Laparoscopic Cholecystectomy 101: All Your FAQs Answered

Every year, thousands of patients have their gallbladder removed due to a range of medical conditions. Yet, few understand the crucial role that laparoscopic cholecystectomy plays in this process.

The gallbladder, a small pear-shaped organ located in your upper abdomen, collects and stores a liquid called bile to digest fats from the food we eat. The more fat we consume, the more bile is released into the digestive tract. Over time, bile becomes more concentrated, contributing to the formation of gallstones.

In Malaysia, our love for rich, fatty foods makes gallstone disease a widespread concern. Fortunately, laparoscopic cholecystectomy has become the gold standard approach to safely and effectively treat this condition.

What is a Laparoscopic Cholecystectomy?

Laparoscopic cholecystectomy is a minimally invasive procedure that involves the removal of the gallbladder. It is one of the most commonly performed procedures and is preferred over the traditional open technique due to its smaller incisions, less post-operative pain, shorter hospital stay and faster return to normal activity.

Why is Laparoscopic Cholecystectomy Needed?

While gallstones are the most common reason for laparoscopic cholecystectomy, it is also recommended for patients dealing with:

• Chronic cholecystitis (gallbladder inflammation)
• Large gallbladder polyps

How is the Procedure Performed?

Laparoscopic cholecystectomy is usually performed under general anaesthesia, so patients will be asleep during the surgery. The surgeon will make three or four small incisions in the abdomen.

This is followed by the insertion of a thin scope with a camera at its end to allow visualisation within the abdominal cavity. The camera projects visuals to a video monitor above the operating table which serves as a guide for the surgeon as narrow surgical tools are inserted through the other incisions to remove the gallbladder.

Once completed, incisions are closed with dissolvable stitches, staples, surgical tape or glue. The whole procedure normally takes about 60 to 90 minutes.

What is the Recovery Like?

Pain at the incision sites and in the abdomen during the first 24 to 48 hours post-surgery is common. Painkillers will usually be given upon discharge, which are to be taken regularly for the first few days.

Patients can expect to go back to work or their normal routine after 1 to 2 weeks, but a full recovery may take longer.

Conclusion

Laparoscopic cholecystectomy has proven to be a safe and effective procedure, with most cases yielding excellent outcomes and a low risk of complications. It remains a trusted and reliable option for patients in need of gallbladder removal.

If you're experiencing persistent symptoms of gallstones, such as severe upper abdominal pain, clay-coloured stools, nausea, or vomiting, it's important to seek an evaluation from a specialist or general surgeon to explore your treatment options.