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Laparoscopic cholecystectomy (removal of the gallbladder)

The main indication for laparoscopic cholecystectomy is cholelithiasis (cholelithiasis or cholelithiasis), expressed in the presence of stones in the gallbladder or bile ducts. Also, the operation is part of the treatment of calculous cholecystitis – inflammation of the gallbladder, complicated or caused by the presence of stones in it.

Laparoscopy – the advantages of modern surgery

low-traumatic – it is carried out through mini-punctures, without dissecting the anterior abdominal wall;
minimal blood loss;
reduced risks of complications in the postoperative period;
quick recovery after the intervention;
excellent cosmetic effect – no scars or scars.

Gallbladder surgery is performed under general anesthesia.

Four punctures are made in the anterior abdominal wall using trocars, through which a laparoscope with a video camera is inserted. The image is displayed on the monitor screen.
Carbon dioxide is pumped into the abdominal cavity, and by lifting the peritoneal walls, it increases visibility and space for manipulating instruments.
The bile is separated from the surrounding tissues and the liver, then removed through one of the holes.
The punctures are carefully sutured.

The whole operation takes from 40 minutes to one and a half hours. After laparoscopy, the patient can be discharged home the same day.


Laparoscopic cholecystectomy is a rather “jewelry” operation that requires knowledge and experience. Special tools and equipment make it possible to perform it in the same volume as in a traditional operation, but with much less impact on the surrounding tissues and organs.

The indications for removal of the gallbladder are:

the malignant nature of neoplasms in the gallbladder;
acute cholecystitis;
chronic recurrent cholecystitis;
complicated forms of gallstone disease;
attacks of biliary colic against the background of gallstone disease;
cholesterosis and polyposis;
stones in the bile duct (choledocholithiasis);
empyema and gangrene of the gallbladder;
obstruction of the biliary tract;
inflammation of the pancreas (pancreatitis).

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