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Laparoscopy

Diagnostic / Examination

  • Ultrasound examination

    This test has the highest sensitivity and specificity for gallbladder stones and is also helpful in diagnosing complications of gallbladder stones such as cholecystitis.

  • Endoscopic retrograde cholangiography

    When gallbladder stones are diagnosed, treatment and testing may be performed simultaneously as a test to check for the possibility of accompanying gallstones in other extrahepatic bile ducts.

  • Oral cholecystography

    Because it can determine the drainage function of the gallbladder and the degree of obstruction of the cystic duct and is useful in determining the number of gallstones, it is also used to determine a medical treatment plan.

  • Endoscopic ultrasound examination

    It is not often used to diagnose gallbladder stones themselves, but to diagnose accompanying bile duct stones.

Gallbladder disease
treatment program

Treatment principles for gallbladder disease depend on the presence or absence of symptoms and the size of the gallstones. In principle, gallbladder stones without symptoms should be treated when symptoms appear, while gallbladder stones with symptoms should be treated when symptoms appear. Treatment is given because there is a high possibility that pain will recur or complications may occur.

  • This is a method of removing various gallstones in the gallbladder, using a pneumoperitoneal method using carbon dioxide to secure surgical space and insert a trocar. Using an inserted trocar, the gallbladder is separated, exposed, cut, resected, and anastomosed. The resected organs are removed, hemostasis is performed, and cleaned. If necessary, a drainage tube is inserted to suture the fascia and skin. Using a trocar inserted into the abdominal cavity and an endoscope (laparoscope) through it, surgery can be performed while viewing the image when the lesion in the abdominal cavity is projected on the monitor, reducing the risk of damage to internal organs or blood vessels due to insertion of the trocar and reducing pain. It has become a standard treatment for gallbladder cholelithiasis and acute cholecystitis due to fast recovery and minimal scarring.

  • Drug treatment for gallstones can include taking ursodiol, a bile acid-derived ingredient. You can try it if the main component of gallstones is cholesterol, and you only have mild symptoms such as digestive problems or upper abdominal discomfort, or if the size is less than 5 mm. Some side effects may include mild diarrhea, abdominal pain, or abdominal discomfort.