Laparoscopic cholecystectomy is performed in vivo through a tiny incision in the abdominal wall using minimally invasive instruments and using a laparoscope to remove the gallbladder.
Gallbladder morphology and function
The main function of the gallbladder is to store and concentrate bile synthesized by the liver. When fasting, bile enters the gallbladder, and when eating, the gallbladder contracts and bile enters the intestine through the cystic duct and common bile duct.
What are the common gallbladder diseases?
Common gallbladder diseases include: gallbladder stones and chronic cholecystitis, acute cholecystitis, gallbladder polyps and adenomyosis, etc. Patients with gallbladder diseases should have a daily diet should be based on light, easy-to-digest food, drink more water (1500-2000ml), eat easy-to-digest protein, should not overeat, avoid eating animal offal, egg yolk, fried food, spicy and stimulating food, etc. When you feel discomfort or stuffy pain in the heart fossa after over-eating fatty food, or paroxysmal colic in the right upper abdomen with or without radiation from the right scapula, along with nausea, vomiting, fever and other symptoms, you need to be alert to the existence of gallbladder disease and not to confuse it with stomach disease and delay treatment. Long-term chronic cholecystitis can cause severe inflammation and adhesions, pus in the gallbladder, gallbladder perforation, and even malignant tumors of the gallbladder, as well as heart, lung, or other tissue and organ complications.
When is it recommended to remove the gallbladder
1, those with typical clinical manifestations of gallbladder stone attacks, auxiliary examinations to determine gallbladder stones, filled gallbladder stones or porcelain gallbladder, have a higher chance of malignant transformation.
2, acute purulent, gangrenous, hemorrhagic and perforated cholecystitis.
3, recurrent episodes of chronic cholecystitis, ineffective by conservative treatment.
4, solitary gallbladder polyps, >1.0 cm in diameter, with a large base, progressive growth, abundant blood flow, thickened gallbladder wall at the attachment site, and attachment to the liver bed surface.
5, magnetized gallbladder, gallbladder adenomyosis.
Early diet after laparoscopic cholecystectomy
For at least 15 days after surgery, patients should avoid fried foods (French fries, fried meat, etc.), sweets (cake, chocolate, cream, etc.), and high cholesterol foods (eggs, liver and shrimp, etc.), after which they can gradually return to their previous diet, but it is recommended that patients should focus on soft foods in their daily diet, reduce the intake of calories and fine carbohydrates, and reduce fat and cholesterol intake along with more Dietary fiber should be consumed.
Post-discharge habits
After laparoscopic cholecystectomy, in addition to continuing medication and regular checkups as prescribed by the doctor, the following matters need to be noted in life and diet.
1, should abstain from smoking, alcohol, coffee, strong tea, carbonated beverages, sour and spicy food and other stimulating foods.
2, to chew slowly, eat light and easy to digest food, avoid full, hard food.
3, fat intake should be limited, especially not too much animal fat at a time.
4, avoid too cold food, it is recommended to eat less and more meals, and not too much exercise after meals.
5, have a regular life, to ensure adequate rest and sleep, and exercise regularly.
Gallbladder disease prevention
1, prevention of gallbladder disease, the most important point is to eat breakfast.
2, usually drink more water; eat less sweets, avoid getting fat, fat metabolism, overweight, fat are related to the formation of gallstones.
3, healthy diet, balanced diet, avoid eating a lot of fried food, animal food with high cholesterol, such as egg yolk, animal offal, stimulating food, spicy food, etc.
We recommend the first follow-up visit 2 weeks-1 month after surgery. The outpatient doctor will recommend blood tests, abdominal ultrasound, etc. according to your actual situation.