{"id":1246,"date":"2019-02-08T10:23:59","date_gmt":"2019-02-08T08:23:59","guid":{"rendered":"https:\/\/www.drpedonomou.com\/?page_id=1246"},"modified":"2019-05-03T19:48:00","modified_gmt":"2019-05-03T16:48:00","slug":"gallbladder-and-liver-surgery","status":"publish","type":"page","link":"https:\/\/www.drpedonomou.com\/en\/surgical-procedures\/gallbladder-and-liver-surgery\/","title":{"rendered":"Gallbladder and liver Surgery"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mimrny-c80cf10669c41bac26c4c89dd70f3d37\">\n.avia-section.av-mimrny-c80cf10669c41bac26c4c89dd70f3d37{\nbackground-color:#f9f9f9;\nbackground-image:url(https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidonos-kisti.jpg);\nbackground-repeat:no-repeat;\nbackground-position:100% 100%;\nbackground-attachment:scroll;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-mimrny-c80cf10669c41bac26c4c89dd70f3d37 main_color avia-section-default 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av-special-heading-h1 blockquote modern-quote modern-centered  avia-builder-el-1  el_before_av_hr  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Gallbladder and liver Surgery<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jb7gm6-004be8665a12794b5cf4b2431d7ee6fd\">\n#top .hr.av-jb7gm6-004be8665a12794b5cf4b2431d7ee6fd{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.hr.av-jb7gm6-004be8665a12794b5cf4b2431d7ee6fd .hr-inner{\nwidth:100px;\nborder-color:#109bc5;\n}\n<\/style>\n<div  class='hr av-jb7gm6-004be8665a12794b5cf4b2431d7ee6fd hr-custom  avia-builder-el-2  el_after_av_heading  avia-builder-el-last  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div 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id=\"style-css-av-dy0q8u-26f72a5d3855f8a46a3c755ff3be0cf9\">\n.flex_cell.av-dy0q8u-26f72a5d3855f8a46a3c755ff3be0cf9{\nvertical-align:bottom;\nbackground-color:#109bc5;\n}\n.responsive #top #wrap_all .flex_cell.av-dy0q8u-26f72a5d3855f8a46a3c755ff3be0cf9{\npadding:4px 0px 0px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-dy0q8u-26f72a5d3855f8a46a3c755ff3be0cf9 av-gridrow-cell av_one_half no_margin  avia-builder-el-5  el_after_av_cell_one_half  avia-builder-el-last  content-align-bottom'  ><div class='flex_cell_inner'><\/div><\/div>\n<\/div><div id='after_grid_row_1'  class='main_color av_default_container_wrap container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-1246'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column_table av-d4uhlq-bc420d4f30edf4a18431a9d031ffef5e sc-av_one_full av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-d4uhlq-bc420d4f30edf4a18431a9d031ffef5e\">\n.flex_column.av-d4uhlq-bc420d4f30edf4a18431a9d031ffef5e{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-d4uhlq-bc420d4f30edf4a18431a9d031ffef5e av_one_full  avia-builder-el-6  el_after_av_layout_row  el_before_av_section  avia-builder-el-no-sibling  first no_margin flex_column_table_cell av-equal-height-column av-align-top av-animated-generic top-to-bottom av-zero-column-padding  '     ><section  class='av_textblock_section av-jrvsaztd-6849e5f59bc9a6f9db2af2f5030d9b67 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-974\" src=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-web.jpg\" alt=\"\" width=\"350\" height=\"332\" srcset=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-web.jpg 350w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-web-300x285.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'Arial',sans-serif;\">The liver is a large, reddish-brown, organ located in the upper right portion of the abdominal cavity that secretes bile (a digestive enzyme) and is active in the formation of certain blood proteins and in the metabolism of carbohydrates, fats, and proteins.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'Arial',sans-serif;\">The gallbladder is a sac which stores and concentrates bile. During a meal it contracts, secreting bile into the small intestine, via the cystic duct, where it aids in the digestion of fats. Bile contains bile salts, cholesterol and other compounds.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'Arial',sans-serif;\">A <b>Gallbladder polyp<\/b> is a mass that can grow in the lining of the gall bladder. Most of these polyps are benign, however, once they reach a certain size, or if there are many polyps in the gallbladder, they become a risk for gall bladder cancer. Patients with gallbladder polyps should be evaluated for the need for cholecystectomy (removal of the gall bladder).<\/span><\/p>\n<p style=\"text-align: justify;\"><b><span style=\"font-family: 'Arial',sans-serif;\">Cholelithiasis<\/span><\/b><span style=\"font-family: 'Arial',sans-serif;\"> is the term used when bile becomes oversaturated with cholesterol or other compounds and gallstones begin to form. In most cases, gallstones do not cause symptoms. But in some patients, these stones may cause obstruction of the cystic duct, leading to inflammation and scarring. During the blockage, the patient might feel a severe pain on the right side, just under the ribs, called biliary colic. This cramping pain can continue steadily, with gradual relief occurring over a few hours. The blockage might also cause heartburn and indigestion.<\/span><\/p>\n<p style=\"text-align: justify;\"><b><span style=\"font-family: 'Arial',sans-serif;\">Cholecystitis<\/span><\/b><span style=\"font-family: 'Arial',sans-serif;\"> is an infection that occurs in the gallbladder because gallstones obstruct the flow of bile out of the gall bladder resulting in inflammation and infection of the organ.<\/span><\/p>\n<p style=\"text-align: justify;\"><b><span style=\"font-family: 'Arial',sans-serif;\">Choledocholithiasis<\/span><\/b><span style=\"font-family: 'Arial',sans-serif;\"> occurs when gallstones are emitted from the gall bladder but get trapped in the common bile duct. This can result in severe pain. It can also result in a back up of bile into the bloodstream that is known as jaundice.<\/span><\/p>\n<p style=\"text-align: justify;\"><b><span style=\"font-family: 'Arial',sans-serif;\">Gallstone pancreatitis<\/span><\/b><span style=\"font-family: 'Arial',sans-serif;\"> is an inflammation of the pancreas (another digestive organ) that occurs when gallstones irritate the pancreas as they are emitted from the gall bladder. Pancreatitis results in pain along the upper abdomen and back. It can be a mild or severe (and even deadly) disease.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'Arial',sans-serif;\">Gallbladder removal, the <b>cholecystectomy,<\/b> is the most commonly performed minimally invasive procedure. It usually requires 4 small incisions to safely removal of the gallbladder. Most patients treated with cholecystectomy go home the same day of surgery. Pain from laparoscopic cholecystectomy is greatly reduced compared to traditional open surgery and return to regular activity is much sooner.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'Arial',sans-serif;\">Your doctor might decide that a <b>cholecystectomy<\/b> is indicated to treat acute or chronic conditions of the gallbladder such as gallbladder polyps, biliary colic, cholecystitis, choledocholithiasis or gallstone pancreatitis.<\/span><\/p>\n<h2><strong>Liver Cysts<\/strong><\/h2>\n<p style=\"text-align: justify;\"><a href=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/kisti-ypatos.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-975\" src=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/kisti-ypatos-300x214.jpg\" alt=\"\" width=\"300\" height=\"214\" srcset=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/kisti-ypatos-300x214.jpg 300w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/kisti-ypatos-768x547.jpg 768w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/kisti-ypatos-1030x733.jpg 1030w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/kisti-ypatos-260x185.jpg 260w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/kisti-ypatos-705x502.jpg 705w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/kisti-ypatos-450x320.jpg 450w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/kisti-ypatos.jpg 1107w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Liver cysts, also called hepatic cysts, are fluid-filled sacs that occur in the liver of roughly 5% of the population. However, only about 5% of these patients ever develop symptoms. They are usually asymptomatic and often discovered by chance during an abdominal imaging procedure, like computed tomography (CT) or magnetic resonance imaging (MRI). Even though most liver cysts are benign, an early diagnosis is critical for proper treatment of the parasitic or cancerous subtypes. In most cases, treatment involves removal via minimally invasive surgical techniques.<\/p>\n<p>Most cysts are single, although some patients may have several. The symptoms associated with liver cysts include upper abdominal fullness, discomfort, or pain. A small number of patients bleed into the cyst, which causes sudden and severe right upper quadrant and shoulder pain. The bleeding stops on its own and the pain then improve over the next several days. Liver cysts do not impair the liver\u2019s ability to function.<\/p>\n<p>Simple liver cysts are always benign. The only patients who require treatment for a liver cyst(s) are those who develop symptoms. Simply removing the fluid from the cyst with a needle is not effective because the cyst fills up again within several days. The best treatment is to remove a large portion of the cyst wall. This surgical procedure can usually be done laparoscopically, which requires only 2-3 small incisions and an overnight stay in the hospital. Most patients recover fully within 2 weeks. The risk of the cyst recurring is very low.<\/p>\n<p>Unlike simple liver cysts, cystic tumors are actually growths that may become malignant over the course of many years. The benign cystic tumor seen most frequently is called a cystadenoma; its malignant counterpart is a cystadenocarcinoma. The symptoms caused by cystic tumors are the same as those seen with simple cysts; fullness, discomfort, and pain. The liver blood tests usually remain normal, unless a cancer has developed. US and CT scans are the best imaging studies to show the cystic tumors, which contain both liquid and solid areas. Because of the possibility of malignancy, cystic tumors must be completely removed surgically. The recurrence rate after surgery is very low and the long-term prognosis is excellent.<\/p>\n<p><a href=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-976\" src=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-300x214.jpg\" alt=\"\" width=\"300\" height=\"214\" srcset=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-300x214.jpg 300w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-768x547.jpg 768w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-1030x733.jpg 1030w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-260x185.jpg 260w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-705x502.jpg 705w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-450x320.jpg 450w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti.jpg 1107w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u00a0<a href=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-paraskevasma.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-977\" src=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-paraskevasma-300x214.jpg\" alt=\"\" width=\"300\" height=\"214\" srcset=\"https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-paraskevasma-300x214.jpg 300w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-paraskevasma-768x547.jpg 768w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-paraskevasma-1030x733.jpg 1030w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-paraskevasma-260x185.jpg 260w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-paraskevasma-705x502.jpg 705w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-paraskevasma-450x320.jpg 450w, https:\/\/www.drpedonomou.com\/wp-content\/uploads\/2017\/10\/xolidoxos-kisti-paraskevasma.jpg 1107w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><iframe class=\"ginger-extension-definitionpopup\" style=\"display: none;\"><\/iframe><\/p>\n<\/div><\/section><\/div><\/div><!--close column table wrapper. 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