Removal of polyps in the gallbladder without removing the gallbladder. Surgery to preserve the gallbladder.

Remove gallbladder polyps without removing gallbladder

Gallbladder Polyp Removal Surgery Without Gallbladder Removal

If you're considering surgery, please send your ultrasound results to info@nogallstones.com

The Process of Gallbladder Polyp Removal Surgery Without Gallbladder Removal:

Gallbladder polyp removal is performed under general anesthesia.

The surgery is conducted through small incisions, typically made in the following areas:

  • Lower rib cage (1.5–2 cm)
  • Umbilical region (0.5 cm)

A trocar is inserted through the umbilical opening into the abdominal cavity. A mini-laparoscope is then used to examine the gastrointestinal organs for any pathological changes and to locate suitable sites for incisions near the rib cage.

Under video monitoring, the gallbladder is precisely grasped, and a rigid endoscope is inserted to identify and capture the smallest polyps. This laparoscopic method offers high-quality images with a large scale. The rigid endoscope is equipped with a special device that allows for the safe removal of polyps.

Research indicates that most gallbladder polyps receive blood supply from the incoming arterioles.

After the polyps are removed, bleeding is controlled using an electrocautery device, which reduces operation time and eliminates the risk of missing any polyps due to blood clots in the cavity.

Sequential removal of polyps from the gallbladder helps prevent blockages in the bile ducts and ensures patency.

Following the procedure, the incisions in the gallbladder and abdominal wall are closed with absorbable sutures. The skin is aligned and secured with medical adhesive. This method provides a secure bond and a good cosmetic result, leaving only a thin line.

The polyps removed from the gallbladder are sent to the laboratory for analysis to determine their pathogenesis (a dual test for malignancy).

Patients can usually stand and walk independently within 8 hours after the surgery.

Most patients are discharged on the 4th or 5th day after the operation.

Indications for Surgery:

  • A single stone with an echogenic shadow larger than 4 mm or multiple stones of any size in the gallbladder
  • A single polyp in the gallbladder larger than 5 mm
  • Multiple polyps in the gallbladder of any size
  • One or more stones in the bile duct, or sand in the bile duct
  • Stones adhered to the walls of the gallbladder or embedded in the walls
  • Thick, putty-like bile with sand in the cavity or bile duct
  • Thick stagnant bile with sand

Contraindications for Surgery:

The following conditions may prevent the performance of gallbladder-preserving surgery:

  • Previous abdominal or heart surgeries (each case is evaluated individually).
  • Inflammation of the gallbladder (absence of pain and minor thickening of the wall at the gallbladder's base are not contraindications).
  • Diabetes (subject to discussion).
  • Ischemic heart disease.
  • Tuberculosis.
  • Liver cirrhosis.
  • Choledocholithiasis (presence of stones in the common bile duct requires prior surgical intervention).
  • Abnormally small gallbladder size.
  • Body Mass Index (BMI) over 29 (evaluated individually).
  • Atrophy of the gallbladder.
  • Intrahepatic gallbladder.
  • Mirizzi syndrome.
  • Pyelonephritis (diagnosis must be confirmed).
  • Acute pancreatitis.
  • Overall health status that may preclude surgery.
  • Suspicion of malignant tumors in the abdominal cavity.
  • Age under 6 years.

Age over 60 is NOT a contraindication.

Having a mesh at the umbilical site, umbilical hernia, or multiple adhesions in the abdominal cavity is not a contraindication. In such cases, the surgery is performed through one incision in the right upper quadrant.

Each individual's health situation is unique, and exceptions may apply in specific cases.

You can schedule a minimally invasive endoscopic procedure for gallbladder polyps removal from the bile duct after receiving preliminary approval.

Please send your gallbladder or abdominal ultrasound, MRI, or CT results to info@nogallstones.com to find out if you are eligible for gallbladder-preserving surgery.