• Gall Bladder Surgery

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    Gallbladder cancer occurs due to presence of malignant cells in the tissue of gall bladder. It is usually not found at an early stage as it does not cause any symptoms in most of the cases. Most of the times it is detected unexpectedly after histopathological examination of the gall bladder that was removed due to other reasons like gall stones etc.

    Symptoms of Gall Bladder Cancer

    Although it remains asymptomatic in most of the cases but when symptoms do occur, they include the following:

    • Jaundice or yellow discoloration of the skin and whites of the eyes

    • Severe abdominal pain

    • A lump in the abdomen

    • Nausea and vomiting

    • Bloating

    • Fever with chills

    Diagnosis of Gall Bladder Cancer

    A physical examination and patient history along with the following diagnostic tests help in making a diagnosis of the gall bladder cancer:

    • Ultrasound

    • Liver function tests

    • Carcinoembryonic antigen (CEA) or CA 19-9 assay

    • ERCP (endoscopic retrograde cholangiopancreatography)

    • PTC (percutaneous trans hepatic cholangiography)

    • CT scan

    • MRI

    • X-ray

    • Biopsy

    • Blood tests

    Laparoscopy for Gall Bladder Cancer

    Laparoscopy can fulfil dual function in case of gall bladder carcinoma. One, it can be performed to thoroughly evaluate the condition of the abdominal organs and check for signs of disease. It helps to find out if the cancer is within the gallbladder only or has spread to nearby tissues. Secondly, it can also be performed to remove an early stage carcinoma of the gall bladder.

    Through small incisions in the abdomen, a laparoscope is inserted along with other instruments to perform procedures such as removal of gall bladder or taking tissue samples for biopsy.

    Advantages of Laparoscopy

    • Faster recovery

    • Only few hours or overnight hospitalization

    • Sooner return to work

    • Very less pain during and after the procedure

    • Smaller incisions without any cut on abdominal muscles

    • Negligible risks and complications

    • Less chances of wound infection

    • High success rate with more than ninety-percent of symptom free patients after ten years of the procedure

    Authored By DR.R.K.Sinha