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Gallbladder removal

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Illustrations

Cholecystitis, CT scan
Cholecystitis, CT scan
Cholecystitis, cholangiogram
Cholecystitis, cholangiogram
Cholecystolithiasis
Cholecystolithiasis
Gallbladder
Gallbladder
Gallbladder removal - series
Gallbladder removal - series

Alternative Names    Return to top

Open cholecystectomy; Laparoscopic cholecystectomy; Cholecystectomy

Definition    Return to top

Gallbladder removal is surgery to remove the gallbladder. The surgery is usually done if the organ is inflamed or obstructed, if gallstones are causing pancreatitis, or if cancer is suspected.

Description    Return to top

The surgery is done while the patient is under general anesthesia (unconscious and pain-free). The procedure is most commonly done using a small video camera called a laparoscope. If this is the case, the surgeon makes about 4 small cuts in the belly area. The laparoscope is passed through these small cuts. Carbon dioxide will be passed into the belly area so that the abdomen is lifted up. This provides more space for the surgeon to work.

The surgeon identifies the vessels and duct going to the gallbladder and cuts them. This allows the gallbladder to be removed.

In complicated cases, an open cholecystectomy may be performed. A larger surgical cut is made just below the ribs on the right side of the abdomen. As with laparoscopic surgery, the vessels and ducts going to the gallbladder are identified, clipped, and cut. The gallbladder is removed.

After surgery, the wounds are closed.

Laparoscopic surgery often has a lower rate of complications, a shorter hospital stay, and better cosmetic results than the open procedure.

Why the Procedure is Performed    Return to top

Gallbladder removal is usually done to treat the following conditions:

Risks    Return to top

The risks for any anesthesia include:

The risks for surgery include:

Outlook (Prognosis)    Return to top

Most patients do very well and recover rapidly.

Recovery    Return to top

For open gallbladder removal, you will generally need about 2 weeks for recovery.

For laparoscopic gallbladder surgery, your hospital stay is likely to be shorter, and you may be home within 24 hours. Your recovery time is likely to be shorter as well.

Update Date: 10/16/2006

Updated by: J.A. Lee, M.D., Assistant Professor of Surgery, Columbia University Medical Center, New York, NY. Review provided by VeriMed Healthcare Network.

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