Your gallbladder is located just beneath your liver at the upper right side of your abdomen. Hence, the best person to treat or operate on issues relating to the gallbladder will actually be a liver surgeon like Dr Victor Lee!
Dr Victor Lee is one of the top surgeons in keyhole gallbladder surgery. He typically performs 80-100 gallbladder surgeries per year, with no 30-day mortality. He takes pride in his patients’ quick recovery and minimal scarring. The patient can be discharged on the same or the next day for elective cases.
Laparoscopic Cholecystectomy is a medical procedure in which the patient’s gallbladder is removed through the use of laparoscopic or keyhole techniques. It is a minimally invasive surgery in which the surgical procedure is performed with the help of a video camera as well as other noninvasive surgical instruments.
Most problems of the gallbladder are usually caused by gallstones, which consist of bile salts and cholesterol. Traditionally, the gallbladder is removed by making a 5 to 8 inches long incision in the abdomen area. With new technologies, laparoscopic cholecystectomy is considered the standard method. During laparoscopic cholecystectomy, a laparoscope (a device used to see the internal organs) is used to remove the gallbladder. It is performed through 3 puncture marks and no longer one extensive incision; with each puncture measuring 5-10 mm.
The development of laparoscopic cholecystectomy technique is attributed to the dynamic medical industry, multiple technological enhancements, and improvements in the fields of surgery. Below are the two most common techniques of laparoscopic cholecystectomy:
Standard Laparoscopic Cholecystectomy: This procedure is widely used by surgeons. In this method, 4 ports are used, two with 10mm cut and the other two with 5mm cut, to insert surgical instruments. The first 10mm cut is used to insert a telescope while the second 10mm cut is the surgeon’s main working port. For the 5mm ports, one is in the right lumbar region for the gallbladder fundus traction, whereas the other is used by the surgeon as the left hand working port. This technique is also named as 10-10-5-5 or 4 ports standard laparoscopic cholecystectomy.
Modified Laparoscopic Cholecystectomy: This procedure is relatively less painful and cosmetically better compared to the standard laparoscopic cholecystectomy. With this procedure, the ports are either reduced in number or in size; for example, the length of the cuts (or incisions) can be reduced from 10mm to 5mm. Patients benefit from only 3 ports (instead of the usual 4 ports) with less pain and having a smaller 5 mm scars only.
Even the smallest surgery has its risks and complications, however, the below-mentioned complications caused by laparoscopic cholecystectomy are very uncommon and rarely occur when performed by experienced and trained surgeons.
Laparoscopic cholecystectomy can be performed by trained surgeons, even in difficult cases with large gallstones, previous gallbladder infection, or acute cholecystitis. It is important for patients to discuss their surgeries with competent and well-trained surgeons who have a good track record of success.
If you have been diagnosed with gallstone disease, check with your doctor to understand more about Laparoscopic Cholecystectomy surgery to prevent further episodes of pain!
Senior Consultant Surgeon
MBBS (Singapore), FRCS (Edinburgh), MMed (Surgery), MSc (Bioinformatics),
FAMS (General Surgery)
With 20 years of surgical experience, Dr Lee is trained and skilled in using minimally invasive techniques for liver, pancreas, gallbladder and hernia procedures.
His busy practice aside, Dr Lee is actively involved in postgraduate teaching and workshops for junior surgeons, and is still actively involved in academic research at the National University of Singapore.
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