10 doctors weighed in:

Is gall bladder surgery done with scopes? How often do you need to make a bigger incision? Why?

10 doctors weighed in
Dr. Lisa Hogan
Surgery
4 doctors agree

In brief: Yes

It is called laparoscopic cholecystectomy.
Conversion to an open procedure (bigger incision) is done when there are intraoperative complications or technical difficulties, probably 5-10% of the time. Risk of open surgery is increased for higher age (over 60), obesity, long hospital stay or operating time, elevated white blood cell counts, elevated alkaline phosphatase, thick gall bladder wall.

In brief: Yes

It is called laparoscopic cholecystectomy.
Conversion to an open procedure (bigger incision) is done when there are intraoperative complications or technical difficulties, probably 5-10% of the time. Risk of open surgery is increased for higher age (over 60), obesity, long hospital stay or operating time, elevated white blood cell counts, elevated alkaline phosphatase, thick gall bladder wall.
Dr. Lisa Hogan
Dr. Lisa Hogan
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3 doctors agree

In brief: Yes

Cholecystectomy is almost always done laparoscopically.
Open operations are less than 5%. The main reasons for open operation are acute cholecystitis with severe inflammation and variations in anatomy that make laparoscopy less safe.

In brief: Yes

Cholecystectomy is almost always done laparoscopically.
Open operations are less than 5%. The main reasons for open operation are acute cholecystitis with severe inflammation and variations in anatomy that make laparoscopy less safe.
Dr. Michael Sawyer
Dr. Michael Sawyer
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Dr. Bennett Werner
Internal Medicine - Cardiology
3 doctors agree

In brief: Most is

Almost all gall bladder removals (cholecystectomy) are done through a laparoscope nowadays - the complication rate is 2%.
Less than 5% are converted to open procedures. Scarring from previous surgery or infection, xs bleeding or difficult anatomy are the usual causes. Check out this site for details: http://www.Surgery.Usc.Edu/divisions/tumor/pancreasdiseases/web%20pages/biliary%20system/laparosc.

In brief: Most is

Almost all gall bladder removals (cholecystectomy) are done through a laparoscope nowadays - the complication rate is 2%.
Less than 5% are converted to open procedures. Scarring from previous surgery or infection, xs bleeding or difficult anatomy are the usual causes. Check out this site for details: http://www.Surgery.Usc.Edu/divisions/tumor/pancreasdiseases/web%20pages/biliary%20system/laparosc.
Dr. Bennett Werner
Dr. Bennett Werner
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