GallBladder

When is The Right Time for Gallbladder Surgery?

January 29, 2025
8 min read
Dr. Kapil Agrawal - Senior Consultant at Apollo Group of Hospitals
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Key Takeaways

Learn when is the right time for gallbladder surgery, who can wait, drawbacks of delaying surgery, and why early intervention is crucial. Expert guidance from Dr. Kapil Agrawal, best gallbladder surgeon in Delhi.

When is The Right Time for Gallbladder Surgery?

The right time for gallbladder surgery depends on the situation of the gall stone. Undergoing any surgery is a big decision. However advanced the technology is, it may be scary and tempting to put off the surgery unless and until some sort of complication occurs. It is beyond doubt that gall stones will never go on their own and are bound to cause complications with time.

Before you decide to postpone or defer the surgery, one must understand the risks and benefits of their decision.

The first thing to consider is how gall bladder stones is affecting your day-to-day activities. Even if the gall bladder is not causing any problems, it is advisable to seek the opinion of a specialist surgeon.

According to Dr. Kapil Agrawal, one of the best gall bladder surgeon in Delhi, the surgeon will look into various factors like your age, size of gall bladder stones, risk of developing complications, presence of any co morbidities like diabetes, hypertension or any history of cardiac illness. After looking into all these parameters, the surgeon will guide you to either go for surgery or you can wait for few years.

Who can wait for Surgery?

A perfect candidate, who can postpone gall stone surgery, should have a single stone of size between 8 and 10mm. Additionally, they is no chronic illness such as diabetes, heart disease or respiratory issues such as asthma and COPD.

Drawbacks to Delaying the Gallbladder Surgery

Patients who have large bladder stones, with dimensions of 2 cm or greater, are at an increased risk for developing gall bladder cancer that is, to date, not curable in the advanced stages. Gall bladder stones that are large typically aren't painful and can go unnoticed for long periods. They constantly scratch the walls of the gall bladder, which can cause injury and the subsequent growth in gall bladder cancer.

Patients who have gall bladder stones of a small size are likely to experience more complications. Small stones can stop the flow of bile and cause intense discomfort. Sometimes, it could result in the development of pus in the gall bladder. The stones may slip out of the gall bladder and to the common bile drainage. It could cause pancreatitis or jaundice, that can be fatal if not dealt with promptly.

Long-standing diabetes severely impairs the ability to feel pain. It happens because of damage to the nerves due to diabetes. which feels pain. As a result, you won't feel pain even if the gall bladder becomes infected or ruptures. It can result in delayed diagnosis and increased chances of complications.

1. No Time to Optimize Your Health

Patients who have diabetes, breathing problems, heart issues such as COPD or asthma, and/or using blood thinners etc., should always consider an early scheduled repair. Suppose gall bladder stones get complex and require an emergency procedure. It could be hazardous since the patient's condition is not optimal, and the risk of complications after surgery rises dramatically.

2. Stones May Slip Into CBD

Small stones can slip from the gallbladder into the common bile duct. It can lead to blockage to the flow of bile resulting in jaundice. An additional procedure is required in such patients to clear stones in the duct. This procedure not only increases your hospital stay and expenses but also causes discomfort.

3. Gall Stones Can Increase in Size

As time passes the gall bladder stones' size may increase. The stones become harder and can be difficult to break during surgery. In the end, port size or the incision is enlarged to remove large, non crushable stones. The larger incision is not just more painful but also looks poor.

4. Higher Risk of Surgical Failure

General anaesthesia is required to perform laparoscopic gall stone surgery. It means, the patient is put to sleep by using mechanical ventilation. It is essential for the lung and heart to work properly for this anaesthesia.

If the gall stones become complicated and requires immediate intervention, then the surgery is done under high risk category.

5. You will Eventually Require Surgery

Fear isn't a solution to any issue. You must be able to think in a way that is sensible. If you are going to have an operation at some point in time, it's best to do it early, in the most favourable conditions. A planned surgery will always lead to better outcomes.

Conclusion

Delaying gallbladder surgery may seem like a safer choice, but it can lead to serious complications that are harder to manage later. If you are experiencing symptoms or have risk factors, opting for a planned surgery under expert supervision ensures a smoother recovery and fewer risks. As Dr. Kapil Agrawal, a highly trusted and experienced laparoscopic surgeon, rightly emphasizes, early intervention is key to avoiding long-term damage. Recognized as the best gall stone surgeon in Delhi, Dr. Agrawal provides personalized guidance to help you make informed decisions for your health and well-being.

About Dr. Kapil Agrawal

Dr. Kapil Agrawal is one of the most skilled gall bladder surgeons using laparoscopic surgery in Delhi. He is among the best gall stone surgeons with the Apollo Group of Hospitals, New Delhi. One of the few surgeons who offers one port operation to treat gall bladder stones in large majority of patients. With more than 20 years of experience, he guarantees excellent, long-lasting results with affordable and fixed packages, precise post-operative follow-ups, and other services that make up his practice.

D

Dr. Kapil Agrawal

Senior Consultant at Apollo Group of Hospitals

Published on 29 January 2025

About the Doctor

Dr. Kapil Agrawal

Dr. Kapil Agrawal

Senior Consultant - Laparoscopic & Robotic Surgeon

23+ years of Experience

Dr. Kapil Agrawal is a leading and one of the best Robotic and Laparoscopic Surgeon in Delhi, India. He has an overall experience of 23 years and has been working as a Senior Consultant Surgeon at Apollo Group of Hospitals, New Delhi, India. He is performing advanced laparoscopic and robotic surgeries for various conditions, which include Gallbladder stones, Hernia, Appendicitis, Rectal prolapse, and pseudo-pancreatic cyst.

Qualifications
  • MBBS - Institute of Medical Sciences, BHU, Varanasi
  • MS (Surgery) - Institute of Medical Sciences, BHU, Varanasi
  • MRCS (London, U.K) - Royal College of Surgeons, London
Specializations
Laparoscopic SurgeryRobotic SurgeryGallbladder SurgeryHernia Surgery
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Why Choose Us

  • Best Outcomes with discharge within 24 hours.
  • High-quality standards with an almost zero percent rate of infection.
  • Best Post Operative Care with round-the-clock availability of team.
  • A team of dedicated nutritionists to make your recovery faster.
  • No hidden charges and fixed and transparent packages.
  • Complete network of cashless insurance available.
  • All paperwork is handled by an expert team to give you a hassle-free experience.
  • Tie up with various agencies to provide you with EMI options at zero rate of interest.
  • Dr Kapil Agrawal, senior consultant laparoscopic surgeon, affiliated with some of the best and finest hospitals in New Delhi.

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Dr. Kapil Agrawal

Consult with Dr. Kapil Agrawal - Senior Consultant - Laparoscopic & Robotic Surgeon at Apollo Hospitals, Delhi NCR. 23+ years experience and 7000+ advanced procedures with enhanced recovery care.

Gallbladder SurgeryCBD Stones RemovalGallbladder PolypsHernia SurgeryAppendix SurgeryGERD & Hiatus HerniaRectal Prolapse Surgery

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