(Remove the gallbladder) Cholecystectomy: Gallbladder
Who suffers more often from biliary colic, gallstones or gallbladder inflammation, for which can be a gall bladder removal (so-called. Cholecystectomy) make sense. to remove the gallbladder, is nowadays not a big procedure and leaves (if at all) only small scars.
The cholecystectomy is one among doctors to standard procedures - it is rarely associated with complications. Basically, there are two methods of operation, to remove the gallbladder:
Both types of operations carried out under general anesthesia. Most doctors and patients prefer laparoscopic cholecystectomy - about 95 percent of cholecystectomies done laparoscopically now. In contrast to open cholecystectomy this minimally invasive procedure leaves very little scarring. In addition, most patients can already left a few hours or a maximum of two to three days after laparoscopic cholecystectomy the hospital.
Of a laparoscopic cholecystectomy is when doctors as part of a laparoscopy remove the gallbladder. For this, not a big intervention is necessary - the operation is done using the Keyhole surgery.
In the keyhole technique doctors work with very small, fine instruments. At the beginning of laparoscopic cholecystectomy, a small skin incision at the top of the belly button is performed. Through this opening, the surgeon moves in front of a small needle into the abdomen to allow then to flow carbon dioxide. The patient's abdomen is as it were inflated with carbon dioxide so that the surgeon has sufficient visibility and space for special instruments.
About the incision in the navel, the doctor brings thereafter small video camera (Laparoscope) a through the abdominal wall. So he can observe on a monitor as he removes the gallbladder.
In three places in the upper and middle abdomen, the physician punctures (so-called trocars.) Leads a small tube into the abdominal wall. Through the tube, he pushes the surgical instruments which he requires for the removal of the gall bladder.
Subsequently, the physician separates the gallbladder from the liver and pulls it out on access in the area of the navel or below the breastbone. The advantage: In this so-called minimally invasive technique, the surgical incisions are considerably smaller. After the removal of the gallbladder only three remain each one centimeter long scar visible.
Alternatively, the laparoscopic cholecystectomy can be carried out as so-called single-port operation - with the SILS technique. The abbreviation SILS (Laparoscopic surgery with only one section) is
In the single-port laparoscopy to remove the gallbladder doctors about a single incision arise so - in the navel no visible scars. While several incisions in the upper and middle abdomen are necessary for the conventional laparoscopic cholecystectomy, the single-port laparoscopy via a single special access through the navel opening.
For this, the doctor pushes first a camera and two bendable instruments through a tube in the belly button (so-called. SILS port) into the abdominal cavity. Using special instruments, the doctor can grasp the gallbladder, separate from the liver and then pull it out of your belly button.
Whether this technique of conventional laparoscopic cholecystectomy is superior, yet must in appropriate Studies reviewed become.
Existence prior to surgery complications, such as a collection of pus in the gallbladder or in dense adhesions, gall bladder removal is conventional.
At a conventional cholecystectomy remove the gallbladder doctors in an open surgery. To about ten centimeters long incision along the right costal margin is needed. Surgeons then disconnect the gallbladder from the liver and remove them from the body.