Why Gallbladder Surgery, Cholecystectomy is performed?
Gall Stones And Bile Duct Stones – Gall Stones are stones made up of cholesterol, pigment, and calcium. They are mostly made of cholesterol and can occur as a result of body weight, faulty gallbladder movement, heredity, diet, and lifestyle habits. Rapid weight-loss diets are also known to create gall stones. Sometimes the gall stones can get stuck in the tube attached to it, which is known as the bile duct. If these stones reach the bile duct and get stuck there then they can create complications. The pain is usually severe when it happens and can create an infection in the gallbladder if not treated promptly. Removal of gall bladder via laparoscopy cholecystectomy surgery is the safest and permanent way to treat gall stones. The patients will have no lifestyle or dietary limitations of any kind once the gall bladder is removed.
Benign Biliary Stricture – Biliary stricture is the narrowing of the bile duct tube that leads to disturbance in the flow of bile juice. As bile is necessary to digest food (especially fatty food) the patient can face difficulty digesting the fatty food. When the stricture becomes narrower, more symptoms start to develop. The reason behind the benign biliary stricture is gallbladder surgery in the past, stone in the bile duct, pancreas infection, or any kind of cancer in the biliary system. The treatment of biliary stricture can be performed by either of the two procedures, ERCP and PTHC. In these procedures, a stent or a plastic tube is placed inside the bile duct to keep the stricture open and functioning.
Gall Bladder Cancer – Cancer in the gall bladder often produces mild to no symptoms. Most of the patients feel no symptoms, some feel abdominal pain, weight loss, fever and bloating, or excessive gas formation. The gall bladder is removed and is sent to the lab to check for the extent of cancer in it. Radio and chemotherapy also proceed to kill any other cancer cells present in the body. If cancer has spread then palliative care is given to the patient to ease the pain and other symptoms.
Bile Duct Cancer – This is a rare type of cancer in which the bile duct (tubes that connect gallbladder, liver, and small intestine) develop cancer cells. As these tubes are very well connected to the nearby organs, this type of cancer is considered an aggressive type of cancer. Patients experience jaundice, yellowing of skin and eyes, weight loss, and white or clay-colored stools. Bile duct cancer is treatable when caught in the early stages like other cancers. ERCP and other medical procedures are followed to detect and kill the cancer cells. Sometimes more extensive liver and pancreas surgeries are required as well. Not all bile duct tumors are cancer, so getting treated by an experienced hepatologist is required.
Choledochal Cyst – It is an anomaly present by birth in babies in which the bile duct is swollen. This leads to the flow of digestive juices (bile) back to the liver. The choledochal cyst can create inflammation in the liver and pancreas and have a high chance of turning into bile duct cancer if not treated. The most common symptoms are jaundice, fever, nausea and vomiting. This cyst-like swelling is removed laparoscopically to ensure the good flow of bile and restore normal health in babies.
Radical Cholecystectomy – It is performed in patients with gallbladder cancer, where it is suspected that cancer may spread if only the gallbladder is removed. So in order to stop cancer from spreading, a radical or extensive cholecystectomy is required. In radical cholecystectomy, gallbladder, an inch of liver tissue along with the lymph nodes in the nearby area are removed. It is a complex procedure and the surgeon needs to be quite experienced and skilled while performing this procedure. If cancer has spread to other areas, then an increased part of the liver, pancreas, duodenum, bile duct, etc can also be removed in the extensive cholecystectomy.
Roux-en-y Hepaticojejunostomy – When the bile duct is removed, the liver and jejunum are connected directly to let the bile drip into it. This surgery bypasses the bile duct and the liver gets connected to the middle part of the small intestine directly. This surgery is performed in cases of cancer, gallbladder removal, liver transplant, biliary trauma etc. The patient can resume normal activities earlier but the full recovery requires about 6 weeks or more. Heavy lifting and sports activities are avoided in the meantime.
To get the opinion of one of the best hepato-biliary surgeons in Delhi who gives individual attention to your case, you can book an appointment with Dr Sandeep Jha here.