General Surgery

Laparoscopic Cholecystectomy New Jersey | Lap Surgeons

Gallstones are a common problem, but one that’s easily treatable with any one of a number of laparoscopic cholecystectomy procedures. Cholecystectomy is a minimally invasive treatment and hugely successful when performed by a highly trained and experienced cholecystectomy doctor at Advanced Surgical & Bariatrics of NJ, PA. Serving southern New York, northern Jew Jersey and eastern Pennsylvania, the specialists at this New Jersey practice also provide an extensive line of bariatric services to help you lose weight. Your overall health and well-being are tantamount to this professional team of doctors, as they serve you with compassion and care. Call one of the five NJ offices today for an appointment.

Laparoscopic cholecystectomy is a surgical procedure used to remove the gallbladder. In fact, lap cholecystectomy is the only sure-fire way to cure gallbladder problems. It’s minimally invasive and perfectly safe when performed by the internationally recognized experts at Advanced Surgical & Bariatrics of NJ, PA (ASBNJ).

If you’re a woman who is taking estrogen hormones for menopause or who’s had children, you’re more likely to suffer from gallbladder problems than anyone else, including men and other women. Your risk also increases if you’re overweight or over the age of 40, although it’s possible that inflamed gallstones can affect anyone. The first sign your gallbladder is turning problematic is when you start noticing symptoms that include:

  • A sharp pain in the right side of your abdomen
  • A low-grade fever
  • Nausea and vomiting
  • Indigestion
  • Feeling bloated
  • Yellowing of the skin, which commonly signals jaundice

Why Remove Your Gallbladder

The gallbladder is located in the upper part of your abdomen. It’s a pear-shaped organ that helps collect and store bile. Before you dismiss this function as trivial, remember that bile is the liquid that breaks down fats and lipids from food you eat.

Sometimes, though, the bile hardens and forms gallstones. Gallstones can develop in a number of ways, but typically, they’re recognized when they appear in the form of:

  • Hardened bile in the gallbladder
  • Gallstones blocking a bile duct
  • Inflammation of the gallbladder
  • Formation of large polyps
  • Pancreas inflammation because of the gallstones
  • Gallbladder cancer

To rectify the problem caused by gallstones, your cholecystectomy doctor may suggest that you undergo a minimally invasive laparoscopic procedure, depending on which medical condition requires treatment. The various types of cholecystectomy include:

  • Pancreatitis cholecystectomy: Pancreatitis cholecystectomy is performed if the pancreas duct is obstructed by a gallstone and inflamed as a result. Removing your gallbladder is essential to prevent the recurrence of gallstone pancreatitis. Pancreatitis cholecystectomy is advisable to be performed within three days of diagnosing mild acute gallstone pancreatitis. In case of severe acute gallstone pancreatitis, cholecystectomy should be performed on a day of diagnosis due to the high risk of surgical complications in such patients.
  • Gallstones cholecystectomy: This type of cholecystectomy is preferable when a gallstone blocks the cystic duct, leading to inflammation of the gallbladder (cholecystitis). It can be performed within two days of diagnosing uncomplicated cholecystitis and 6 to 12 weeks after the onset of acute cholecystitis.
  • Partial cholecystectomy: The partial cholecystectomy technique is used when the gallbladder is severely inflamed and the biliary system anatomy is distorted as a result. It involves removing the majority of your gallbladder and leaving a part of its neck and posterior wall intact.
  • Radical cholecystectomy: Radical cholecystectomy is performed for treating most types of gallbladder cancer and is aimed at decreasing the risk of recurrence. It involves the removal of all areas that may be affected by the disease, including a large portion of the liver, an entire lobe of the liver, pancreas, common bile duct, specific ligaments, certain lymph nodes, and duodenum.

Before Your Cholecystectomy Surgery

Your cholecystectomy doctor at ASBNJ may order an ultrasound to check the severity of the condition. You may also need additional tests to see how well your gallbladder is functioning. The New Jersey experts provide you with the most comprehensive care to ensure you receive the best and most appropriate treatment for your condition.

For six to 12 hours prior to the procedure, you have to refrain from eating. You must also stop taking certain medications, blood thinners and vitamins for a few weeks before the surgery. A laparoscopic cholecystectomy typically is performed as an outpatient procedure while you’re under general anesthesia.

What to Expect from a Lap Cholecystectomy

Lap cholecystectomy surgery commonly involves a series of steps that include:

  1. You surgeon makes small one-inch cuts near your belly button.
  2. Carbon dioxide gas is then pumped in to inflate your abdomen, giving your cholecystectomy surgeon a clearer view of the organs.
  3. The laparoscope, a tube fitted with a small camera., is then inserted. The laparoscope helps guide the specialized surgical instruments used during the surgery.
  4. Once the procedure is complete, the gas is allowed to escape, and the cuts closed.

Most laparoscopic cholecystectomy takes about 30 to 60 minutes. There are exceptions, depending on the type of cholecystectomy treatment you receive. For example, radical cholecystectomy requires not just the removal of the gallbladder, but also any surrounding tissues that look cancerous.

Aftercare from Cholecystectomy Surgery

You can’t drive your car after laparoscopic cholecystectomy. You may still be groggy from the anesthesia. Most patients leave the same day or at most, after a one-night stay. You can expect some bloating, cramps and even shoulder pain from the carbon dioxide gas for a few days. This is normal, and relief comes as soon as your body absorbs the gas.

Light exercise like walking is recommended in the initial days after the procedure. Your doctor recommends that you drink eight to 10 glasses of water every day. High-fiber foods like beans, whole grain breads, vegetables and fruits are also best to eat in your early recovery period to prevent straining while having a bowel movement.

Under normal circumstances, it can take from one to three weeks before you can go back to work. Just make sure not to lift anything heavy or strain yourself too much. Most people make a complete recovery in four to six weeks. You don’t have to suffer with the pain and discomfort caused by gallstones when a simple procedure performed by highly experienced experts is available near you. Contact Advanced Surgical & Bariatrics of NJ, PA today for a consultation. Learn about your options.

This page was modified on Jun 4, 2021 by Dr. Sadek (Surgeon) of Advanced Surgical & Bariatrics
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