The gallbladder is a small sac that holds bile, a digestive juice produced by the liver that is used in the breakdown of dietary fats. The gallbladder extracts water from its store of bile until the liquid becomes highly concentrated. The presence of fatty foods triggers the gallbladder to squeeze its bile concentrate into the small intestine.
Gallstones (biliary calculi) are small stones made from cholesterol, bile pigment and calcium salts, usually in a mixture that forms in the gallbladder. They are a common disorder of the digestive system, and affect around 15 per cent of people aged 50 years and over.
Some things that may cause gallstones to form include the crystallisation of excess cholesterol in bile and the failure of the gallbladder to empty completely.
A cholecystectomy is surgery to remove the gallbladder. It is usually done using keyhole surgery, when a tiny video camera and surgical equipment are inserted through 4 small cuts in the abdomen.
Sometimes the gallbladder becomes blocked with gallstones that form from within the bile and can cause pain, bloating, nausea and vomiting. Other complications can also occur, including inflammation of the gallbladder, inflammation of the pancreas, jaundice and infection.
In these cases, a cholecystectomy is performed under general anaesthetic to remove the gallbladder. Sometimes, gallstones can move into your common bile duct. Bile ducts are 'pipes' that carry bile from the liver to the gallbladder and from the gallbladder to the small intestine. A cholecystectomy and exploration of the bile duct is a procedure to remove your gallbladder as well as any stones found in your common bile duct.
Most cholecystectomies are performed laparoscopically, which means they use keyhole surgery. Dr Golani will make 4 small cuts (incisions) in your abdomen so they can introduce a piece of equipment known as a laparoscopic telescope through one of the incisions. This will allow them to see inside your abdomen.
They will then pass metal tubes through the other incisions. Dr Golani will put carbon dioxide inside you to lift the wall of the abdomen away from the organs. They will then use surgical clips to close off the ducts and arteries leading to the gallbladder and remove the gallbladder with instruments inserted through the tubes.
After the gallbladder has been removed, the carbon dioxide is allowed to escape before the incisions are stitched. The clips will stay inside you.
If your gallbladder is very inflamed you may need 'open cholecystectomy', which requires a larger cut in your upper abdomen.
A cholecystectomy is a very safe procedure. As with all surgery, however, there is a very small risk of complications, which include:
You will be monitored in recovery for some time and will normally be able to go home within 24 hours. You may have some side effects from the general anaesthetic such as a headache, nausea or vomiting, which can be controlled with medicine.
You will have some pain in your abdomen after the operation, which can be controlled using pain relief. You may also have some pain in your shoulder from the gas used in the operation, which can be eased with walking.
You will have a drip in your arm at first, which will be removed after the anaesthetic wears off. You can take sips of water at first then slowly get back to eating and drinking normally.
To make an initial consultation booking, please contact our office on 02 8599 9819.
Dr Golani performs a variety of General Surgical and Colorectal Surgical Procedures. They treat a variety of symptoms, diseases and conditions.
Dr Golani has a high success rate of performing all the cancer resections including bowel cancers laparoscopically.
Dr Golani routinely does general surgical operations like laparoscopic inguinal, femoral and umbilical hernia surgery.
Laparoscopic Cholecystectomy for Gall Stones, Dr Golani has performed more than 500 gall bladder procedures.
He has been trained in advanced endoscopic skills and can remove large polyps endoscopically.
Dr Golani's is highly skilled in performing Laparoscopic ventral mesh rectopexy for rectal prolapse.
Dr Golani can help with the treatment of the issue of painful anal fistulas & fissures.
Dr Golani has extensive experience with both elective and emergency presentations of Haemorrhoids.
He is accredited by the Gastroenterological Society of Australia (GESA).