Cholecystectomy - laparoscopic
Laparoscopic gallbladder removal is surgery to remove the gallbladder using a medical device called a laparoscope.
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 (asleep and pain-free).
First, the surgeon cuts the bile duct and blood vessels that lead to the gallbladder. Then the surgeon removes the gallbladder, using the laparoscope.
An x-ray called a cholangiogram may be done during your surgery. This involves squirting dye into your common bile duct and taking an x-ray. This duct will be left inside you after your gallbladder has been removed. The dye helps find other stones that may be outside your gallbladder. It also helps identify the branches of the bile duct. If any stones are found, the surgeon may remove these other stones with a special 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
Your doctor may recommend gallbladder removal surgery if you have pain or other symptoms from gallstones or your gallbladder is not working normally (biliary dyskinesia).
You may have some or all of these symptoms:
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 surgical cuts.
The risks for any anesthesia include:
The risks for gallbladder surgery include:
Your doctor may ask you to have these tests done before your surgery:
Always tell your doctor or nurse:
During the week before your surgery:
On the day of your surgery:
Prepare your home for after the surgery.
If you do not have any signs of problems, you will be able to go home when you are able to drink liquids easily. Most people go home on the same day or the day after this surgery.
If there were problems during your surgery, or if you have bleeding, a lot of pain, or a fever, you may need to stay in the hospital longer.
Most patients do very well and recover quickly.
Chari RS, Shah SA. Biliary system. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery. 18th ed. St. Louis, M0: WB Saunders; 2008: chap 54.
Gurusamy KS. Surgical treatment of gallstones. Gastroenterol Clin North Am. 2010; 39:229-244.
Keus F, Gooszen HG, van Laarhoven CJ. Open, small-incision, or laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis. An overview of Cochrane Hepato-Biliary Group reviews. Cochrane Database Syst Rev. 2010:(1):CD008318.
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