Our Summary

A group of leading surgeons from six countries came together to identify ways to reduce injuries during a specific type of gallbladder surgery (laparoscopic cholecystectomy). They looked at different databases to gather information and came up with seven key recommendations. These suggestions included: making sure the surgical area is visible, using energy devices correctly, ensuring a clear view of the critical parts during surgery, using imaging before surgery, considering other techniques, and the roles of different types of gallbladder removal. They found the most agreement on the importance of having a clear view during surgery and considering alternative techniques. These recommendations could help make gallbladder surgeries safer and guide training to prevent complications.

FAQs

  1. What was the purpose of the surgeons gathering from six countries?
  2. What are some of the key recommendations identified by the group of surgeons to reduce injuries during laparoscopic cholecystectomy?
  3. How could these recommendations improve the safety and effectiveness of gallbladder surgeries?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic cholecystectomy is to follow post-operative care instructions carefully, such as avoiding heavy lifting and following a special diet to aid in recovery. It’s important to communicate any concerns or symptoms to your healthcare provider promptly to ensure a smooth recovery process.

Suitable For

Patients who are typically recommended for laparoscopic cholecystectomy include those with symptomatic gallstones, gallbladder polyps, gallbladder inflammation (cholecystitis), gallbladder cancer, or biliary dyskinesia. Additionally, patients who are at high risk for complications from traditional open surgery or who prefer a minimally invasive approach may also be recommended for laparoscopic cholecystectomy.

Timeline

Before Laparoscopic Cholecystectomy:

  1. Patient experiences symptoms of gallbladder issues such as abdominal pain, nausea, vomiting, and bloating.
  2. Patient visits a doctor and undergoes diagnostic tests such as ultrasound or CT scan to confirm gallbladder problems.
  3. Surgeon recommends laparoscopic cholecystectomy as the treatment option.
  4. Patient undergoes pre-operative tests and evaluations to ensure they are fit for surgery.

During Laparoscopic Cholecystectomy:

  1. Patient is administered anesthesia and prepared for surgery.
  2. Surgeon makes small incisions in the abdomen and inserts a laparoscope to visualize the gallbladder.
  3. Gallbladder is carefully removed using specialized instruments.
  4. Surgery typically lasts 1-2 hours.

After Laparoscopic Cholecystectomy:

  1. Patient wakes up in the recovery room and is monitored for any immediate complications.
  2. Patient may experience some pain and discomfort at the incision sites.
  3. Patient is discharged from the hospital usually on the same day or the next day.
  4. Patient is advised on post-operative care, including diet restrictions and activity limitations.
  5. Patient follows up with the surgeon for post-operative check-ups and incision care.
  6. Patient gradually resumes normal activities and diet as advised by the surgeon.

Overall, laparoscopic cholecystectomy is a minimally invasive procedure that offers faster recovery and less scarring compared to traditional open surgery for gallbladder removal. It is important for patients to follow their surgeon’s recommendations for a successful recovery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic cholecystectomy include:

  1. What are the potential risks and complications associated with this surgery?
  2. How experienced are you in performing laparoscopic cholecystectomy?
  3. Will I need any additional tests or imaging before the surgery?
  4. What is the expected recovery time and post-operative care plan?
  5. Are there any alternative treatment options to consider?
  6. What is the success rate of this surgery in treating gallbladder issues?
  7. How long will I need to stay in the hospital after the surgery?
  8. Will I need to make any dietary or lifestyle changes after the surgery?
  9. What should I do if I experience any unusual symptoms or complications after the surgery?
  10. Can you explain the specific techniques and equipment you will be using during the surgery?

Reference

Authors: Conrad C, Wakabayashi G, Asbun HJ, Dallemagne B, Demartines N, Diana M, Fuks D, Giménez ME, Goumard C, Kaneko H, Memeo R, Resende A, Scatton O, Schneck AS, Soubrane O, Tanabe M, van den Bos J, Weiss H, Yamamoto M, Marescaux J, Pessaux P. Journal: J Hepatobiliary Pancreat Sci. 2017 Nov;24(11):603-615. doi: 10.1002/jhbp.491. Epub 2017 Oct 27. PMID: 29076265