Laparoscopic gallbladder removal is one of the most commonly performed general surgeries worldwide. Today, most surgeons prefer it over traditional open surgery because it is easier to perform and allows for faster recovery.
Here’s a comprehensive overview of the procedure:
What is Laparoscopic Gallbladder Surgery?
Laparoscopic cholecystectomy is a common surgical procedure to remove the gallbladder using a thin scope (laparoscope) inserted through several tiny incisions in the abdomen. It is now the preferred method over open surgery, which involves a larger abdominal incision (10–20 cm). However, open surgery may still be necessary in some cases. (2)
This technique is considered safe and minimally invasive, using only four small incisions (each about 1 cm), and in most cases, patients can return home the same day. (1)
When is Laparoscopic Gallbladder Surgery Needed?
Gallbladder removal is the most common treatment for gallstones and the complications they may cause.
While gallstones often don’t cause symptoms, they can sometimes trigger severe issues like sharp abdominal pain, nausea, or vomiting. Gallstones may also block bile ducts, leading to inflammation of the gallbladder or pancreas, which requires surgical removal of the gallbladder. (3)
Your doctor may also recommend laparoscopic gallbladder removal if you have: (2)
- Large gallbladder masses that could become cancerous.
- A high risk of gallbladder cancer due to family history or other risk factors.
Preoperative Preparation
Before surgery, you will undergo:
- Medical evaluation: To ensure you're fit for surgery.
- Informed consent: The surgeon will explain the procedure in detail, and you will be asked to sign a consent form.
- Pre-op instructions: These may include:
- No food or drink the night before surgery.
- Avoid smoking.
- Continue taking only approved medications as advised by your doctor.
- Discontinue certain drugs like blood thinners or supplements, if instructed. (4)
How is Laparoscopic Gallbladder Surgery Performed?
- The procedure is performed under general anesthesia.
- The surgeon makes 3–4 small incisions near the belly button.
- Carbon dioxide gas is pumped into the abdomen to create space for the procedure.
- A small camera and surgical tools are inserted through the incisions.
- The gallbladder is carefully removed.
- The incisions are closed with stitches or surgical staples. (4)
The entire surgery typically takes about 1 to 1.5 hours. (1)
After Surgery
Patients are moved to a recovery room until fully awake. Pain medication is given if needed, and most people can go home the same day after ensuring there are no complications. (1)
At Al-Ahli Hospital, our skilled surgeons specialize in laparoscopic gallbladder removal and other general surgeries. Contact us for more information.
Recovery After Laparoscopic Gallbladder Surgery
Recovery usually takes about two weeks. Here’s what to expect:
- Pain: Mild discomfort around the incision area is common, along with shoulder pain caused by the gas used during the procedure. This usually resolves within a couple of days and can be managed with prescribed painkillers.
- Side effects: You might experience temporary symptoms like diarrhea, constipation, bloating, or nausea.
- Diet: A simple and light diet may be recommended at first, gradually returning to normal.
- Showering: Usually allowed the day after surgery unless your doctor advises otherwise.
- Activity: Light walking is encouraged. Most patients resume daily activities within a week. For physically demanding jobs or lifting heavy objects, check with your doctor.
- Follow-up: Attend your scheduled post-op visit, or contact your surgeon sooner if you experience severe symptoms like a high fever, intense pain, bleeding, or vomiting. (1)(4)
Potential Risks of Gallbladder Surgery
While the surgery is safe and highly successful in resolving gallbladder-related problems, complications may occur in rare cases: (1) (2)
- General anesthesia risks
- Bile leakage
- Infection
- Injury to nearby organs
- Pancreatitis
References
- Cleveland Clinic - Cholecystectomy (Gallbladder Removal)
- Mayo Clinic - Cholecystectomy (gallbladder removal)
- NHS - Gallbladder removal
- SAGES - GALLBLADDER REMOVAL SURGERY (CHOLECYSTECTOMY)