FROM OUR EXPERTS
Cholecystitis - chronic
Surgery is the usual treatment. Surgery to remove the gallbladder is called cholecystectomy .
Laparoscopic cholecystectomy is most often done. This surgery uses smaller surgical cuts, which result in a faster recovery. Patients are often sent home from the hospital on the same day as surgery, or the next morning.
Open cholecystectomy requires a larger cut in the upper-right part of the abdomen.
In patients who are too ill to have surgery because of other diseases or conditions, the gallstones may be dissolved with medication taken by mouth. However, this may take 2 years or longer to work, and the stones may return after treatment.
Cholecystectomy is a common procedure with a low risk.
of the gallbladder (rarely)
Worsening of the condition
Open gallbladder removal is surgery to remove the gallbladder.
Cholecystectomy - open
In gallbladder removal surgery, a surgeon makes a large incision (cut) in your belly to open it up and see the area. The surgeon then removes your gallbladder by reaching in through the incision and gently lifting it out.
Surgery is done while you are under general anesthesia (unconscious and unable to feel pain).
The surgeon will make a 5 to 7 inch incision in the upper right part of your belly, just below your ribs. The surgeon will cut the bile duct and blood vessels that lead to the gallbladder. Then your gallbladder will be removed.
A special x-ray called a cholangiogram will be done during the surgery. This involves squirting some dye into your common bile duct. This duct will be left inside you after your gallbladder has been removed. The dye helps locate other stones that may be outside your gallbladder. If any...
Extracorporeal Shock Wave Lithotripsy Gallstone fragmentation by extracorporeal shock wave lithotripsy (ESWL) may be an appropriate therapy for some patients who cannot undergo surgery, but it is no longer widely used. The treatment works best on solitary stones that are less than 2 centimeters in diameter. Less than 15% of patients are good candidates for lithotripsy. The typical procedure is performed as follows: The patient sits in a tub of water. High-energy, ultrasound shock waves are directed through the abdominal wall toward the stones. The shock waves travel through the soft tissues of the body and break up the stones. The stone fragments are then usually small enough to be passed through the bile duct and into the intestines. Lithotripsy is generally combined with oral dissolution treatment to help dissolve the fragmented pieces of the original gallstone. Complications. Complications include pain in the gallbladder area and pancreatitis, usually occurring within a month of treatment...
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