Successful Advanced Lap Cholecystectomy Brings Relief to 34-Year-Old Woman from Gallstones
PACE Hospitals’ Expert Surgical Gastroenterology team successfully performed a Laparoscopic cholecystectomy for a 34-year-old female patient suffering from symptomatic cholelithiasis.
Chief Complaints
A 34-year-old female presented to the Gastroenterology Department at PACE Hospitals, Hitech City, Hyderabad, with complaints of episodic pain (intermittent pain) in the right hypochondrium (on the right side of the epigastric region (upper central part of the abdomen, located just below the ribcage and above the navel)) that had been ongoing for the last three months.
Diagnosis
Upon arrival at PACE Hospitals, the patient's vital signs were within normal limits. After a thorough physical examination, the doctors identified pain in the right hypochondrium, and diagnostic tests later confirmed symptomatic cholelithiasis.
Symptomatic cholelithiasis refers to the presence of gallstones in the gallbladder that cause symptoms, such as pain, nausea, and vomiting. These symptoms typically occur when a stone obstructs the bile duct, leading to inflammation or infection. The condition can result in episodes of biliary colic or even more severe complications like cholecystitis or pancreatitis if left untreated.
Medical Decision Making (MDM)
After consulting with the interventional and consultant gastroenterologists, Dr. Govind R. Verma, Dr. M Sudhir and Dr. Padma Priya, along with consultant Dr. Suresh Kumar S, a comprehensive evaluation was conducted to determine the most appropriate course of treatment for the patient. Their collective expertise led to the conclusion that laparoscopic cholecystectomy would be the most appropriate treatment for symptomatic cholelithiasis.
Surgical procedure
All necessary investigations were conducted, and an ultrasound of the abdomen revealed cholelithiasis. A consultation with a surgical gastroenterologist was obtained, and the patient underwent laparoscopic cholecystectomy.
During the procedure, the gallbladder was well-distended. The cardiovascular system (CVS) was found to be normal. A single artery and duct were identified, ligated, and divided.
Doctors performed laparoscopic cholecystectomy to remove the gallbladder, typically due to conditions like cholelithiasis (gallstones) or cholecystitis. Identifying and safely ligating the artery and duct during surgery prevents bleeding and ensures proper removal of the gallbladder without damaging surrounding structures.
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