Our Summary

This research paper looked at how successful a certain type of less invasive surgery (laparoscopic cholecystectomy) was when performed on dogs with gallbladder disease. This method uses a single port access system (SPAS), which is a small device inserted near the belly button to help perform the surgery.

The researchers looked back at the records of 15 dogs that had this procedure. In some cases, they only used the SPAS, but in most cases they added another tool (a cannula) to help with the operation. They found that the surgery was less likely to need to be converted to a more invasive procedure (a laparotomy) when the surgeon had more experience or when they used a cannula from the start.

In the end, 14 out of 15 dogs were able to leave the hospital after the surgery. Two dogs died after leaving the hospital due to other health complications.

The researchers concluded that this type of surgery is generally a good option for dogs with gallbladder disease. They also recommended that surgeons use a cannula from the start of the operation to increase the chances of success.

FAQs

  1. What is a laparoscopic cholecystectomy and how is it performed on dogs?
  2. What were the findings of the research on the success rate of laparoscopic cholecystectomy in dogs with gallbladder disease?
  3. What is the role of the cannula in the operation and why do researchers recommend its use from the start of the operation?

Doctor’s Tip

A helpful tip a doctor might tell a patient about cholecystectomy is to discuss the option of laparoscopic cholecystectomy with their surgeon. This less invasive procedure may have a shorter recovery time and less pain compared to traditional open surgery. Additionally, choosing a surgeon with experience in using a cannula from the start of the operation may increase the chances of a successful outcome.

Suitable For

Patients who are typically recommended for cholecystectomy include those with symptomatic gallstones, gallbladder polyps, gallbladder cancer, biliary dyskinesia, gallbladder inflammation (cholecystitis), and other gallbladder diseases. Symptoms that may indicate the need for cholecystectomy include severe abdominal pain, nausea, vomiting, jaundice, fever, and complications such as gallbladder obstruction or infection. Additionally, patients with a history of recurrent gallbladder attacks or complications are often recommended for cholecystectomy to prevent future issues.

Timeline

Before the cholecystectomy:

  • Patient experiences symptoms of gallbladder disease such as abdominal pain, nausea, vomiting, and bloating.
  • Patient undergoes diagnostic tests such as ultrasound or CT scan to confirm gallbladder disease.
  • Patient discusses treatment options with their healthcare provider, including the option of cholecystectomy.
  • Patient schedules surgery and undergoes pre-operative preparations such as fasting and medication adjustments.

After the cholecystectomy:

  • Patient undergoes laparoscopic cholecystectomy using a single port access system (SPAS) with or without the use of a cannula.
  • Patient is monitored in the hospital post-surgery for any complications.
  • Patient is discharged from the hospital once stable, usually within a few days.
  • Patient may experience some pain and discomfort post-surgery, which can be managed with pain medication.
  • Patient is advised to follow a special diet and avoid certain foods to aid in recovery.
  • Patient follows up with their healthcare provider for post-operative care and monitoring.
  • Patient gradually resumes normal activities and typically experiences relief from symptoms of gallbladder disease.

What to Ask Your Doctor

  1. What is a laparoscopic cholecystectomy and how does it differ from a traditional open surgery for gallbladder removal?
  2. What are the potential risks and complications associated with a laparoscopic cholecystectomy?
  3. How experienced are you in performing laparoscopic cholecystectomies, and what is your success rate with this procedure?
  4. Will I need to stay in the hospital after the surgery, and if so, for how long?
  5. How long is the recovery period after a laparoscopic cholecystectomy, and when can I expect to return to normal activities?
  6. Are there any dietary or lifestyle changes I should make after the surgery to support my recovery and overall health?
  7. What are the chances that the surgery will need to be converted to a more invasive procedure during the operation?
  8. How will my pain be managed after the surgery, and what should I expect in terms of discomfort during the recovery process?
  9. Are there any specific follow-up appointments or tests I will need after the surgery to monitor my health and ensure proper healing?
  10. Are there any alternative treatment options for my gallbladder disease that I should consider before proceeding with a cholecystectomy?

Reference

Authors: Simon A, Monnet E. Journal: Vet Surg. 2020 Jun;49 Suppl 1:O156-O162. doi: 10.1111/vsu.13289. Epub 2019 Aug 6. PMID: 31389068