It is the most common method for treating symptomatic gallstones. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older more invasive procedure, called open cholecystectomy.
A traditional open cholecystectomy is a major abdominal surgery in which the surgeon removes the gallbladder through a 5- to 7-inch incision. Patients usually remain in the hospital at least 2 to 3 days and may require several additional weeks to recover at home. This procedure will therefore leave a right-sided subcostal scar.
Laparoscopic Cholecystectomy- Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones and inflammation of the gallbladder unless there are contraindications to the laparoscopic approach. This is because open surgery leaves the patient more prone to infection. Sometimes, a laparoscopic cholecystectomy will be converted to an open cholecystectomy for technical reasons or safety.
- The procedure is usually performed under general anesthesia
- The laparoscope is a long tube with lenses at one end that are connected by fiber optics to a small television camera at the other. The fiber optics also carries light into the abdomen from a special light source. This system allows the surgeon to see and operate within the abdomen
- The laparoscope and laparoscopic instruments with long handles are inserted through the incisions into the abdomen. The entire operation is then performed while viewing the organs magnified on a television screen
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