Laparoscopic cholecystectomy in Ternopil

Laparoscopic cholecystectomy is a minimally invasive operation to remove a pathologically changed gallbladder (a pear-shaped organ-reservoir for bile produced by the liver). Normally, the gallbladder should contract after eating, and bile should flow through the ducts into the duodenum for further participation in digestion. For various reasons, its outflow can be disturbed, leading to chronic stagnation, inflammation of the bladder walls (cholecystitis), and later to the formation of concretions (stones).

In such cases, cholelithiasis is diagnosed, complications of which are treated only surgically. Pathological gallbladder is removed. The best surgical solution is laparoscopic cholecystectomy, recognized throughout the civilized world as the ‘gold standard’ for the treatment of chronic calculous cholecystitis.

Laparoscopic cholecystectomy at Viasan.

European standards, surgeons of expert level. Modern equipment. Reliability. Experience.

Laparoscopic cholecystectomy: indications

Gallbladder removal is indicated both for asymptomatic cholelithiasis and for complicated forms of gallstone disease as well as other diseases of the gall bladder and its ducts. These include, in particular:

Acute cholecystitis

The most common gastrointestinal complication with a high risk of developing life-threatening conditions, including necrosis and perforation of the gallbladder walls, purulent inflammation of the abdominal cavity (peritonitis), intra-abdominal abscess, sepsis. This condition requires urgent surgery. Among the symptoms are attacks of acute hepatic colic, usually after eating a fatty meal.

Chronic calculous cholecystitis (cholelithiasis)

It is diagnosed in 15% of patients with gallstone disease. It is dangerous due to the occurrence of serious complications: blockage and inflammation of the ducts, a sharp violation of the outflow of bile, which lead to mechanical jaundice and biliary pancreatitis.

Symptomatic gallstone disease

A painful attack of biliary colic on the background of housing and communal services is an absolute indication for cholecystectomy. Delaying the operation, which provokes repeated attacks, leads to the development of serious complications.

Asymptomatic cholecystolithiasis

Gallstone disease can be asymptomatic for a long time (asymptomatic cholelithiasis). The concretions are already there, but they don't let themselves be known. A person may not be aware of the disease, and problems with digestion (bitterness in the mouth, flatulence) are usually attributed to errors in nutrition. Preventive ultrasound examination allows to detect the problem in the early stages of its formation.

Ultrasound of the organs of the hepatobiliary system can be performed at the Viasan Medical Centre by appointment.

Stoneless cholecystitis

Chronic inflammation of the gallbladder without the formation of stones can be caused by a bacterial or parasitic infection. A prolonged inflammatory process leads to deformation, stretching of the walls of the bladder, increased pressure inside it, causes a violation of the contractile function, stagnation of bile with characteristic symptoms. Severe forms of the disease with constant relapses are treated surgically.

Gallbladder polyposis and cholesterosis

Gallbladder polyps over 10 mm on the vascular pedicle have a very high (30%) percentage of malignancy. Cholesterol deposition on the walls of the bladder (cholesterosis) has relative indications for surgery. If the function is preserved, the treatment is usually conservative, if it is disturbed, a cholecystectomy is performed.

The absolute indication for cholecystectomy is calcification of the walls due to the high risk (25%) of developing a malignant process.

Symptoms of acute cholecystitis:

• sudden severe pain in the right hypochondrium;
• tension and pain in the abdominal area;
• increase in temperature up to 38°C;
• nausea, vomiting, belching, flatulence;
• itching of the skin, yellowing of the sclera, skin;
• defecation disorders (diarrhoea or constipation);
• general weakness, asthenia, irritability.

Preparation for surgery

Consultation of a surgeon, an anaesthesiologist, laboratory and instrumental examinations (ultrasound, EGDS), etc.

Advantage of laparoscopic cholecystectomy

• minimal trauma to the abdominal wall;
• almost complete absence of postoperative pain syndrome;
• short stay in hospital (1-2 days);
• short rehabilitation period;
• low risk of such complications as postoperative hernias;
• excellent cosmetic result.

Surgery in Viasan

• Certified multidisciplinary medical centre.
• Modern endoscopic equipment of premium class.
• Unique European methods.
• Qualified experienced specialists.