1.Does minimally invasive cholecystectomy affect pregnancy? No, it does not. If you have gallbladder stones, it may affect your pregnancy because gallbladder inflammation may attack at any time. In case of gallbladder inflammation, oral antibiotics or intravenous fluids may be needed in mild cases, or surgery may be needed in severe cases, which may affect fetal development. After you undergo minimally invasive cholecystectomy, there are no such risks. You can get pregnant normally 3 months after you undergo minimally invasive cholecystectomy. Cai Wang, Minimally Invasive Surgery Center of Tianjin Nankai Hospital 2. How to take care of the patient at home after cholecystectomy? Since the regulation of compensatory function after cholecystectomy takes some time, the digestive function of human body should be relatively weakened at this time, therefore, patients after cholecystectomy should pay attention to the following issues in home care.
1.It is advisable to eat a liquid diet with high carbohydrate and low fat within two weeks after surgery, such as thick rice soup, lotus root powder, soybean milk, soft noodle flakes, lotus seed and red date porridge, etc., in order to facilitate the digestion and absorption of the human body.
2, resume normal diet, it is advisable to maintain a low-fat, low cholesterol, high protein dietary structure, avoid eating brain, liver, kidney, fish and fried food, should not eat fatty meat, avoid drinking alcohol, so as not to affect the function of the liver, or cause bile duct stones.
3, pay attention to mental health, often maintain emotional stability, optimism and open-mindedness, to avoid anger, anxiety, depression and other adverse emotions, in order to prevent the central nervous and plant nerve regulatory function disorders, affecting the recovery of bile duct compensatory function.
4, appropriate participation in physical exercise and light physical labor, avoid prolonged sitting and lying, too little activity, in order to facilitate the recovery of muscle function. 3.Do I need regular review? No, it is not necessary. Most of the patients do not need to be reviewed after the surgery. However, individual patients may develop common bile duct stones (pain and discomfort, fever and chills, yellowing of the skin and eyes, etc.) after minimally invasive cholecystectomy for their own reasons or due to their own diet, so you need to have a review at this time. The treatment of common bile duct stones can be performed endoscopically through duodenal endoscopy in large medical centers without the need for another surgery. 4.What is the chance of adhesional intestinal obstruction after minimally invasive surgery? Due to the large trauma of traditional open surgery, a certain degree of adhesions will be caused in the abdominal cavity of patients after surgery, and nearly 20% of patients will have symptoms of intestinal obstruction due to intra-abdominal adhesions. Minimally invasive surgery is less invasive and basically no intra-abdominal adhesions will occur after surgery, and no adhesional intestinal obstruction will occur. 5.Can I still eat meat? 1.After surgery, due to the stimulation of the stomach and intestines, peristalsis is reduced, liver function is inhibited, and bile secretion is reduced, which will affect the function of the whole digestive system. Therefore, for 1 to 2 days after surgery, strict fasting should be applied, and it is advisable to supplement various nutrients by intravenous drip. From the 3rd day onwards, a liquid diet, such as rice soup, soy milk, lotus root powder, fruit juice, etc., may be given, and then gradually changed to skim milk with sweet bread, rice porridge, bean curd soup, date paste, rice paste and pasta, etc.
2. Within 1 month after surgery, the intake of fatty foods should be reduced, and high-fat and fried foods should be prohibited. Some people think that after the “lesion” is removed, the low-fat diet of the past can be changed, which is wrong. After the gallbladder is removed, the function of regulating the bile discharge into the intestine will be lost, and the digestion ability of fat will be weakened accordingly. Especially in a short period of time to digest a larger amount of fatty foods, that is beyond the power, will cause bloating, diarrhea and indigestion, etc.. Reduce fatty intake, mainly refers to not eat or minimize fatty meat, animal offal, egg yolk and fried food, but also should not eat all kinds of high-fat, high-calorie “fast food”. Cooking with animal oil as little as possible, can increase the amount of vegetable oil. Dishes should be steamed, stewed, cold mainly, eat less fried dishes, especially to avoid spicy and irritating food, do not drink alcohol, so as to reduce the adverse stimulation of the bile duct.
3, gradually strengthen nutrition. After 1 month of gallbladder removal, diet should also pursue lightness and strengthen necessary nutritional supplements, which will help patients recover early. After several weeks of adaptation, the common bile duct connecting the liver and small intestine gradually stretches and expands, replacing the gallbladder’s function of storing bile. If there is no abnormal digestive function, a normal diet can be consumed. Protein intake can be increased appropriately by eating foods with high protein quality. You should eat lean meat, aquatic products and legumes every day, and it is better if you can drink a glass of milk. If you are not used to eating dairy or fish, you can eat more soy products and mushrooms to make up for the lack of animal protein. In principle, it is not advisable to consume too much fat and cholesterol after cholecystectomy, but it is not necessary to restrict fat excessively, because a certain amount of fat in the intestine is necessary to stimulate bile secretion and expand the volume of the common bile duct and keep the bile duct smooth. In addition, eating more high-fiber and vitamin-rich food is also very beneficial to the patient’s recovery after surgery.
4.Increase the number of meals appropriately. It should be noted that each meal should not be eaten more than once, especially within 3 to 6 months after surgery, 4 meals per day is good, eating less and more meals can reduce the burden of the digestive system, which is beneficial to the recovery of health after surgery. It is better to eat some vinegar every day, because vinegar will enhance the digestive ability of the stomach, and also can regulate the pH in the intestine to facilitate the function of bile and promote the digestion of fatty foods. Drinking tea often and eating more fresh fruits and vegetables also help digestion and absorption of food. 6.When can I start bathing after surgery? Minimally invasive surgery is less invasive, the surgical incision is small, there are no sutures in the surgical incision, no need to remove stitches after surgery, the incision can be healed in 1-2 days after surgery, the surgical incision can be completely healed in 1 week after surgery, and you can generally take a bath 7-8 days after surgery. At this time, the wound has completely healed and there is no need to worry about incision infection. 7.What should I do if stones are found in the bile duct after surgery? The majority of patients will not develop bile duct stones after cholecystectomy, but less than 1% of patients will develop bile duct stones after the removal of gallbladder for a certain period of time. In this case, patients may experience abdominal pain, fever and chills, and yellowing of the skin and eyes, and should be reviewed promptly. If found to be common bile duct stones Tianjin Minimally Invasive Surgery Center (Tianjin Nankai Hospital) can be treated by duodenoscopy for stone extraction without the need for another surgical treatment. 8.How to observe whether the wound is healed? Minimally invasive surgery is less invasive, the surgical incision is small, there are no sutures in the surgical incision during the surgery, and there is no need to remove the sutures after the surgery, so the possibility of infection of the incision after the surgery is very small. If a few patients have local redness, swelling, pain and discomfort of the incision after surgery, it may be an incision infection, which should be reflected to the competent physician in time to get timely treatment. If there are no such symptoms, the incision will be completely healed in 1 week after surgery in most patients. 9.Do I need to take medicine or infusion at home? Recovery after minimally invasive surgery is fast, inflammation is absorbed quickly after surgery, and the surgical incision heals quickly. 1-2 days of intravenous antibiotics can be healed after hospitalization, and antibiotics are no longer needed after returning home. A few patients may have a change in bowel habits, at this time, they can take oral Chinese medicine to regulate the gastrointestinal tract treatment. Generally, it can return to normal after 1 month. 10.Can I still participate in sports activities after surgery? After surgery, it does not affect physical exercise. If your patient has gallbladder stones, it will affect your physical exercise because an acute attack of cholecystitis may occur after the activity. After minimally invasive surgery, you can get out of bed in 8 hours and do light physical exercise in 1 week, and you can do normal physical exercise in 1 month.