Gallstones are a condition in which hard stones or deposits form inside the gallbladder, a small organ located beneath the liver that stores bile to aid digestion. These stones develop due to the buildup of certain substances in bile and often cause no symptoms in the early stages. However, when gallstones block the bile ducts, patients may experience severe pain in the upper right abdomen, nausea, vomiting, a feeling of fullness, and pain that radiates to the back or right shoulder. If left untreated, gallstones can lead to inflammation, infection, and serious complications affecting the digestive system and liver.
As a more modern treatment option, gallstone surgery at Mandaya Royal Hospital Puri can be performed using a minimally invasive technique with surgical incisions of less than 1 cm. This method is designed to reduce pain, accelerate recovery, and produce smaller scars. The procedure is handled by experienced digestive surgery specialists, dr. Emerson Budiarman Masli, Sp.B. Subsp.BD (K), and dr. Ocsyavina, Sp.B. Subsp.BD (K), who are highly competent in treating various gallstone cases safely and effectively.
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Gallstone Surgery with Incisions <1 cm at Mandaya Royal Hospital Puri
Minimally invasive gallstone surgery, also known as laparoscopic cholecystectomy, is a surgical procedure to remove the gallbladder containing gallstones through several small incisions in the abdomen. This procedure uses a special instrument called a laparoscope—a small camera that allows the surgeon to clearly visualize internal organs on a monitor without the need for large incisions.
Today, the laparoscopic method has become the standard treatment for gallstones because it is considered safer, offers faster recovery, and carries a lower risk of complications compared to open surgery.
Gallbladder removal is generally recommended when gallstones cause disturbing symptoms or pose potential health risks. Gallstones are the most common reason for this procedure. Although some patients may not experience symptoms, those who do often have recurrent complaints that increasingly interfere with daily activities.
Laparoscopic gallstone surgery may be considered when gallbladder disorders:
- Interfere with daily quality of life
- Pose serious health risks
- Are likely to persist or worsen over time
These conditions are commonly found in cases such as:
- Chronic cholecystitis (long-term inflammation of the gallbladder)
- Gallbladder cancer.
How Is the Procedure Performed?
Laparoscopic gallstone surgery is performed using a minimally invasive technique that requires only a few small incisions in the abdomen. The procedure is relatively short and is carried out under the supervision of experienced digestive surgeons to ensure patient safety.
In general, the surgical steps include:
- Making one small incision near the navel and two to three additional incisions in the upper right abdomen
- Inflating the abdominal cavity with a special gas to create space and improve organ visualization
- Inserting the laparoscope to display the surgical area on a monitor
- Using specialized surgical instruments to remove the affected gallbladder
- Releasing the gas from the abdominal cavity and closing the incisions with small sutures
With this technique, patients typically experience less pain, faster recovery, and minimal scarring compared to conventional open surgery.
Advantages of Laparoscopic Gallstone Surgery
Compared to open surgery, the laparoscopic method offers several advantages that make it more comfortable for patients, including:
- Very small incisions, less post-operative pain, and faster recovery
- Lower risk of bleeding and infection due to its minimally invasive nature
- Minimal tissue damage and reduced risk of injury to internal organs
- Relatively short operating time, around 60–90 minutes
- Treatment outcomes comparable to open surgery, but with a lighter recovery process
- Shorter hospital stay, usually only 1–2 days
- Recovery period of about 1 week, compared to up to 1 month for open surgery
- Reduced risk of complications, especially in elderly patients or those with comorbidities
- Can also be used to treat other conditions such as tumors, intraperitoneal adhesions, and early-stage cancer.
Profile and Practice Schedule of dr. Emerson and dr. Ocsyavina at Mandaya Royal Hospital Puri
1. dr. Emerson Budiarman Masli, Sp.B. Subsp.BD (K)
dr. Emerson Budiarman Masli, Sp.B. Subsp.BD (K), is a digestive surgery specialist with extensive experience in treating various diseases and disorders of the digestive system. His expertise covers a wide range of cases, including gallstones, appendicitis, hernias, and gastrointestinal cancers such as liver cancer and colorectal cancer. In every treatment, dr. Emerson prioritizes precise, safe, and patient-tailored medical approaches. He is also an active member of the Indonesian Medical Association (IDI) and the Indonesian Association of Surgeons (IABI).
dr. Emerson completed his medical education in stages at Diponegoro University, Semarang. He earned his medical degree, continued with General Surgery specialist training, and later achieved qualifications as a Digestive Surgery Consultant. This educational background forms the foundation of his comprehensive and professional expertise in digestive surgery.
Practice Schedule:
- Monday: 10:00 – 13:00 WIB
- Wednesday: 10:00 – 13:00 WIB
2. dr. Ocsyavina, Sp.B. Subsp.BD (K)
dr. Ocsyavina, Sp.B. Subsp.BD (K), is a digestive surgery specialist experienced in managing a wide range of gastrointestinal conditions. Her services include digestive tract surgery, endoscopy, gastroscopy, colonoscopy, and various surgical procedures such as laparoscopic gallbladder removal, hernia surgery, hemorrhoid surgery, appendectomy, and colorectal cancer treatment. She is also experienced in gastric surgery, including gastric bypass and gastric banding procedures.
dr. Ocsyavina began her medical education at Universitas Padjadjaran, Bandung, where she earned her medical degree. She then completed her General Surgery specialist training and Digestive Surgery subspecialty training at Universitas Indonesia. With this strong educational background and clinical competence, dr. Ocsyavina provides comprehensive, safe, and patient-centered digestive surgical care.
Practice Schedule:
- Monday: 16:00 – 18:00 WIB
- Tuesday: 16:00 – 18:00 WIB
- Wednesday: 16:00 – 18:00 WIB
- Thursday: 16:00 – 18:00 WIB
- Friday: 16:00 – 18:00 WIB
- Saturday: 10:00 – 12:00 WIB
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