Gallstones & Cholecystectomy

Gallstones & Cholecystectomy

An average of 10% of people in the adult age group have gallstones. Gallstones, cholesterol stones and pigment stones are divided into two groups. It can be confused with some important illnesses because of the symptoms it shows.

What are the symptoms of gallstones?

Gallstones may not cause any complaints in the person. The gallstones felt by the patients are seen in the form of recurrent attacks of abdominal pain. The pain is concentrated in the upper right part of the abdomen or in the navel (epigastria) and often radiates to the right scapula (scapula). Generally, complaints that start after fatty meals increase gradually and continue for a few hours without stopping (biliary colic). Bloating, nausea may accompany the pain. In addition, serious symptoms such as vomiting, chills and fever can be seen in the later stages. In cases where the stone obstructs the bile ducts, jaundice, pancreatitis, gallbladder inflammation, clinical situations that require urgent intervention may occur.

What is closed gallbladder surgery (laparoscopic cholecystectomy)? Are only stones taken?

Laparoscopic operations are generally performed with thin and long hand tools. First, sufficient space is created by inflating with carbon dioxide (CO2) gas inside the abdomen. Laparoscopic instruments and cameras are placed in 0.5 – 1 cm holes according to the diameter of the instruments used. The operation is usually done through 4 holes. The abdomen is illuminated with the help of a camera. Looking at the monitor, the entire gallbladder is removed from the abdomen with these long instruments. Not only the stones, but also the gall bladder are already sick, only the stones will be reshaped after a while. In the postoperative period, the patient starts liquid foods 6-8 hours later and mobilization is performed. Patient, standard postoperative 24-36. emptied every hour.

What is a safe cholecystectomy?

In laparoscopic cholecystectomy, a method called “Safe cholecystectomy (Critical safety view)” has been defined to minimize bile duct injuries. In this method, the vital gallbladder duct and artery (vein) are exposed separately. 100% anatomical accuracy is achieved by cutting the vein and canal before. In this way, the risk of developing complications is minimized. After that, the gallbladder is separated from the liver bed and removed from the abdomen and the operation is terminated.

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Gastroenterology

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