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Doctor insights on: Open Cholecystectomy Complications

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Would u perform a lap/open cholecystectomy on high-risk patient?(iddm, mi, ht, esrf+pd)what are alternatives? P.S. Had complications - panc/cholecystitis

Would u perform a lap/open cholecystectomy on high-risk patient?(iddm, mi, ht, esrf+pd)what are alternatives? P.S. Had complications - panc/cholecystitis

Probably: Every patient has to be individually evaluated, but a 60 yo with pancreatits/cholecystitis should in most situations have the gallbladder removed. Laparoscopy would probably be the best approach. If it's considered too risky to remove the gallbladder the tube drainage of the gallbladder should be considered, plus antibiotics, no alcohol and low fat diet. Speak to an experienced surgeon.Good luck. ...Read more

Dr. Mark Pack
2 doctors shared insights

Gallbladder Removal (Definition)

Gallbladder removal is just that. Surgical removal of the gallbladder. Technically known as a cholecystectomy, it is usually done laparoscopically with small incisions and is one of ...Read more


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Under what circumstance would lapro cholecystectomy to converted to open cholececystectomy?

Under what circumstance would lapro cholecystectomy to converted to open cholececystectomy?

Anatomy: If you can't get there (safely) from here (the belly button), due to excessive scar tissue, odd anatomy, or other factors, then open cholecystectomy is chosen. Sometimes there are factors that can not be determined until the procedure has started, and the surgeon looks inside. Roughly about 10% or less of laparoscopic procedures get converted to open ones. ...Read more

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What are the steps and instruments for open cholecystectomy?

Several: Preop evaluation of indications, risks, associated issues- jaundice or common duct issues. Anesthesia eval, for general, epidural etc. Surgical items- like prior abdominal, surgery or conditions. Instruments are to make incision, hold tissue out of the way and to dissect and remove gallbladder and close off feeding artery and cystic duct, and or to explore common duct. Achieve hemo stasis and close. ...Read more

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When do doctors do open cholecystectomies over laparoscopic procedures?

When do doctors do open cholecystectomies over laparoscopic procedures?

Safety reasons: When there is unfavorable anatomy, too much scarring or other anatomic factors. One of the risks of the surgery is injury to the common bile duct, and some surgeons will open to better visualize the anatomy. Arguably some surgeons claim the laparoscopic view is better. ...Read more

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I had an open cholecystectomy, how long will it take for my liver to return to normal size?

I had an open cholecystectomy, how long will it take for my liver to return to normal size?

No effect.: Cholecystectomy should have no effect on the size of your liver. Though the gallbladder sits under the liver, it really should not affect the siza of the liver. ...Read more

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What risks and complications are associated with a laparoscopic cholecystectomy?

Long list, rare occ: The list of risks I give my patients usually makes them concerned, but they feel better after I explain to them that the risk of any of these things happening is only about 5%, and that is usually infection. But all of these risks have happened to someone in the past. 1. Infection 2. Bleeding 3. Pancreatitis 4. Retained stone 5. Bile duct injury 6. Bowel injury 7. Need for another procedure. ...Read more

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I had open cholecystectomy thursday 17th, last night i suffered from what felt very much like a gallbladder attack. How is this possible?

I had open cholecystectomy thursday 17th, last night i suffered from what felt very much like a gallbladder attack. How is this possible?

Retained stone: It is possible that a stone may have slipped into the common bile duct and is causing obstruction that was missed at the time of surgery. It could also be due to spasm at the end of the common bile duct and will go away spontaneously. Either way contact you surgeon today. ...Read more

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What are the chance of, if at all, resuming peritoneal dialysis following open cholecystectomy?

What are the chance of, if at all, resuming peritoneal dialysis following open cholecystectomy?

Not good: It is possible to resume pd after large open surgery is some cases. You should review this with your surgeon and nephrologist to see if you can try again. ...Read more

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I had surgery 6 days ago (open cholecystectomy) and am healing pretty well, but I am exhausted all of the time now. Is this normal after 6 days?

I had surgery 6 days ago (open cholecystectomy) and am healing pretty well, but I am exhausted all of the time now. Is this normal after 6 days?

Post surgery fatigue: It is really too early to feel 100%.You had major surgery. Everyone recovers at their own pace. As long as you are getting stronger each day, even a bit, would not worry. If not speak to your surgeon. ...Read more

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