Laparoscopic Cholecystectomy involves laparoscopic removal of the Gall Bladder. 90-95% cholecystectomies in the world are now done laparoscopically.
Symptomatic Gallstones: Biliary colic, Acute or chronic cholecystitis,Gallstone pancreatitis, Bile duct stones, Obstructive jaundice
Gall bladder polyps if >10mm size
Porcelain gall bladder
Asymptomatic stones in patients with Diabetes mellitus, Sickle cell disease, undergoing bariatric surgery
Reduced postoperative pain
Shortened hospital stay from
Early returns to full activity
Early return of bowel function
Gall Bladder Carcinoma
Inablility to tolerate General Anaesthesia
Childs C Cirrhosis patients
Complications: Conversion to open surgery is not considered a complication.
Trocar injury to bowel or blood vessel: Open technique of trocar insertion is preferred
Bleeding : If severe may need conversion to open surgery
Injury to Common Bile duct(CBD) : Can be detected intra op or postoperatively. May require Endoscopic stenting or repeat surgery
Injury to duodenum, colon, liver during dissection
Bile duct stricture formation: May develop late following an undetected biliary injury. May require endoscopic treatment or repeat surgery.
Retained CBD stones: May need endoscopic treatment
Post Cholecystectomy syndrome: In the form of persistent pain, dyspepsia, flatulence etc. usually treated with antacids and dietary modifications. May require endoscopy.