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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Laparoscopic Cholecystectomy Safe After LP Stent Placement?

I have an LP shunt for Psuedo Tumor Cerebri and am having my gallbladder removed this week. Is it safe to have a laparoscopic cholecystectomy since I have an LP shunt? I also have a lap band, and the port is located on the right side of my body. My doctor has explained it s going to be a complicated surgery due to all the hardware inside of me. He has also never done this surgery on a patient with an LP shunt. So I am wondering, would laparoscopic vs open surgery be a better option for me? I have read there are risks of shunt failure and revisions when doing laparoscopic with an LP shunt?? The problem my doctor is having tho, is where to make an incision that will not interfere with my lap band if doing an open surgery??
Mon, 30 May 2016
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General Surgeon,  's  Response

Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation,Your doctor could plan for-Laparoscopic Chol surgery with readiness to use option of Open Cholecystectomy, in case of failure of the Lap.
In any case You may need to do revision-LP, if needed.
This plan would reduce your dilemma,because if it is successful by Lap Chole without disturbing LP shunt, you have that chance of sparing the old LP.
But using open option, would add up- revision LP,as the old Lap-Gastric band port,would hinder in planning open lap surgery.
So as suggested-Lap Cholecystectomy would be a better option for saving revision Lumbo-peritoneal Shunt.
But ultimately, it is the comfort and confidence of attending Surgeon would be more important in using options for the current- Cholecystectomy.
So you better leave this option to your Surgeon/ or opt for the one who can do cholecystectomy with either way risk.

Hope this would help you to plan further care of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-

Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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Is Laparoscopic Cholecystectomy Safe After LP Stent Placement?

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation,Your doctor could plan for-Laparoscopic Chol surgery with readiness to use option of Open Cholecystectomy, in case of failure of the Lap. In any case You may need to do revision-LP, if needed. This plan would reduce your dilemma,because if it is successful by Lap Chole without disturbing LP shunt, you have that chance of sparing the old LP. But using open option, would add up- revision LP,as the old Lap-Gastric band port,would hinder in planning open lap surgery. So as suggested-Lap Cholecystectomy would be a better option for saving revision Lumbo-peritoneal Shunt. But ultimately, it is the comfort and confidence of attending Surgeon would be more important in using options for the current- Cholecystectomy. So you better leave this option to your Surgeon/ or opt for the one who can do cholecystectomy with either way risk. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS