Os tipos de Colecistectomia
A vesícula biliar é um órgão localizado por baixo do fígado, especificamente ao lado direito do abdômen. Sua função principal é armazenar e concentrar a bile, e descarregar a mesma no duodeno, enquanto a digestão é feita.
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Veja também: Pancreatite Aguda – Pacientes com pedra na vesícula.
Colecistectomia laparoscópica
Essa técnica é chamada também de vídeo laparoscopia, e costuma ser realizada com anestesia geral. A partir de quatro incisões no abdômen, os médicos introduzem os instrumentos cirúrgicos e uma câmera, que os permite visualizar toda a região através de um monitor. Todo esse procedimento faz com que a cirurgia seja mais rápida e menos dolorosa.
Colecistectomia aberta
É feita por meio de uma incisão no abdômen, que geralmente é de maior proporção. A recuperação costuma ser mais demorada.
Colecistectomia radical
Algumas vezes, para que a doença não reapareça, é necessária uma cirurgia mais extensa, indicada em casos de câncer de vesícula (invasivos ou graus avançados), onde serão retirados a vesícula, parte do fígado, e todos os gânglios linfáticos.
Como funciona o pós-operatório da Colecistectomia?
Após o procedimento, quando o efeito da anestesia já finalizou, pode acontecer de o paciente sentir um desconforto na região do abdômen, no pescoço, e até nos ombros. Por conta disso, os médicos indicam o uso de medicamentos anti-inflamatórios e analgésicos para que as dores sejam amenizadas.
Além disso, será fundamental que o paciente fique em repouso total, e mesmo que ele já possa caminhar normalmente, as atividades físicas que exigem esforço devem ser evitadas. Nos primeiros dias após a cirurgia, o ideal é que a alimentação seja saudável e livre de gorduras, sendo líquida e pastosa.
Se a cirurgia foi realizada por laparoscopia, a recuperação levará em torno de 10 dias, e não é recomendado que o paciente passe muito tempo deitado, ele deverá se levantar e realizar pequenas caminhadas.
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