Gallbladder Removal OR Gall Stone Surgery OR Laparoscopic Cholecystectomy in Mumbai, India

Overview – Laparoscopic Cholecystectomy Or Laparoscopic Gallbladder Stone Removal Surgery Or Laparoscopic Gallbladder Surgery in Mumbai, India

Laparoscopic Cholecystectomy Surgery or Laparoscopic Gallbladder Surgery or Laparoscopic Gallbladder Stone Surgery is a surgical procedure performed to remove the gallbladder by Dr Aparna Govil Bhasker.

The indications for Laparoscopic Gallbladder Stone Surgery or Laparoscopic Gallbladder Surgery in Mumbai, India are:

1. Acute cholecystitis or acute inflammation of the gall bladder
2. Chronic cholecystitis or chronic inflammation of the gall bladder with gall stone disease
3. cholecystitis (inflammation of the gall bladder in the absence of stones in the gall bladder
4. Gall stone disease
5. Polyps in the gall bladder
6. Benign tumours or cancer of the gall bladder
7. Trauma to the gall bladder
8. Obstructive lesions causing mucocele or empyema of the gall bladder
9. As a part of other surgical procedures such as Whipple’s pancreaticoduodenectomy
10. Rarely volvulus of the gall bladde

Types of Gall bladder Stones 

Factors contributing to formation of gall stones are metabolic, reflux of pancreatic enzymes in the gall bladder, stagnation of bile in the gall bladder and infection. Gall bladder stones in Mumbai and world over are majorly made of cholesterol, bile pigments and calcium. Most of the times gall bladder stones are mixed gall stones. Gall stones can be solitary or multiple.

Risk factors for developing gall stone disease in India

Laparoscopic Gallbladder Surgery or Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Cholecystectomy surgery in India is most commonly performed for stones in the gall bladder. Gall stones are commonly found in the Indian population and especially in Mumbai. Gall stone disease is more frequent in people in their middle age and is more commonly found in women as compared to men in India. According to an old adage gall stone disease is commonly seen in a – “fat fertile female of forty”. Common risk factors affecting people in India are listed as under:

• Female gender
• Age more than 40 years
• Overweight or obese
• Pregnancy
• High fat, low fibre diet
• Family history of gallstones
• Diabetes
• Rapid weight loss
• Medications that contain estrogen, such as oral contraceptives or hormone therapy drugs
• Liver disease 

Signs and symptoms of gall bladder stones leading to Laparoscopic Gallbladder Stone Surgery in India are:

The signs and symptoms of gall bladder disease which may lead to Laparoscopic Cholecystectomy surgery or Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in Mumbai include:

• Acidity and fullness of the abdomen after eating food, belching and heartburn
• Fever
• Chronic pain in the upper right abdomen
• Feeling of tenderness over the abdomen once its touched
• Pain in the back or right shoulder
• Nausea
• Vomiting
• Rarely signs of intestinal obstruction due to slipping of a large gall stone into the small intestine

Most of these signs and symptoms usually occur after a meal, especially fatty or large meals. Therefore, a patient is advised to seek medical attention in case these symptoms occur repetitively. In case a patient experiences severe abdominal pain which prevents them from sitting still or being comfortable, they should ask someone to drive them the emergency room.

Investigations prior to Laparoscopic Cholecystectomy surgery or Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in Mumbai, India

Before Laparoscopic Gallbladder Surgery in Mumbai, the Best Gallbladder Surgeon first takes the patient’s medical history and then conducts a physical examination. Other conditions with signs and symptoms similar to gall bladder stones must be ruled out. The following are some of the diagnostic procedures used by Best Gallbladder Surgeon before Laparoscopic Gallbladder Surgery in Mumbai:

• Blood tests – these tests can be ordered by a Best Gallbladder Surgeon performing Laparoscopic Gallbladder Stone Surgery in Mumbai to assist in the identification of infection signs of the gallbladder. Additionally, blood tests are used to identify whether there is any infection in the bloodstream. Routine blood work like a CBC and liver function test are important.
• Abdominal ultrasound is one of the best diagnostic options which gives the Best Gallbladder Surgeon a view of the patient’s gall-bladder and liver. This test assists the Best Gallbladder Doctor performing Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in India or laparoscopic cholecystectomy surgery in India to visualize the stones and also check whether there are any duct obstructions.
• HIDA scan, ERCP and MRCP are tests that are done to visualize the bile ducts and look for any blockage
• Percutaneous transhepatic cholangiography – during this test, the Best Gallbladder Surgeon uses a needle to insert a contrast dye into the liver. This allows the Best Gallbladder Doctor to see bile ducts on X-ray.

Timing of Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in India

Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in India for acute inflammation can either be done immediately or in a staged manner after 6 to 8 weeks. There are conflicting opinions about immediate or staged Laparoscopic Gallbladder Removal Surgery or Laparoscopic Cholecystectomy surgery in Mumbai. Staged laparoscopic cholecystectomy surgery or Laparoscopic Gallbladder Stone Removal Surgery is a good option when the gall bladder infection settles down with conservative medical management. Some Best Gallbladder Surgeon also feel that it is more difficult to perform Laparoscopic Cholecystectomy Surgery or Laparoscopic Gallbladder Removal in Mumbai during acute inflammation of the gall bladder. However, there is another school of thought that feels that risks of Laparoscopic Gallbladder Removal Surgery or Laparoscopic Cholecystectomy surgery in Mumbai during the acute phase are exaggerated. A lot of patients actually end up experiencing another episode of cholecystitis before the scheduled Laparoscopic Gallbladder Surgery or Laparoscopic Gallbladder Stone Surgery in Mumbai. An early Laparoscopic Gallbladder Surgery or Laparoscopic Cholecystectomy is also advised if pain and tenderness spread across the abdomen, there is an obvious gall bladder lump, very ill and elderly patients, persistent fever despite medical management.

Complications of Gall Bladder Stones

• Acute inflammation of the gall bladder- acute cholecystitis
• Cholangitis
• Blockage of common bile ducts leading to obstructive jaundice
• Blockage of pancreatic duct leading to acute pancreatitis
• At times long-standing inflammation may lead to formation of a fistula between the gall bladder and intestine. The stone may slip out from the gall bladder into the intestine and cause a condition known as gall stone ileus.
• Long standing gall bladder stones may lead to formation of cancer

Technique of Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Removal in Mumbai, India

Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in Mumbai can be performed either by conventional laparoscopy or by single incision (scar-less) technique as depicted in the diagram. In conventional laparoscopic technique, 4 small cuts are made on the abdomen and the entire surgery is performed through these cuts. In a single incision technique, a 2 cm vertical cut is made inside the navel and the entire surgery is performed through this incision. After it heals it gets buried deep inside the navel and is barely seen. The single incision technique leaves no tell tales signs of surgery behind and is practically “scar-less”. The Best Gallbladder Doctor will advise the best possible option depending on your clinical profile.

During Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in India, trocars are inserted through the incisions shown in the figure. Gallbladder Doctor then inserts a small tube with a camera on its end known as a laparoscope. The laparoscope assists the Best Gallbladder Doctor in viewing the gall bladder on a TV monitor. The Best Gallbladder Surgeon typically looks into a TV monitor and operates. Carbon dioxide gas is filled in the abdomen and the gall bladder is visualized. The cystic duct and artery are dissected, clipped and divided. After the gall bladder is removed from the liver bed and the Best Gallbladder Doctor checks for any bleeding. Post this the gall bladder is removed in an endo-bag and the incisions are closed after removal of gas.

Laparoscopic technique has become one of the most preferred treatment options for Laparoscopic Gallbladder Removal Surgery and offers safe & effective treatment for patients with gallstones.

Advantages of Laparoscopic Cholecystectomy Surgery or Laparoscopic Gallbladder Removal Surgery technique

1. Less pain and post-operative discomfort
2. Patients are able to walk around after a few hours of surgery.
3. Early discharge from the hospital. Most patients go home on the next day after surgery.
4. Laparoscopic technique is advantageous in obese patients.
5. Laparoscopy provides a much more magnified view of the operating field and hence better visualization
6. Early return to work. Patients are able to get back to work much earlier.

Advantages of single incision Laparoscopic Cholecystectomy Surgery or Laparoscopic Gallbladder Removal in Mumbai, India Technique

1. In addition to all the above listed advantages, a single incision technique is cosmetically superior as it leaves no scars on the abdomen.
2. It also leads to lesser pain.
3. A single incision technique also provides the privilege of confidentiality to the patient.

Side effects or complications of the Laparoscopic Cholecystectomy Surgery or Laparoscopic Gallbladder Surgery procedure

Complications after Laparoscopic Cholecystectomy surgery or Laparoscopic Gallbladder Stone Removal Surgery or Laparoscopic Gallbladder Surgery in Mumbai are very rare, and most of the patients who undergo Laparoscopic Gallbladder Removal Surgery recover and return to their normal activities very fast. Rarely, complications like infection at the incision sites, bleeding, bile leakage, injury to adjacent organs, pneumonia, blood clot formation etc may happen post-surgery.

Laparoscopic Cholecystectomy Surgery or Laparoscopic Gallbladder Removal Surgery Post-operative care

Usually patients are given water and other liquids 6 hours after surgery. Once the patient tolerates liquids, they can be given a light meal, and also the IV line can be removed. Patients must go easy on their diet for the first 3 to 4 days and minimize oil and spice for 2 weeks post surgery.

At times, a patient can feel nauseated after the anesthesia wears off. This feeling should pass after a few hours, but if it doesn’t, the patient can be given medication to relieve it.

The patient can be given a prescription for pain medication to manage pain which might occur after the surgery. The incision sites are covered with small adhesive bandages, which can be removed after five days. The stitches may not be removed as they usually dissolve over time.

After Laparoscopic Gallbladder Stone Surgery or Laparoscopic Gallbladder Surgery in India most patients are usually discharged the next day after the surgery.

A patient can resume normal, light daily activities after 24 hours and can return to work after 7 days. The patient should avoid strenuous activities and heavy weight lifting until 3 months post-surgery.

Laparoscopic Cholecystectomy Surgery or Laparoscopic Gallbladder Stone Removal or Laparoscopic Gallbladder Surgery Cost in Mumbai, India

Laparoscopic Gallbladder Surgery Cost in Mumbai depends on many factors. The Laparoscopic Gallbladder Surgery cost is determined by factors like demographic location of the hospital, type of room selected, duration of surgery etc.  Laparoscopic Gallbladder Surgery cost in Mumbai is usually covered by insurance and can also be performed in cashless manner with prior approval of the insurance company. Laparoscopic Gallbladder Surgery cost in Mumbai also depends on the duration of stay in the hospital.

Laparoscopic Gallbladder Stone Removal Surgery in Mumbai is performed by Dr. Aparna Govil Bhasker at the following hospitals:

1. Gleneagles Global Hospital, Parel, Mumbai, India
2. Saifee Hospital, Charni Road, Mumbai, India
3. The Esthetic Clinics, Kandivali East, Mumbai, India
4. Namaha Hospital, Kandivali West, Mumbai, India
5. Suchak Hospital, Malad East, Mumbai, India
6. Apollo Spectra Hospital, Tardeo and Chembur, Mumbai, India
7. Apollo Hospital, CBD Belapur, Navi Mumbai, India
8. MGM Hospital, Vashi, Navi Mumbai, India
9. Currae Specialty Hospital, Thane, India
10. Sunshine Global Hospital, Surat, India

Contact Details

Mobile: +919819566618/ +919930922761

Email: info@bestbariatricsurgeon.org

Website: www.bestbariatricsurgeon.org , www.aparnagovilbhasker.com

Facebook: https://www.facebook.com/draparnagovilbhasker/

Linked in: https://www.linkedin.com/in/dr-aparna-govil-bhasker-82836b34/