LYCOS RETRIEVER
Gallbladder: Abdomen
built 194 days ago
The first step in laparoscopic gallbladder removal is the insertion into the abdomen of four trocars, narrow tube-like instruments that require only very small surgical incisions. Into one trocar, Dr. Ballantyne inserts a laparoscope, which is a telescopic videocamera that provides magnified and dramatically enhanced views of internal organs. Other surgical instruments are inserted through the other trocars.
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In very complex or complicated gallbladder cases, open cholecystectomy is usually recommended. An incision is made just below the ribs on the right side of the abdomen. The liver is moved to expose the gallbladder. The vessels and ducts to and from the gallbladder (cystic duct and artery) are cut and tied off, and the gallbladder is removed. The incision is closed.
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[C]alled “gallbladder attacks” are extremely painful. These pains are often felt in the upper right quadrant of the abdomen, the right collar bone area, or under the right scapula of the back (the wing-shaped bone below the shoulder and overlying the upper ribs in back). Not being at the location of the gallbladder itself, these pains are called “referred” pain. Other symptoms include bloating, gas, nausea and stomach pain, especially after meals.
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Complications are rare but may include bleeding, infection and injury to the duct (tube) that carries bile from your gallbladder to your stomach. Also, during laparoscopic cholecystectomy, the intestines or major blood vessels may be injured when the instruments are inserted into the abdomen. Remember, all of these complications are rare.
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The gallbladder is a small pear-shaped organ located beneath the liver on the right side of the abdomen. The gallbladder's primary functions are to store and concentrate bile, and secrete bile into the small intestine at the proper time to help digest food.
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