Gallbladder and Bile Duct
The gallbladder is a small pear shaped organ attached to the liver. Bile produced by the liver is stored in the gallbladder between meals before being released into the small intestines during a meal. The most common problem is forming stones which can cause inflammation or block the bile flow. Key hole or robotic surgery is used to remove the gallbladder with the stones inside. If stones are found in the bile duct during gallbladder surgery, they can be taken out at the same time.
What is the eligibility to have your gallbladder removed?
Gallstones arise from imbalances, often related to a diet high in rich foods. Elevated cholesterol in the bile can crystallize and develop into stones of varying sizes and numbers, from several marble-sized to hundreds of gravel-sized. An excess of bilirubin, a byproduct of hemoglobin, can also lead to stone formation. Stones may be composed of cholesterol, bilirubin, or a mixture of both. Typically, pain is experienced after eating, when the stones shift within the gallbladder.
Gallbladder cancer is typically discovered incidentally, with approximately 0.43% of cases found during laparoscopic cholecystectomy (gallbladder removal). It originates from the innermost layer of the gallbladder wall and is classified as an adenocarcinoma.
During laparoscopic gallbladder removal, bile duct stones are discovered in 10% of cases. These stones can obstruct the bile ducts or pancreas, leading to severe pain, infection, or pancreatitis.
Cholangiocarcinoma, or bile duct cancer, can develop in the bile ducts either outside the liver (extrahepatic) or within the liver (intrahepatic). Intrahepatic cholangiocarcinomas manifest as primary liver tumors. In contrast, extrahepatic cholangiocarcinomas typically present with jaundice or biliary duct infections.
If you are unsure of your Body Mass Index (BMI)
Recovery, Aftercare & Follow Up
Initial Recovery
You will usually spend 1 night in hospital. Dr Puhalla will visit you the next day for a check up and to discharge you home. You are required to have someone pick you up from the hospital.
Pain Management
Hydration
Wound Care
Diet Change
Increasing Exercise Gradually
Lifting and exercise restrictions will be applied for up to 4 weeks post surgery. Do not lift more than 5kgs.
Frequently Asked Questions
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