Laparoscopic Cholecystectomy (LC)Laparoscopic cholecystectomy is the gold standard treatment for symptomatic gallstones. It requires 3 to 4 small incisions in the abdomen to allow the insertion of surgical instruments and a small video camera.
After the initial incisions, the surgeon inflates the abdominal cavity with carbon dioxide. The camera sends a magnified image from inside the body to a video monitor, giving the surgeon a close-up view of the organs and tissues.
The surgeon watches the monitor and performs the operation by manipulating the surgical instruments through separate small incisions.
The cystic duct and the cystic artery are identified, skeletonised then clipped with tiny titanium clips. The gallbladder is separated from liver bed and removed through one of the small incisions.
This type of surgery requires meticulous techniques and specialist surgical skills. It is a safe procedure in the specialist hands. A straightforward case can be done in about an hour.
Laparoscopic cholecystectomy does not require the abdominal muscles to be cut, resulting in less pain, quicker healing, improved cosmetic results, and fewer complications.
Most patients can be discharged on the same or the following day and may return to work in about a week. Rarely, the laparoscopic cholecystectomy will be converted to an open cholecystectomy due to technical difficulty or in the interest of safety.