Cholecystectomy

Cholecystectomy means the excision of the gallbladder.

Cholecyctectomy is the treatment of choice for cholecystitis. Even though some physicians would like to manage the patient conservatively, many think it is appropriate to do the surgery as early as possible to reduce the risk of recurrence. 

If the disease recurs, the symptoms may become worse and the patient may deteriorate fast. Therefore, the surgery is usually done within first 48 hours. 

Now with advancement of the laparoscopic surgeries, the first choice of removal of gallbladder is by a laparoscopic cholecystectomy. It was earlier done by laperotomy and it is still being used when laparoscopic surgery is unavailable and when any complication arise during laparoscopic cholecystitis. 

Complications of cholecystectomy

·         Bile duct injury

·         Bleeding

·         Wound infection

·         Hypertrophic scar

·         Keloid

·         Burst abdomen

·         Incisional hernia

·         Deep vein thrombosis

·         Post cholecystectomy syndrome

This is said when the symptoms persist even after the surgery. It is mainly due to wrong diagnosis.

References:

Kumar and Clark's clinical Medicine Seventh Edition

Bailey and Love's Short Practice of Surgery 25th Edition