Brief Answer:
Please find details below

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below/

1. Report analysis
(i) There is a 13 mm stone in the neck region of your gall bladder. There is no inflammation of the gall bladder seen.

(ii) There are two small stones in left kidney lower pole and largest measures 3.2 mm. This is not causing any obstruction to the flow of urine.

2. The gall stone is significant in size. A stone measuring less than 10 mm might be treated without surgery and observed for sometime. However your stone measures 13 mm and the recommended treatment is laproscopic cholecystectomy

3. Cholecystectomy is usually done by laproscopic method by trained surgeons. In your case, doing a laproscopic cholecystectomy should be adequate. It is converted to open surgery should there be a requirement for better access to the operation area. Usually surgeons doing laproscopic surgery avoid open surgery however in 5 to 10 percent of patients.

The most common reasons for conversion to open cholecystectomy includes the following:
(i) Inflammation and adhesions due to severe acute and chronic disease
(ii) The need for clearance of the common bile duct.
(iii) Preoperative diagnosis of acute cholecystitis

4. Your situation:
(i) The stone is in the neck of the gall bladder and you might also have experienced pain in the right upper abdomen. This indicates that there is a chance of developing complication due to the stone in future. Doing an elective laproscopic cholecystectomy is the treatment of choice.

(ii) The kidney stones might reduce in size with drinking adequate amount of water and fluids. Please do not hold urine.

5. Please control your fat and oils in diet. This will help to avoid sudden pain due to the stone.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

---

Brief Answer:
Complication rate is less than 2 percent for laproscopic cholecystectomy

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. The laproscopic cholecystectomy surgery is a relatively simple major surgery and most surgeons perform this surgery excellently.

2. Regarding hospitals around Hosur road area, Naranaya hrudayalaya, Apollo hospital, St.Johns Medical College and Hospital, Fortis hospital are well equipped to do this surgery.

3. For a second opinion, I suggest you consult doctors at St.Johns Medical College and Hospital. They are a research center and will give you an opinion that will help you decide on treatment. Naming one particular doctor for second opinion is difficult and I wish you consult a Professor of general surgery at St.Johns Medical College and Hospital and have a detailed discussion.

4. Please note that the above information is provided at your request and healthcaremagic.com or I are not associated with any hospital.

5. The usual record for laproscopic cholecystectomy is less than 2 percent complications world wide. No hospital will release any statistics due to patient privacy. However XXXXXXX hrudayalaya might have complication rate which is comparable to international record.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

---