Laparoscopic Cholecystectomy

What Are Gallstones?

Gallstones are small solid deposits that form inside the gallbladder. They may appear round or irregular in shape, with sizes ranging from very small to large. Gallstones develop due to an imbalance in bile, a digestive fluid produced by the liver that helps digest and absorb fats.

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Symptoms of Gallstones

Patients with gallstones may experience the following symptoms:

• Bloating
• Abdominal discomfort or fullness
• Pain in the upper abdomen
• Pain in the right upper abdomen beneath the ribs
• Abdominal pain after meals, especially after fatty foods or large meals
• Severe pain at night that may require emergency medical attention

Gallstones may also lead to complications such as:

• Gallbladder inflammation
• Gallstones blocking the bile duct
• Yellowing of the skin and eyes (jaundice)
• Infection of the biliary tract

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Why Does the Pain Occur?

After eating, the gallbladder contracts to release bile into the intestines. If small gallstones move and block the gallbladder duct, the gallbladder continues trying to contract, causing severe abdominal pain.

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Diagnosis

Doctors may confirm the diagnosis through:

• Abdominal ultrasound
• Abdominal CT scan

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Treatment

The primary treatment is Laparoscopic Cholecystectomy, a minimally invasive surgical procedure using a camera system that allows surgeons to clearly visualize internal organs and tissues. Small surgical instruments are inserted through tiny incisions in the abdomen to safely remove the gallbladder.

Benefits of Laparoscopic Surgery

• Smaller surgical incisions
• Reduced tissue injury
• Less postoperative pain
• Faster recovery time
• Quicker return to daily activities

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Preparation Before Surgery

• Avoid food and drinks for at least 6 hours before surgery
• This helps ensure safe administration of general anesthesia

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Article By

👩‍⚕️ Dr. Jaipisut Rattanakhajornsak
General Surgeon
Kasemrad Prachachuen Hospital

📞 For more information: 02-910-1600-45 ext. 1030