Definition of Gallbladder removal - open:

Open gallbladder removal is surgery to remove the gallbladder.

Description:

In gallbladder removal surgery, a surgeon makes a large incision (cut) in your belly to open it up and see the area. The surgeon then removes your gallbladder by reaching in through the incision and gently lifting it out.

Surgery is done while you are under general anesthesia (unconscious and unable to feel pain).

The surgeon will make a 5 to 7 inch incision in the upper right part of your belly, just below your ribs. The surgeon will cut the bile duct and blood vessels that lead to the gallbladder. Then your gallbladder will be removed.

A special x-ray called a cholangiogram will be done during the surgery. This involves squirting some dye into your common bile duct. This duct will be left inside you after your gallbladder has been removed. The dye helps locate other stones that may be outside your gallbladder. If any are found, the surgeon may be able to remove these other stones with a special medical instrument.

Open gallbladder removal surgery takes about an hour.

Why the Procedure Is Performed:

Your doctor may recommend gallbladder removal surgery if you have gallstones or your gallbladder is not functioning normally (biliary dyskinesia).

You may have some or all of these symptoms:

• Pain after eating, usually in the upper right or upper middle area of your belly (epigastric pain)
• Nausea and vomiting
• Indigestion
• Infection (cholecystitis)

The most common way to remove the gallbladder is by using a medical instrument called a laparoscope. See also: Gallbladder removal - laparoscopic

Other reasons for this surgery may be:

• You have had many surgeries in this part of your belly in the past
• Breathing problems
• Severe liver problems
• Bleeding problems
• You are in your third trimester of pregnancy
• Obesity
• Pancreatitis