Laparoscopic cholecystectomy is a minimally invasive surgical procedure to remove the gallbladder using small incisions, a camera, and surgical instruments. It has become the gold standard treatment for gallstone disease and other gallbladder conditions. Compared to open cholecystectomy, laparoscopic surgery offers faster recovery, less pain, smaller scars, and fewer complications.
During a laparoscopic cholecystectomy at Kokilaben Hospital Mumbai, the surgeon makes 3-4 tiny incisions in the abdomen. One incision is made near the belly button to insert a tube with a small camera called a laparoscope. This provides a view of the internal organs on a monitor to guide the surgeon. Other incisions allow for the passage of narrow instruments to dissect tissues and remove the gallbladder.
First, the area around the liver is inspected for any abnormalities. The cystic duct and artery supplying the gallbladder are identified, clipped and divided. This releases the gallbladder from the liver bed. The gallbladder is then dissected from its attachments and removed through one of the small incisions. The incisions are closed with absorbable stitches or surgical glue and dressings applied.
Patient Preparation
Patients will be asked to fast for 6-8 hours before surgery. Blood work, medical history, and imaging tests like ultrasound are done to evaluate health status. Medications like blood thinners may be stopped temporarily. The abdomen is shaved if necessary and emptied before surgery.
The procedure is done under general anesthesia, so patients are asleep and pain-free. The surgery usually takes 30-60 minutes. Patients are monitored closely throughout the operation. Most can go home the same day.
Recovery and Aftercare
After laparoscopic cholecystectomy, most people experience some minor pain, swelling, and bruising around the incision sites. This improves within a week. Patients can usually return to normal activities in 7-10 days. A healthy low-fat diet is recommended after the gallbladder is removed. Oral pain medications and laxatives are often prescribed.
Complications like bile leaks or infections are rare but may require additional treatment or procedures. Patients should visit their surgeon as instructed for follow-up care. Most people do very well after having their gallbladder removed laparoscopically.
Advantages of Laparoscopic Cholecystectomy
Compared to traditional open cholecystectomy, the laparoscopic approach offers notable advantages:
- Smaller incisions mean less pain, fewer complications, and minimal scarring.
- Shorter hospital stay, usually same-day discharge.
- Low risk of post-operative infection.
- Faster return to normal activities and work.
- Reduced need for strong painkillers.
- Lower risk of bleeding or blood clots.
- Better cosmetic outcomes.
When is it Performed?
Laparoscopic cholecystectomy is performed when the gallbladder needs to be removed. Reasons include:
- Gallstones causing recurrent pain (biliary colic).
- Chronic cholecystitis or gallbladder inflammation.
- Biliary dyskinesia with gallbladder motility issues.
- Gallbladder polyps or tumors.
- Gallstone complications like cholecystitis, jaundice, or pancreatitis.
This safe, effective technique has replaced open surgery as the first-choice treatment for gallbladder removal in most patients. It has a high success rate when performed by an experienced surgeon.
Cost of Laparoscopic Cholecystectomy in India
India has become a global destination for affordable, high-quality laparoscopic cholecystectomy. The cost is much lower than many other countries due to lower overhead costs and skilled surgeons. Patients from around the world come to India for gallbladder surgery.
At leading hospitals like Kokilaben Hospital in Mumbai, the average cost of laparoscopic cholecystectomy can range from ₹60,000-₹200,000 . This includes surgeon and anesthesia fees, operating room charges, hospital stay, medicines, and post-operative consultations. The price varies based on the surgeon's experience, hospital reputation, and length of hospitalization.
Compared to the USA and UK where this surgery can cost $10000-$15000, India offers huge savings without compromising on care. Many top surgeons in India are trained internationally and offer world-class facilities and care. The lower cost advantage makes India a top medical tourism destination.
Conclusion
Laparoscopic cholecystectomy is the gold standard treatment for gallbladder removal. Compared to traditional open surgery, it results in shorter recovery times, less pain and scarring, and fewer complications when performed by a skilled surgeon. Patients require minimal hospitalization and can expect excellent outcomes. For affordable cost along with high-quality care, more and more international patients are now traveling to India for gallbladder surgery.
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