Colecistectomia/Calcolosi Biliare

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Colecistectomia/Calcolosi Biliare

colecistectomia - 1

 

Cholelithiasis (definition)

The term cholelithiasis refers to the presence of stones in the gallbladder (gallstones) which determine crampy pain in the right upper part of the abdomen, known as biliary colic.
The surgical procedure or cholecystectomy consists in the removal of the gallbladder (whit its stones), resolving definitively the pain and avoiding the formation of new gallstones.
With the surgical procedure we avoid complications of colelithiasis such as purulent inflammation of the gallbladder,perforation, inflammation of the pancreas, yellowish skin,etc.

 

Cholelithiasis (surgery)

Videolaparoscopy is the gold standard for removing the gallbladder.
Laparoscopic cholecystectomy,is performed via three to four small puncture holes for a camera and instruments. Post-operative care typically includes 24-48 hourst hospital stay, followed by a few days of home rest and pain medication. Patients can, in general, resume normal diet and light activity a week after release.

 

This procedure can be successfully performed in most patients,and it is preferrable in cardiopathic, pneumopathic, neuropathic, cirrotic, obese, or gastroresected patients with adenomioma of the gallbladder,or acute cholecystitis,or choledolithiasis and jaundice,or idropic, empiematous, scleroatrophic cholecystitis, and after acute pancreatitis.
Laparoscopic cholecystectomy can be successfully performer even in presence of voluminous gallstones.

 

Choledolithiasis and cholelithiasis (jaundice)

The gallstones can migrate into the ducts of the biliary tract,causing a yellowish colour of the skin, callede jaundice. Even in this condition, it is possible to avoid surgery: thanks to the ERCP (Endoscopic retrograde cholangiopancreatography) it is possible to remove the stones with a flexible endoscope that is inserted through the mouth.
24-48 hours after this procedure the gallbladder can be removed by laparoscopy. In selected cases, ERCP is performed in combination with cholecystectomy.
It is possible to cure cholelithiasis and choledolithiasis, without opening the abdomen, which is painless and requires a shorter recovery time.
This treatment is particularly indicated in elderly, diabetics, and obese patients.