Biliary Surgery
Gall bladder & Bile duct
The gallbladder is a sac about 3 to 4 inches (7.5 to 10 cm) long located on the undersurface of the right lobe of the liver. Bile in the hepatic duct of the liver flows through the cystic duct into the gallbladder which stores bile. The gallbladder also concentrates bile by absorbing water. When food enters into the duodenum, the concentrated & stored bile is transported through the common bile duct into the intestine.
Diseases of Gall bladder & bile duct
- Chronic Cholecystitis OR GALL STONE DISEASE
- Biliary Colic (Severe pain due to stones)
- Acute cholecystitis (Empyema gall bladder OR PUS COLLECTION)
- Post operative Biliary strictures
- Gallstone Pancreatitis (Acute inflammation, Swelling & necrosis of the Pancreas due to gallstones)
- Gall bladder tumours
- Bile duct tumours
- Choledochal cyst
Gall bladder tumours are the commonest among hepatobiliary cancer. Dr. Verma is competent to perform minimally access surgery as well as open surgery in gall bladder tumors that’s why he is known as the Best Doctor for Liver Disease in Chandigarh & Tricity.
Expertise available for gall bladder and bile duct surgery
- Laparoscopic cholecystectomy for gall stone disese.
- Scar Less Laparoscopic Cholecystectomy
- Laparoscopic radical cholecystectomy
- Open Radical cholecystectomy in Gall bladder tumors
- Hepatico jejunostomy
- Repair & reconstruction of biliary strictures
- Cholecystostomy (Removal of pus & dirty infected bile from Bile Duct)
FAQ
No, because the diseased gall bladder is out of function prior to formation of stones and the body adepts to new physiological changes even before surgery.
Complete removal of gall bladder does not allow it to re form stones. However, its incomplete removal or if residual cystic duct contains stones, it may dilate later and becomes symptomatic and diagnosed as recurrent gall stones.
Yes, 2-3% patients of gall stones may develop cancer. Symptomatic gall stone patients should undergo surgery. It is recommended to have screening U/S abdomen after every 6 months in asymptomatic gall stone patients to detect early features of cancer suspicion i.e. Irregular /eccentric gall bladder wall thickening, appearance of soft tissue density or polyp >1cm., appearance of Lymph node in porta or blurring of interphase between gall bladder wall and liver.
Yes, if patient is >65 years. In youngsters, it is recommended to have screening U/S abdomen every 6 months to detect early gall bladder cancer as explained in FAQ no.3.
No, unlike kidney which remains functional despite harbouring stones, the gall bladder becomes non functional , seat of pain and precursor of cancer rarely, hence, it should be removed.