| A small sac which is attached to the | | | | electrocautery the gall bladder is cut |
| undersurface of the liver, that holds | | | | free. Through one of the abdominal |
| bile is the gall bladder.The liver | | | | incisions the gall bladder is pulled out |
| produce a digestive juice called bile | | | | of the body. After that from the |
| and it is used to break down dietary | | | | abdominal cavity are removed the |
| fats. The water is extracted by the gall | | | | instruments and the carbon dioxide gas. |
| bladder from its store of bile until the | | | | And finally the incisions are sutured |
| liquid becomes highly concentrated. The | | | | and covered with dressings. |
| gall bladder squeezes its bile | | | | Open surgery is the same as laparoscopic |
| concentrate into a small intestine when | | | | surgery, except the gall bladder has in |
| are consumed fatty foods. | | | | large and presents a single incision in |
| About 15 percent of people aged 50 | | | | the abdominal wall. Sometimes a |
| years and over are affected by | | | | laparoscopic cholecystectomy turns into |
| gallstones which are a disorder of the | | | | open surgery if the surgeon encounters |
| digestive system. Gallstones are formed | | | | unexpected difficulties such as not |
| by the crystallisation of excess | | | | being able to clearly see the gall |
| cholesterol in bile and the failure of | | | | bladder. Symptoms like mild pain in the |
| the gall bladder to completely empty. | | | | shoulder from the carbon dioxide gas may |
| The person can live without gall bladder | | | | appear after the operation. The patient |
| because it is not a vital organ. If | | | | may be advised to take pain killing |
| gallstones are causing problems is | | | | drugs even cough regularly is needed. It |
| recommended cholecystectomy, or surgical | | | | may be possible also an overnight stay |
| removal of the gall bladder. | | | | in hospital when the patient has choosen |
| Into the small intestine by slender | | | | the laparoscopic cholecystectomy. In |
| ducts from the gall bladder is collected | | | | case of an open surgery may be a |
| bile. If these ducts are blocked by the | | | | hospital stay of up to eight days will |
| gallstones can appear pains and serious | | | | be necessary. Some risks may appear |
| complications like nausea and vomiting, | | | | after the operation. The complications |
| infection of the gall bladder | | | | may include: internal bleeding, |
| (cholecystitis), jaundice since bile | | | | infection, injury to nearby digestive |
| enters the bloodstream instead of the | | | | organs, injury to the bile duct, leakage |
| digestive system, inflammation of the | | | | of bile into the abdominal cavity, |
| pancreas (pancreatitis), infections of | | | | injury to blood vessels. |
| the liver, cancer of the gall bladder | | | | The patient can take care of himself. In |
| which occurs rarely. | | | | this case here are some suggestions |
| Patients need to speak with the doctor | | | | like: rest from 3 to 5 days, avoiding |
| or surgeon, before the operation about | | | | heavy lifting and physical exertion |
| the pre-existing conditions which may | | | | under advice from the doctor, the settle |
| influence decisions on surgery and | | | | down after surgery. Problems that may |
| anaesthetic, the medications taken on a | | | | appear: bloating, abdominal pains and |
| normal basis and the bad reactions or | | | | changes to toileting habits. To make |
| side effects from any drugs. There are | | | | sure all is well the patient need to see |
| two ways to remove the gall bladder one | | | | the doctor.A form of treatment for |
| named laparoscopic cholecystectomy or | | | | gallstones appears when the gallstones |
| "keyhole" surgery and the other is open | | | | are broken down by sound waves. |
| surgery called laparotomy. | | | | Medications are also used, but the |
| In the case of laparoscopic | | | | success rate is variable and side |
| cholecystectomy are made some small | | | | effects are common and treatment is |
| abdominal incisions which permite the | | | | expensive. |
| access of a slender instruments to the | | | | There are some facts that the patient |
| abdominal cavity. In the body is | | | | should not forget, for example: the gall |
| introduced a tube which blows a gentle | | | | bladder is a small sac that holds bile, |
| stream of carbon dioxide gas. So the | | | | which is used to break down dietary |
| abdominal wall is separated from the | | | | fats, gall stones are common disorder of |
| underlying organs. With a tiny TV camera | | | | the digestive system which affect around |
| attached to the laparoscope the surgeon | | | | 15 per cent of people aged 50 years and |
| can see on a TV monitor the gall | | | | over, the surgical removal of the gall |
| bladder. Gallstones during the operation | | | | bladder is recommended if gallstones are |
| with x-rays can be checked and wedged | | | | causing problems. |
| within the bile ducts. The ducts and | | | | There are many side effects of gallstone |
| artery are clipped shut and these clips | | | | but there are also many possibilities to |
| are permanent. With a laser or | | | | prevent its apparition. |