Question 1

what is a laparoscopic cholecystectomy?

Accepted Answer

Gallbladder removal: Cholecystectomy means removal of the gallbladder.  It can be done either open (the way we've done it for over a hundred years with a long incision under the rib cage), or laparoscopically (through small incisions using different instruments to get the job done).  We generally do it laparoscopically if possible, and reserve the open approach for when we it's not safe to do via the scope.

Question 2

how much is laparoscopic cholecystectomy?

Accepted Answer

Medical pricing: Price is variable, depends on your insurance coverage. Check with your company, or policy. Deductables, co-pays, 80/20 coverage will impact the price you are responsible for.  If you don't have insurance, ask for the price your facility receives from their most frequent insurance payor. This is a contracted price and your cash payment/price should be similar or lower.

Question 3

what happens in laparoscopic cholecystectomy?

Accepted Answer

See below: It is a surgical procedure done under general anesthesia, while one is asleep. One to four small incisions are used for the surgical instruments. Carbon dioxide gas is used and a camera inserted to see. The gallbladder is removed, then you wake up and go to the recovery room.

Question 4

how long does laparoscopic cholecystectomy take?

Accepted Answer

Depends: Usually an hour or less unless the operation is being performed under difficult circumstances such as for severe infections or multiple prior abdominal surgical procedures.

Question 5

when does someone need a laparoscopic cholecystectomy?

Accepted Answer

GB Disease: When a patient has bouts of cholecystitis with or without gallstones present. May be chronic or acute.

Question 6

what the heck is clipless laparoscopic cholecystectomy?

Accepted Answer

A gimmick: There are many ways to do a laparoscopic cholecystectomy. Instead of using metal clips to divide the duct going into the gallbladder, you can divide the cystic duct and then tie it with a suture or with an energy source.  No real advantage over using clips (and the energy source may be more expensive and less reliable!

Question 7

what drugs are given for a laparoscopic cholecystectomy?

Accepted Answer

General anesthesia: Usually intravenous anesthesia and anesthetic gasses to breathe. It is a full general anesthetic procedure.

Question 8

where do i go to get a laparoscopic cholecystectomy done?

Accepted Answer

General Surgeon: Most general surgeons are trained in laparoscopic techniques. Not all cholecystectomy patients are candidates, but the vast majority are. I am assuming you have already had workup determining the need for the procedure.

Question 9

when can i resume sex after laparoscopic cholecystectomy?

Accepted Answer

2 weeks: Generally it is recommended to postpone sex for at least 2 weeks after a laparoscopic procedure.  The incisional pain is generally the limiting factor, but other factors such as recovery from general anesthesia, pain medications and other GI complaints may make sex less appealing.

Question 10

how long does a laparoscopic cholecystectomy typically take?

Accepted Answer

It varies: Some patients with mild disease and favorable anatomy may take only 20-30 minutes of operative time, defined as the time from first incision to closure of the last incision.  Others with severe disease or prior operations or morbid  obesity may require up to a couple of hours.  Of course, it takes extra time to get ready for the operation and wake up afterwards.

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