What is Gall Bladder and Bile Tract ?
The gallbladder is a small, pear-shaped organ which is adherent to the undersurface of the liver. It stores bile, a fluid that is made in the liver and helps in digesting fat. When you eat a meal that has fat in it, the gallbladder empties the bile into a tube called the "bile duct." The bile duct carries the bile into the small intestine to help in the digestion.
What diseases can occur in gallbladder?
The most common problem occurs in gallbladder is gallstone and its complications. Another important disease is cancer of the gallbladder.
What are the symptoms of gallstones?
Gallstones can be asymptomatic or it can leads to pain, fever, bloating, nausea or vomiting.
What investigations are required to diagnose the gallstone disease?
It requires some blood investigations and ultrasonography of abdomen. In case of complications, it may require other investigations like CT scan, MRCP or ERCP.
What is the treatment of gallstone disease?
Surgical removal of the gallbladder.
What is surgical gallbladder removal?
The Gallbladder removal is surgery to remove the gallbladder from the body which is also called "cholecystectomy." There are 2 types of gallbladder removal surgery: laparoscopic and open surgery.
Laparoscopic surgery -
This means the surgeon uses a "laparoscope," a long, thin tube like instrument which has a very small camera at the tip, which is inserted into the abdomen through a 0.5 to 1 cm cut usually in the belly button. Image of the inside of abdomen is seen on the TV screen. The abdomen is inflated with carbon dioxide gas to lift up the skin and muscle and make everything inside easier to see. Then the surgeon makes two or more other 0.5 to 1cm incisions that allow narrow instruments enter in the abdomen. These tools include clamps, scissors, and stitching devices, which the surgeon can control from outside the body. While looking at the picture on the screen, the surgeon uses those tools to perform the operation. Most gallbladder removal surgeries nowadays are done using laparoscopic technique, but sometimes open surgery is necessary in complicated cases.
Open surgery - This means the surgeon makes a big enough cut on the abdomen to see the gallbladder directly and remove it.
- What is the preferred surgical option?
- Laparoscopic removal is preferred over open removal and nowadays most of the gallbladder removal surgery performed with laparoscopic technique.
- What are the benefits of laparoscopic technique over open technique? Laparoscopic surgery is cosmetically better as it requires very small cut. It is associated with less pain, early discharge from the hospital and early return to the work. Generally patient requires only one day of hospitalization in laparoscopic surgery.
- Is gallbladder removal necessary?
- Gallbladder should be removed when gallstones are symptomatic as it can leads to various complications which can be severe enough and nowadays laparoscopic removal of gallbladder is very safe and risk of not removing symptomatic gallbladder is much higher than its removal.
What is the postoperative course after laparoscopic removal of the gallbladder?
After laparoscopic surgery you will be allowed to take orally 5 - 6 hours after surgery. You can be discharged on the day of surgery or on next day depending on your recovery. At home you will be able to carry out all routine normal activity, but you will be advised to avoid heavy work for about a week.
Disease of Gallbladder and Bile Tract :
i Actue Cholecystitis
ii Gall Stone Disease
iii Cancer of Gall Bladder
iv Bile Duct Stone
v Cancer of Bile Duct
vi Choledochal Cyst