GENERAL HEALTH The gallbladder is carefully released from the surrounding organs and removed. After this, the gas is removed from the abdomen and the ports are closed with stitches and dressings. In some cases, it may not be possible to remove the gallbladder through a port. In this situation, the surgeon may need to make a larger cut in the abdomen to safely remove the gallbladder. Converting a laparoscopic operation to an open procedure isn’t a complication, but a clinical decision made in the best interests of the patient. As with any procedure, there’s the risk of complications. Some people develop increased bowel frequency after the operation, but it tends to be temporary. Other complications are rare; bile leak occurs in one to two per cent of patients and may require further surgery, and a bile duct injury occurs in up to 0.5 per cent of patients. If a stone is lodged outside the gallbladder in the biliary tree it may not be possible to remove it at the time of the operation. In this case a second procedure called endoscopic retrograde cholangiopancreatography (ERCP) might be required. This procedure can be used to diagnose and treat gallstones in the bile duct. Under sedation, a gastroenterologist passes a small flexible fibre-optic camera through your mouth to view the gut, together with dye and a specialised radiation-free imaging machine. The gallstones are retrieved with a tiny basket and/or balloon via the scope. Gallstones are a common condition. They only need to be treated if they are causing symptoms. There are safe and effective ways to treat gallstones and prevent their recurrence. Talk with your doctor about the most suitable option for your individual situation. Dr Jacobus Jordaan is a specialist Upper Gastrointestinal surgeon who offers minimally-invasive (laparoscopic) procedures, such as cholecystectomies, at Pindara Private Hospital. pindaramagazine.com.au Pindara Magazine 61
Pindara Private Hospital Magazine - Issue Seven
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