Our Summary

This research looked at how often open gallbladder removal surgeries (open cholecystectomy) were performed among patients who were originally intended to have a minimally invasive (laparoscopic) gallbladder removal surgery. The study took place over the course of a year, with 345 patients involved. The researchers found that only about 1.73% of these patients ended up having an open surgery instead of the planned laparoscopic one. This percentage is lower than what has been found in similar studies, suggesting that this medical center is particularly successful at avoiding open surgeries.

FAQs

  1. What was the main focus of the research on cholecystectomy?
  2. How many patients were involved in the cholecystectomy study and over what period of time was it conducted?
  3. What percentage of patients ended up having an open gallbladder removal surgery instead of the planned minimally invasive one?

Doctor’s Tip

One helpful tip a doctor might tell a patient about cholecystectomy is to discuss the possibility of needing an open surgery versus a laparoscopic surgery. It is important for the patient to understand the potential risks and benefits of each approach and to be prepared for the possibility of needing an open surgery, even if it is less common. Additionally, following the doctor’s pre-surgery instructions, such as fasting and medication guidelines, can help ensure a successful procedure and recovery.

Suitable For

Patients who are typically recommended for a cholecystectomy include those who have symptomatic gallstones, gallbladder inflammation (cholecystitis), gallbladder polyps, or biliary dyskinesia. Cholecystectomy may also be recommended for patients with complications such as gallbladder perforation, pancreatitis, or choledocholithiasis (stones in the bile duct). Additionally, patients with a history of recurrent gallbladder attacks or those at high risk for complications from gallbladder disease may also be recommended for cholecystectomy.

Timeline

Before cholecystectomy:

  1. Patient experiences symptoms of gallbladder disease such as abdominal pain, nausea, vomiting, and bloating.
  2. Patient undergoes diagnostic tests such as ultrasound, CT scan, or MRI to confirm gallbladder disease.
  3. Patient consults with a surgeon to discuss treatment options and risks of surgery.
  4. Patient undergoes pre-operative testing and preparation for surgery.

After cholecystectomy:

  1. Patient undergoes laparoscopic cholecystectomy, a minimally invasive surgery to remove the gallbladder.
  2. Patient experiences post-operative pain and discomfort, which is managed with pain medication.
  3. Patient is discharged from the hospital within a few days and instructed on post-operative care, diet, and activity restrictions.
  4. Patient may experience temporary digestive issues such as diarrhea or bloating as the body adjusts to the absence of the gallbladder.
  5. Patient follows up with the surgeon for post-operative appointments to monitor recovery and address any concerns.

What to Ask Your Doctor

  1. What are the benefits of laparoscopic cholecystectomy compared to open cholecystectomy?
  2. What are the potential risks and complications associated with cholecystectomy?
  3. What is the success rate of laparoscopic cholecystectomy at this medical center?
  4. How many cholecystectomy procedures has the surgeon performed, and what is their success rate?
  5. What is the recovery process like after cholecystectomy, and what can I expect in terms of pain and limitations?
  6. Are there any alternative treatments or options for managing gallbladder issues?
  7. How long will I need to stay in the hospital after the procedure?
  8. Are there any dietary or lifestyle changes I should make after cholecystectomy?
  9. What is the long-term outlook for my health after cholecystectomy?
  10. Are there any specific follow-up appointments or tests I will need after the procedure?

Reference

Authors: Katwal G, Thapa Y, Shrestha A, Bhattarai A, Tamrakar KK, Neupane HC. Journal: JNMA J Nepal Med Assoc. 2022 May 5;60(249):444-447. doi: 10.31729/jnma.7371. PMID: 35633240