Minimally invasive removal of gallbladder through 4 small incisions using video camera and instruments. Gold standard for symptomatic gallstone disease. Advantages: less pain, faster recovery, shorter hospital stay, smaller scars.
NPO 6-8 hours. Blood tests, imaging (ultrasound/CT). Anesthesia consultation. Risk stratification for conversion to open surgery.
Four 5-10mm incisions (umbilicus, epigastrium, right midclavicular, right anterior axillary). CO2 insufflation creates working space. Video camera visualizes gallbladder. Careful dissection and clipping of cystic artery and duct. Specimen extraction through umbilical incision.
Success rate >95%. Complications <1% in experienced hands. Conversion to open surgery 2-5% (injury, inflammation, anatomy). Most patients experience complete symptom resolution.
Accurate estimate can be obtained from hospital while visiting the doctor.
Surgical Gastroenterologist
MCh SGPGI, FRCS, FACS