Deep Dive: Laparoscopic Cholecystectomy (LC)

     When gallstones start showing warning signs or inflammation occurs, "cholecystectomy" (gallbladder removal surgery) is the standard option to stop the cycle of pain and prevent dangerous complications. However, today's advanced technology allows doctors to treat patients more conveniently with the innovative Laparoscopic Cholecystectomy (LC).

Laparoscopic Cholecystectomy

     Laparoscopic Cholecystectomy is a technique developed to reduce post-treatment risks. The surgeon makes 3-4 small incisions (about 1 cm each) in the abdomen to insert a laparoscope and tiny instruments to clip and remove the gallbladder. This results in very small scars, low risk of infection, and rapid recovery, allowing patients to return to their normal lives within 1-2 weeks.

Open Cholecystectomy: Necessary in Some Cases

     Although Open Cholecystectomy has become less common, it remains necessary in certain cases, such as patients with severe abdominal adhesions, gangrenous gallbladder inflammation, or perforation. The surgeon makes a 10-15 cm incision under the right rib cage to perform the surgery directly. Open surgery also helps surgeons manage complex cases or severe complications.

Pre- and Post-Surgery Preparation

Pre-Surgery

• Symptom Monitoring: Some patients show no symptoms even after being diagnosed with gallstones. Others may have immunodeficiency or blood disorders. Treatment depends on the doctor's discretion.
• Fasting: Refrain from food and water for at least 6-8 hours before surgery, as instructed by the anesthesiologist.
• Medication History: Please inform the doctor of your medication history, especially blood thinners or herbal supplements that may affect blood clotting.

After Surgery: Life Without a Gallbladder

The body can still digest food normally because the gallbladder only serves as a storage for bile to concentrate it for fat digestion.

• You may experience bloating or loose stools if you consume a large amount of fatty foods, as the bile flowing into the intestine is less concentrated.
• Eat small meals focusing on low-fat protein and gradually increase fiber intake to help the body adjust.

Symptoms Requiring Urgent Surgery

If you experience the following symptoms along with gallstones, the doctor may consider immediate surgery:

• Severe, continuous abdominal pain for more than 6 hours that does not subside.
• High fever and chills (signs of infection).
• Noticeable jaundice (yellowing of the skin and eyes), indicating a stone is blocking the main bile duct.
• Severe nausea and vomiting to the point of being unable to eat.

At Ramkhamhaeng Hospital, we are ready to provide peace of mind and care for you with love at every moment. Because we care about more than just treatment—it is about cherishing every second of life to make it meaningful. Attention to small details is the timeless heart of our service.

References

English

Danny A Sherwinter. (2024). Laparoscopic Cholecystectomy. Retrieved 12 January 2026, derived

from https://emedicine.medscape.com/article/1582292-overview?_gl=1*wy8wpw*_gcl_au*

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