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BILIARY SYSTEM SURGERIES
The biliary system, including the gallbladder and bile ducts, plays a crucial role in digestion and liver function. Surgical intervention may be required for conditions such as gallstones, tumors, strictures, or congenital abnormalities. At Gut Instincts, we offer advanced minimally invasive and open surgical techniques designed to address these problems safely and effectively. Our goal is to relieve symptoms, restore normal bile flow, and improve overall digestive health, while ensuring faster recovery and minimal post-operative discomfort.
Our Procedures Include:
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Common bile duct exploration (choledocholithotomy) (open or laparoscopic)
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Biliary bypass procedures (choledochojejunostomy, hepaticojejunostomy)
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Drainage procedures for biliary obstruction (open or laparoscopic)
Laparoscopic or Open Cholecystectomy
Cholecystectomy is the surgical removal of the gallbladder, commonly performed to treat gallstones, inflammation, or infection. A laparoscopic cholecystectomy is minimally invasive, using small incisions and a camera to remove the gallbladder, offering faster recovery, less pain, and minimal scarring. In complex cases, an open cholecystectomy may be required, involving a larger incision to safely remove the gallbladder. Dr. Gaurav Singh tailors the approach based on the patient’s condition, anatomy, and any prior abdominal surgeries.
Common Bile Duct Exploration (Choledocholithotomy) (Open or Laparoscopic)This procedure involves removing stones or blockages from the common bile duct, which can cause jaundice, infection, or pancreatitis. Laparoscopic exploration allows minimally invasive removal of stones with quicker recovery, while open exploration is reserved for more complex situations or failed minimally invasive attempts. The goal is to restore normal bile flow and prevent complications such as cholangitis or bile duct injury.
Biliary Bypass Procedures (Choledochojejunostomy, Hepaticojejunostomy)Biliary bypass surgeries are performed when bile flow is blocked due to strictures, tumors, or injuries. A choledochojejunostomy connects the common bile duct to the small intestine (jejunum), while a hepaticojejunostomy connects the hepatic duct directly to the jejunum. These procedures bypass the obstruction, relieving jaundice, improving liver function, and preventing bile-related complications.
Choledochal Cyst Excision (Open or Laparoscopic)
Choledochal cysts are congenital dilations of the bile ducts, which can lead to infection, stone formation, or cancer if untreated. Excision of the cyst, often with reconstruction using a hepaticojejunostomy, removes the abnormal segment while restoring normal bile flow. Minimally invasive laparoscopic techniques are preferred when feasible, providing a faster recovery and less postoperative discomfort.
Biliary Reconstruction and Repair (For Stricture or Injury)
Injuries or strictures of the bile ducts, which can occur after gallbladder surgery or due to trauma, may block bile flow and cause jaundice or infection. Biliary reconstruction involves repairing or reconnecting the bile ducts to restore normal function. Techniques vary depending on the location and severity of the injury, often requiring precise microsurgical skill to prevent long-term complications.
Resection of Biliary Tumors
Surgical removal of biliary tumors is crucial for treating cancers affecting the gallbladder, bile ducts, or liver hilum. The procedure may involve partial removal of the bile ducts, gallbladder, or nearby liver tissue to ensure complete tumor clearance. Surgery is carefully planned based on tumor location, size, and patient health, aiming for the best long-term outcomes and maintaining proper bile flow.
Drainage Procedures for Biliary Obstruction (Open or Laparoscopic)
When bile flow is obstructed by stones, tumors, or strictures, drainage procedures help relieve pressure and prevent infection or liver damage. These procedures create an alternative route for bile to drain into the intestine or outside the body temporarily. Minimally invasive laparoscopic techniques are often preferred, reducing recovery time while ensuring effective decompression.
Extended Cholecystectomy
Extended cholecystectomy is performed when gallbladder cancer or severe inflammation requires not only gallbladder removal but also excision of adjacent liver tissue and lymph nodes. This more extensive surgery aims to remove all diseased tissue, reduce the risk of recurrence, and preserve as much healthy tissue as possible. Postoperative recovery is closely monitored to ensure optimal outcomes.
The biliary system plays a vital role in digestion and overall liver function, and disorders affecting it can significantly impact health. At Gut Instincts, we focus on providing precise, evidence-based surgical care for a wide range of biliary conditions—from gallstones and strictures to complex tumors and congenital anomalies. Each procedure is carefully tailored to the patient’s unique needs, balancing advanced surgical techniques with compassionate, patient-centered care. Our goal is to restore normal bile flow, relieve symptoms, and improve long-term outcomes, ensuring patients regain health safely and effectively.
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