Definition of Gallbladder removal - laparoscopic:

Laparoscopic gallbladder removal is surgery to remove the gallbladder using a medical device called a laparoscope.

Description:

Using a laparoscope is the most common way to remove the gallbladder. A laparoscope is a thin, lighted tube that lets the doctor see inside your belly.

Gallbladder removal surgery is done while you are under general anesthesia (unconscious and not able to feel pain). The surgeon will make 3 to 4 small cuts in your belly. The laparoscope will be inserted through 1 of the cuts. Other medical instruments will be inserted through the other cuts. Gas will be pumped into your belly to expand it. This gives the surgeon more space to work.

First, the surgeon cuts the bile duct and blood vessels that lead to the gallbladder. Then the surgeon removes the gallbladder, using the laparoscope.

A special x-ray called a cholangiogram will be done during your 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.

Sometimes the surgeon cannot safely take out the gallbladder using a laparoscope. In this case, the surgeon will instead do an open cholecystectomy.

See also: Gallbladder removal - open

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

Most people have fewer problems and a shorter hospital stay when their gallbladder is removed using a laparoscope compared to people who have open surgery. You will also have smaller incisions.