How is laparoscopic cholecystectomy performed?
It is important to note that laparoscopic cholecystectomy is a major operation performed under general anaesthesia. The surgeon passes a cannula (a narrow tube) into the abdomen in the region of the umbilicus. A telescope connected to a camera and a cable carrying bright light is passed inside the abdomen through the cannula. The camera is connected to a television monitor so that a magnified view of the patient’s internal organs appears on the screen. The surgeon and his team conduct the operation by observing the television screen. The surgeon then inserts other cannulas and passes long, thin instruments inside the abdomen through them. Using these instruments the gallbladder is separated from its attachments and is removed through one of the openings. After removal of the gallbladder, the small incisions are closed with a few stitches. What if the operation cannot be performed by the laparoscopic method? In a small proportion of patients (1% – 3%) during the operation the surgeon ma
