomy,
OR
· Laparoscopic cholecystectomy .
Laparoscopic cholecystectomy is the golden standard surgery available at present and found superior to the conventional open cholecystectomy.
Open cholecystectomy is mostly employed for cancer of gall bladder where more wide resection of tissue is required and in case difficulty is encountered in laparoscopic cholecystectomy.
Laparoscopic Cholecystectomy may be;
· Conventional 4 port cholecystectomy,
OR
· Single port Cholecystectomy,
OR
· Cholecystectomy through natural orifices like vagina, where there is no scar visible in abdomen; called Natural orifices transluminal endoscopic surgery (NOTES)
OR
· Robotic assisted cholecystectomy.
The most common complications of cholecystectomy are;
· Bile duct injury,
· Bleeding; intra-operative or post-operative
· Injuries to neighbourhood organs
· Post-operative operative or port site hernia.
A well equipped hospital and experienced surgeon are clue to gall bladder surgery with satisfactory outcome.
