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Cholecystectomy is a common treatment of symptomatic gallstones and other gallbladder conditions. [1] In 2011, cholecystectomy was the eighth most common operating room procedure performed in hospitals in the United States. [2] Cholecystectomy can be performed either laparoscopically, or via an open surgical technique. [3] [page needed]
Kocher's incision – An oblique incision made in the right upper quadrant of the abdomen, classically used for open cholecystectomy. Named after Emil Theodor Kocher. It is appropriate for certain operations on the liver, gallbladder and biliary tract. This shares a name with the Kocher incision used for thyroid surgery: a transverse, slightly ...
Like with any major surgery, a variety of complications may occur during and after an exploratory laparotomy. These include minor problems, such as superficial skin infection or delayed bowel motility , and major problems, such as bleeding, blood clots in the legs or in the lungs , stroke , deep intraabdominal infection which can lead to sepsis ...
There are two surgical options for cholecystectomy: Open cholecystectomy is performed via an abdominal incision below the lower right ribs. Recovery typically requires 3–5 days of hospitalization, with a return to normal diet a week after release and to normal activity several weeks after release. [13]
All general surgeons are trained in emergency surgery. Bleeding, infections, bowel obstructions and organ perforations are the main problems they deal with. Cholecystectomy, the surgical removal of the gallbladder, is one of the most common surgical procedures done worldwide. This is most often done electively, but the gallbladder can become ...
These operations can be carried out using conventional open surgical procedures or minimally invasive techniques like laparoscopic or robotic-assisted surgery, which require smaller incisions and result in quicker recoveries. Surgery of the digestive system is a complicated topic that calls for specialized education and experience.
The risk of biliary injury is more during laparoscopic cholecystectomy than during open cholecystectomy. Biliary injury may lead to several complications and may even cause death if not diagnosed in time and managed properly. Ideally biliary injury should be managed at a center with facilities and expertise in endoscopy, radiology and surgery. [24]
In 1985 Erich Mühe showed that Semm's laparoscopic approach could be applied for cholecystectomy, [8] and it became the gold standard within a decade and remains so. [ 9 ] [ 10 ] With the acceptance by general surgery, minimally invasive surgery expanded its applications.