Robotic Gallbladder Surgery 4 Incisions


What Should I Expect After Gallbladder Surgery

Single-Site Robotic Gallbladder Surgery
  • Gallbladder removal is a major abdominal operation and a certain amount of postoperative pain occurs. Nausea and vomiting are not uncommon.
  • Once liquids or a diet is tolerated, patients leave the hospital the same day or day following the robotic gallbladder surgery.
  • Activity is dependent on how the patient feels. Walking is encouraged. Patients can remove the dressings and shower the day after the operation.
  • Patients will probably be able to return to normal activities within a week’s time, including driving, walking up stairs, light lifting and working.
  • In general, recovery should be progressive, once the patient is at home.
  • The onset of fever, yellow skin or eyes, worsening abdominal pain, distention, persistent nausea or vomiting, or drainage from the incision are indications that a complication may have occurred. Your surgeon should be contacted in these instances.
  • Most patients who have a robotic gallbladder removal go home from the hospital the day after surgery. Some may even go home the same day the operation is performed.
  • Most patients can return to work within seven days following the robotic procedure depending on the nature of your job. Patients with administrative or desk jobs usually return in a few days while those involved in manual labor or heavy lifting may require a bit more time. Patients undergoing the open procedure usually resume normal activities in four to six weeks.
  • Make an appointment with your surgeon within two weeks following your operation.

What If I Cant Have Single Incision Surgery

Not all patients are candidates for single-incision surgery, including patients with:

  • Complex anatomy

However, these patients may be candidates for robotic-assisted da Vinci® Cholecystectomy with:

  • just a few small incisions
  • high-quality 3DHD visualization and added precision

Some patients may not be able to have single-incision surgery for gallbladder removal. However, robotic-assisted surgery with a few small incisions in the abdomen may be an option. Your doctor should discuss all treatment and surgical options with you to help you decide which is best for your situation.

Top 7 Benefits Of Robotic Surgery For Your Gallbladder Procedure

Dec 6, 2021 | Surgco

Around 15% of surgeries now use robotic surgery technology, according to the Journal of the American Medical Association. The use of remotely controlled surgical devices is growing in popularity due to the many benefits of robotic surgery. Orthopedic, urology, cardiology, and other medical fields use robotic surgery.

Following the symptoms of a bad gallbladder, your doctor may opt to use the advanced treatment option to address a gallbladder attack. Robotic surgery has grown in popularity for good reason over the past decade. Read on to learn the top seven benefits of using robotic surgery technology.

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Causes Of Gallstones & Gallbladder Problems

Most adults with gallstones do not have symptoms. Eighty percent of people with gallstones go 20 years without symptoms.

Gallstones are often the cause of gallbladder problems, but what causes gallstones? There are many factors or combinations of factors that can contribute to gallstone formation, specific to each individual. You are more likely to get gallstones if you:

  • Have a family history of gallstones,
  • Are Native American,
  • Have used estrogen to manage menopause,

Doctors do not have a consistent way of preventing gallstones, however, a healthy lifestyle is always recommended as a standard to prevent or reduce conditions in combination with other surgical and non-surgical treatments. This includes a healthy monitored weight loss, daily exercise, and eating high-fiber foods such as beans, whole grains, peas, figs, apricots, dates, raspberries, blackberries, strawberries, corn, broccoli, plums, pears, apples, greens, and nuts.

What Are The Advantages Of Laparoscopic Gallbladder Surgery

Gallbladder Surgery Recovery Time
  • Smaller incision Several small incisions, each less than one inch long, instead of a 5- to 7-inch incision for open surgery.
  • Less pain than after open surgery.
  • Quicker recovery than open surgery You might go home the same day you have your surgery. You can also go back to regular activities more quickly.

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What Happens If The Operation Cannot Be Performed Or Completed By The Robotic Method

In a small number of patients the robotic method cannot be performed. Factors that may increase the possibility of choosing or converting to the “open” procedure may include obesity, a history of prior abdominal surgery causing dense scar tissue, inability to visualize organs or bleeding problems during the operation.

The decision to perform the open procedure is a judgment decision made by your surgeon either before or during the actual operation. When the surgeon feels that it is safest to convert the robotic procedure to an open one, this is not a complication, but rather sound surgical judgment. The decision to convert to an open procedure is strictly based on patient safety.

What Is The Gallbladder

  • The gallbladder is a pear-shaped organ that rests beneath the right side of the liver.
  • Its main purpose is to collect and concentrate a digestive liquid produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile travels through narrow tubular channels into the small intestine.
  • Removal of the gallbladder is not associated with any impairment of digestion in most people.

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Risk Factors For Gallbladder Disease

There are patients that are more prone to developing a gallbladder disease that leads to robotic gallbladder surgery and removal of the organ. Although it is unknown why certain risk factors occur, those in the following groups that are at a higher risk for developing a gallbladder disease requiring the da Vinci robot-assisted laparoscopic surgery include:

  • Women who have been pregnant
  • Women over the age of 40
  • Women who are overweight

If you are concerned you may be experiencing symptoms of cholecystitis, call us immediately for a medical evaluation to determine if robotic gallbladder surgery is needed.

Going Home After Gallbladder Surgery

Gallbladder Surgery: From Open Wound to Single Incision

We give you specific instructions to care for yourself after gallbladder surgery. Youll need to have someone drive you home from the office, and its a good idea to have someone stay overnight with you for the first few days after surgery.

Be prepared to experience mild to moderate abdominal pain in the days following your gallbladder surgery. Over-the-counter pain relievers may be sufficient, but our team can prescribe other pain relievers if needed.

You can generally shower in as little as one day after laparoscopic gallbladder surgery. Any surgical tape or glue used to secure your incisions should disappear as your body continues healing.

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Advantages Of Robotic Gallbladder Surgery

There are many advantages the robotic da Vinci Xi has over open surgery. For instance, patients having the robot-assisted surgical removal of their gallbladder experience much faster recovery time than those receiving an open single incision cholecystectomy. Many patients are able to go home the same day as their robotic surgery, but there are others that need an overnight stay. As soon as a normal diet can be tolerated after robotic gallbladder surgery is completed, the patient is discharged, which is much faster than with single incision. In addition, patients are able to remove their bandages , bathe the very next day and resume regular activities in as little as five days to one week after robotic surgery.

The impact of robotic gallbladder surgery compared to single incision surgery is leading surgeons to become proficient in robotic cholecystectomy surgery. The da Vinci Xi robot is rapidly becoming the most advanced tool in robotic cholecystectomy surgery and hands down superior to the single incision method that results in longer recovery time. Not only are the advantages of robotic control clear, but patients and surgeons also prefer robotic gallbladder surgery.

Contact Us

Robotic Gallbladder Surgery

To schedule a consultation with Dr. Harkins to discuss robotic gallbladder surgery, call or fill out the online form and get started today on the road to recovery. Dr. Harkins and his team are available in the office Monday thru Friday and are on call 24/7.

Minimally Invasive Procedure Reduces Scarring Recovery Time

UC Davis surgeons provide state-of-the-art, minimally invasive robotic-assisted surgery for several procedures, including gallbladder removal.

JadeMarie Ross

JadeMarie Ross’ recent surgery was unique for several reasons. It was her first surgery ever, and it was done at the first hospital in the Sacramento region to use a surgical robot to remove the gallbladder through a single incision hidden in the belly button.

The 19-year-old community college student underwent the new procedure one morning in February at UC Davis Medical Center. She was able to go home that evening without facing as much recovery time or the more noticeable scars associated with conventional minimally invasive gallbladder surgery, which requires multiple incisions.

“I was back on my feet in just two days,” said Ross. “And I only missed one class.”

UC Davis surgeons have taken the traditional gallbladder procedure to the next level with this new, less-invasive technique, which benefits from the precise control and minimally invasive capabilities of the medical center’s surgical robot. The equipment enables them to remove the gallbladder through just one small incision, typically resulting in smaller scars and shorter recovery times.

“We’ve been doing minimally invasive and robotic surgeries for a number of years at UC Davis Medical Center and were the first in the region to acquire the highly sophisticated equipment in 2002.” Mohamed Ali

Robotic surgery at UC Davis

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What Is Robotic Cholecystectomy

Robotic cholecystectomy is a procedure to remove your gallbladder, in which a surgeon utilizes a robotic machine to operate. There are various types of robotic cholecystectomy. Among them, the da Vinci system is one of the most popular ones.

Usually, a single incision is made in the abdomen. This is for the entry of various equipment, including a special camera. The camera provides a live feed to a screen showing everything inside the abdomen.

The surgeon then views this through a device resembling a microscope while controlling the robotic arms to perform the operation. This is similar to controlling switches and gears in an excavator for digging instead of manually doing so with the help of a shovel.

The procedure can take anywhere from 45 minutes to 1 hour. This is because it takes time to carefully navigate around the gallbladder and remove it.

When To Seek Medical Attention:

First human surgery with a novel single

When recovering from gallbladder surgery, be sure to contact your healthcare provider if you experience any of the following symptoms:

  • Persistent or severe abdominal pain, cramping, or swelling
  • Fever or chills
  • Redness, swelling, bleeding, or abnormal drainage at the incision site
  • Signs of jaundice
  • No bowel movement or gas for three days
  • Nausea or vomiting

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Minimally Invasive Gallbladder Surgery In San Diego

If you have painful gallstones, your doctor will likely recommend a surgical treatment called cholecystectomy. Itâs natural to feel nervous about having surgery. But despite its intimidating name, cholecystectomy is a common procedure with a low risk of complications.

When you have gallbladder surgery at Scripps, youâll receive outstanding care from some of San Diegoâs leading surgeons. We offer the latest minimally invasive techniques, including robotic cholecystectomy and single-site cholecystectomy.

Immediately After Gallbladder Surgery

After removing obstructions or your gallbladder, our surgical team closes your incisions. Youre moved to a recovery room, where the anesthesia begins wearing off. We monitor your vital signs as you wake up.

Our team may encourage you to sit, stand, and start walking shortly after surgery. Many laparoscopic gallbladder procedures are performed in an outpatient setting. If your vital signs are strong, you can expect to go home the same day.

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Need Gallbladder Removal Surgery In Dallas

If you are experiencing any type of gallbladder problem, Dr. Sachin Kukreja and DFW Bariatrics and General Surgery can help. We leverage the latest minimally invasive surgical techniques to treat gallstones. You can benefit from the specialized knowledge, competency, and professionalism of our surgical staff. If you are considering undergoing cholecystectomy in Dallas, and need inquiries to schedule an appointment, simply call . You can also fill out our online appointment form and we will take it from there.

Surgical Rehearsals: Individual Patient Surgical Simulation

Robotic cholecystectomy

Computer simulation of surgical operations has been used as a tool for many years to prepare surgical trainees to perform procedures before they progress to being mentored directly at surgery. However, the dramatic evolution of computing and imaging technology has recently achieved the ability to use pre-operative imaging to produce a 3D model of any planned surgery. We have developed 3D planning and virtual reality modelling for laparoscopic liver surgery and are developing a training model for laparoscopic cholecystectomy to allow surgeries to be rehearsed, potential difficulties anticipated and complications reduced.

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What Is Laparoscopic Gallbladder Removal Surgery

What is the gallbladder?

Your gallbladder is a small organ in your upper abdomen. The abdomen is the area in the middle of your body that holds many organs, including the stomach and gallbladder.

What does the gallbladder do?

The gallbladder collects and stores a liquid called bile that helps your body break down food. Small, hard deposits called gallstones can form in the gallbladder. This is a common condition. If your gallstones cause health problems, doctors might do surgery to remove it. For example, you might need surgery if your gallbladder is no longer working correctly and you have pain. Your doctor will talk with you about this.

In the past, doctors made a large cut in the belly to remove the gallbladder. This is called open surgery. Today, doctors can do this surgery with tiny instruments and just a few small cuts. This is called laparoscopic surgery, because the main instrument is called a laparoscope . Minimally invasive surgery is a general term for surgery with these small instruments.

Symptoms For Gallbladder Disease

Sometimes a patient does not experience any discomfort, but there are common signs and symptoms that indicates one to have gallbladder disease, which include the following:

  • intermittent pain, particularly after eating, to occur on the right side
  • sharp pain that occurs because of swelling, resulting in cholecystitis
  • heartburn, indigestion, and vomiting
  • jaundice which indicates a blockage of the bile duct
  • fever may be present
  • When indicated, the patient will be referred to a robotic surgeon who will schedule a robot-assisted surgery.

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    Endpoints And Data Collection

    The primary endpoint of the study is the surgeons physical and mental stress load at the time of surgery and is assessed by two validated visual analogue scales, specifically a modified Local Experienced Discomfort and Subjective Mental Effort Questionnaire . Secondary endpoints include intra-operative blood loss, operating time, intra-operative conversion rate and additional trocar placement, complications, length of hospital stay, costs of procedure, Health-Related Quality of Life and cosmesis. HRQoL and cosmesis will be assessed using the validated Gastrointestinal Quality of Life Index and the Body Image Questionnaires , respectively . The exact type and time of data collection is listed in detail in Table , the study flowchart is depicted in Fig. . All data will be recorded safely using the SecuTrial program. The estimated total duration of the study is 1.5 years, including the scheduled 1-month and 1-year postoperative follow-up visits. At the time of writing, the study is still active and the recruitment of patients has just been completed.

    Fig. 1

    Patients fulfilling the following inclusion criteria may be enrolled in the study:

    • Patient compliance and geographic proximity allow proper preoperative check-up and postoperative follow-up

    • Women who are not breastfeeding and are not pregnant

    • Benign gallbladder polyps

    How Is Laparoscopic Gallbladder Removal Done

    TRMC is first in Houston to perform single

    You will have general anesthesia for your laparoscopic gallbladder removal. This means you are asleep during surgery. When surgery is finished, the surgeon closes your incisions with tiny stitches, staples, surgical tape or glue. These disappear as you heal, so the doctor does not need to remove them later.

    Once you are asleep, the surgeon makes an incision near your belly button and inserts a small device called a port. The port creates an opening that your surgeon can use to fill the abdomen with gas. This creates space to do the operation. Next, they insert a small camera through the port. The camera shows the surgery on a screen in the operating room. Once the surgeon can see clearly, they put in more ports to insert long, narrow instruments. Finally, they gently disconnect your gallbladder and take it out through one of the incisions. Most operations need 3 or 4 incisions, but some have more.

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    What To Expect On The Day Of Surgery

    What happens during your surgery depends on the approach the surgeon uses. Regardless of the approach used, the procedure should take about one to two hours.

    To give you a sense of what’s involved, here is a brief walk-through of how laparoscopic gallbladder surgery is done:

    • Vital signs are taken, an IV catheter and a urinary catheter are placed, and anesthesia medication is delivered to put you to sleep. The skin of your abdomen is prepared with an antibacterial solution.
    • The surgeon will begin by making four small incisions, approximately half an inch long, in the upper-right side of the abdomentwo for access for surgical instruments, one to allow the laparoscope to be inserted, and one for a port that releases carbon dioxide gas to inflating the abdomen.
    • The surgeon will then separate the gallbladder from the healthy tissue and place it in a sterile bag to allow it to pass through one of the small incisions. A drain may be placed in the abdomen to prevent fluid from collecting.
    • The surgeon will then inspect the area where the gallbladder was removed and close the ducts that were connected to it.
    • If there are no signs of leaking, the port will be removed. The remaining gas will leak out of the incisions as the instruments are taken out.
    • The incisions will then be closed with stitches or surgical staples. A sterile bandage or adhesive strips will be placed over them.
    • Anesthesia will be stopped and you will be taken to a recovery area.

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