Advances in the treatment of gallstones

Written by: Dr. César Ginestà Martí
Edited by: Top Doctors®


Why are gallstones?

Bile produced by the liver is stored in the gallbladder. This bile is ejected at the time of digestion and absorption helps make the same. Bile may precipitate the background, the different components are appearing stones and these stones which produce these complications like coleocistitis, choledocholithiasis, cholangitis or inflammation of the pancreas in the common area of ​​the bile duct and pancreas. So the treatment is removal of the gallbladder because it is the only factor that can be modified to reappear stones.


What is minilaparoscopy cholecystectomy?

It is the removal of the gallbladder. So far, after open surgery we had to do laparoscopic surgery. We introduced forceps in the abdomen with instruments called trócales having different calibres, 5, 10, 12 mm, and needed 3, 4 access ports to manipulate the gallbladder. Today these laparoscopic techniques have evolved, increasingly we need smaller incisions because we have a finer material currently is 2 or 3 millimeters, without the need for trócales can perform exactly the same operation we did before. The intervention itself involves the manipulation of the vesicle. Let's find the tube that connects the gallbladder to the bile duct and sectioned to separate the gallbladder liver. In this way we solve one of the factors which appeared stones is the storage time prone to precipitation bile.


What people and in what cases is it indicated?

We must value it case by case with your surgeon but in principle all cases of patients with cholelithiasis, which are stones in the gallbladder, with indication of surgical treatment are cases that can be assessed to be treated completely or partially with technical of minilaparoscopy.


What are the benefits this technique?

The first is that it is a safe technique, in fact we are playing the same surgery we did with conventional laparoscopic techniques so we are not adding complexity and this makes the procedure safe. We do so in this case with a finer material that does not require these trócales we used before and therefore injuries are of a smaller size. This reduces pain during the immediate postoperative period and earn a clear aesthetic improvement. The wound is so small, it's like a prick in fact, that no requie-re or suture so little time with the aesthetic result is very good.

*Translated with Google translator. We apologize for any imperfection

By Dr. César Ginestà Martí

Dr. Ginestà Martí is a renowned specialist in General Surgery and Gastroenterology. He has more than 10 years of experience in the profession and extensive training in various fields of specialty, being a specialist in Coloproctology, Inguinal Hernia, Gallbladder Surgery, Cholelithiasis, Adrenal Glands and Laparoscopy, among other treatments. Throughout his career he has combined his care work with teaching, being a clinical professor of the subject "Diseases of the digestive system" at the University of Barcelona. He also develops an important disseminating work, being the author of several scientific publications in journals, both nationally and internationally. He is currently a specialist in the General and Digestive Surgery team of the Hospital Clínic de Barcelona and also a member of the Assistència Quirúrgica team, at the Delfos Hospital.

*Translated with Google translator. We apologize for any imperfection

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