The existing laparoscopic cholecystectomy required many openings to conduct the surgery.
However, single port laparoscopic cholecystectomy is done by installing a special single port through the navel which allows many instruments to enter the port. Since the surgery is carried out with single port, the difficulty level is a lot higher than the original laparoscopic cholecystectomy, and requires skills and experience to proceed.
Dam So Yu Hospital specializes in surgical operation to wide range of patients from newborn babies to 70 years old senior patients. For patients’ health and safety, we have two experienced anesthesiologists, with wide clinical experiences.
Dam So Yu Hospital is equipped with 1288 HD system from Stryker’s.
DRAGER FABIUS PLUS
We have two experienced anesthesiologists, with wide clinical experiences, taking charge of anesthesia. All three general anesthesia operating rooms are equipped with Dräger’s FABLUS PLUS. Some hospital put patients under sedation despite the fact that these hospitals are not equipped with or don’t possess general anesthesia equipment. Ideally, for safety reasons, hospitals need to be equipped with general anesthesia equipment even when putting patients under sedation. Our hospital has three aseptic operating rooms, equipped for general anesthesia.
Excluding the gall stone, gallbladder polyp is a protruding wen on the wall of the inner side of the gall bladder. Simply, when there’s wen inside the gall bladder, it can be diagnosed as Gallbladder polyp. 3~7% of adults have gallbladder polyp and thanks to advancing ultrasonography, gradually more patients are being discovered to have gallbladder polyps. It is reported that women are more often diagnosed with gallbladder polyp than men.
The cause of cholesterol polyp has to do with eating habits. However, for other types of polyp, the cause hasn’t yet been found.
Gallbladder polyp is often found while having medical checkup since there are no apparent symptoms.
However, if accompanied with cholelithiasis, symptoms similar to cholelithiasis, like upper stomach pain or dyspepsia may occur. Along with these symptoms, if weight loss is accompanied, then there is a possibility that it could be malignant polyp.
Cholecystectomy is performed to remove the gallstones
Removal of the gallbladder through multiple small incisions. Small incision is made either under the right rib cage or in the middle of the upper part of abdomen, and gallbladder is removed. Cholelithiasis cannot be cured by removing the gallbladder stone solely since recurrence is unavoidable without removing the gallbladder.
Many patients believe that they would feel the differences in the absence of gallbladder. One of the common misconceptions is that they cannot digest properly without gallbladder. Gallbladder is not an organ to produce bile rather an organ to store and release it. Since bile is made in the liver, digestion should not be affected by the surgery.
Another misconception is that you need to take the medicine for a long period. The medication that you take after the operation is to protect liver and dilute the bile, and you need to take them for a short period.
A normal change that you can experience is dyspepsia, and less solid stool which is due to leakage of bile through biliary tract to the large intestine. These are all temporary and will come back to normal status. Overall, there isn’t much physical change that patients experience after cholecystectomy.
Before 1990s, laparoscopic surgeries were not introduced so open surgery was commonly performed. However, after this, laparoscopic surgeries were introduced and became the standard procedure for cholelithiasis. After 2000, more advanced, single port laparoscopic cholecystectomy is performed through umbilicus. This can speed up the recovery of the patients, and provide aesthetically satisfying results.
It is very easy to find and diagnose Gallbladder polyp with abdominal ultrasonography.
However, it is crucial to determine whether the polyp is malignant or benign. Polyps that develop in the stomach or large intestine can be easily examined with an endoscope and are easy to differentiate. Before the operation, a biopsy cannot be done so the only way to find out if the polyp is malignant is with medical imaging. It is difficult to examine the detailed structure of poly, appearance, and the layer structure of gallbladder wall with abdominal ultrasonography. If concluded that further examination is necessary, endoscope ultrasonography can be done. Also, if there is a high chance of the polyp being malignant, abdominal CT or MIR can be helpful.
For abdominal diagnostic sonography, fasting is mandatory. When we ingest food, stored bile is excreted through the biliary tract causing it to shrink. To have a closer look at the Gallbladder polyp, it needs to be in the state of being inflated. This is why you will fast and go through the examination.
[Benign]The shape is not irregular and the 비후 on the gallbladder wall is not tightening, often in a small size.
[Malignant]The shape is irregular and shade is irregular as well. Size is often over 1cm
The only way of treating gallbladder polyp is surgically removing the gallbladder. The purpose of treating gallbladder polyp is the possibility of malignant polyp. Then in what cases are surgerie operated? In 2010, The Korean Association of HBP Surgery introduced the guidelines for management of gallbladder polyps. After countless studies, these guidelines were put together with latest knowledge.
|If the size of gallbladder polyp is over 10mm, there is a high chance of it being malignant.||3|
|The fluctuating size of a gallbladder polyp may mean a higher chance of it being malignant||3|
|Gallbladder polyp patients 50 years or older have high possibility of malignancy.||3|
|If the number of gallbladder is just one lesion, there is chance of it being malignant.||3|
|If shape of polyp is aplastic, although the lesion is 10mm or smaller, there is possibility of it being malignant.||3|
|Accompanying gallstone increases chance of malignant.||3|