Doctor insights on:
What The Heck Is Clipless Laparoscopic Cholecystectomy
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! ...Read more
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 moreSee 1 more doctor 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. ...Read more
VERY common: App. 750, 000 people/year have this operation in the US, alone! While it certainly is an invasive procedure, it is a relatively painless way to cure people of a very bothersome illness. Perhaps in years-to-come we may discover a non-surgical alternative, but, at this time, this remains the gold-standard for treating gallbladder disease. ...Read more
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. ...Read more
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. ...Read more
Usually not long: Although we do the same operation on everyone for gallbladder disease, everyone reacts to it differently. Some of my patients are back to normal within a day or two, but others are incapacitated for 6 wks or more. Therefore, unfortunately, there is no way to answer your question with any certainty. ...Read more
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