Laparoscopic cholecystectomy is minimally invasive surgery to remove the gallbladder. It helps people when gallstones cause inflammation, pain or infection. The surgery involves a few small incisions, and most people go home the same day and soon return to normal activities. Call your healthcare provider if you have any problems after surgery.
A laparoscopic cholecystectomy is surgery to remove your gallbladder.
The surgeon makes a few small incisions on the right side of your abdomen (belly). The surgeon uses one incision to insert a laparoscope, a thin tube with a camera on the end. This shows your gallbladder on a screen. The gallbladder then gets removed through another small incision.
A laparoscopic cholecystectomy is less invasive than an open cholecystectomy. This other form of gallbladder removal involves a larger incision.
The gallbladder is an organ the shape and size of a small pear. It stores a substance called bile made by the liver. It keeps the bile until the body needs it to digest fatty foods.
A laparoscopic cholecystectomy helps people with gallstones that are causing pain and infection.
Gallstones are crystals that form in the gallbladder. They can block the flow of bile out of the gallbladder into your digestive system. This roadblock causes cholecystitis (inflammation of the gallbladder). Gallstones can also move to other parts of the body and cause problems.
Symptoms of gallstones include:
Before the procedure, your healthcare team will perform certain tests, such as:
They will also talk to you about:
You will receive general anesthesia so that you sleep and have no pain during the procedure. Once you’re out, your healthcare providers will place a tube down your throat to help you breathe. They’ll place another tube — an IV line — in your arm to deliver fluids and medications.
Laparoscopic cholecystectomy takes about an hour or two. A surgeon will make a few small incisions in your abdomen. The surgeon will insert thin, hollow tubes into those incisions. The surgical team will then place a laparoscope and other surgical tools into the tubes.
Your team may pump carbon dioxide into your abdomen. This step inflates the surgical area and makes it easier to see inside. Using the special tools, the surgeon will detach the gallbladder from the rest of the body and remove it. The team will then close the incisions with stitches, surgical clips or surgical glue.
If any complications occur during laparoscopic cholecystectomy, the surgeon may decide to use an open cholecystectomy instead. That procedure involves a larger incision.
Your team will watch you for a few hours after surgery. They want to make sure you wake up from the anesthesia without complications. They will check your heart, breathing, blood pressure and ability to urinate (pee).
Removing the gallbladder will stop the pain and treat the infection caused by gallstones. It can also stop gallstones from coming back.
If gallstones are not treated, pain and infection can get worse. The gallbladder may burst, which can be life-threatening.
Your healthcare provider or surgeon will determine whether open or laparoscopic cholecystectomy is right for you. The laparoscopic procedure has several benefits:
Like any surgery, laparoscopic cholecystectomy has some risks, but they are rare:
If you don’t have any complications, you can usually go home the same day as your laparoscopic cholecystectomy. With an open cholecystectomy, you may have to stay in the hospital for a day or two.
After surgery, do the following to help yourself recover:
Without complications, you should be able to drive and eat normally in a day or two. You usually can return to work and other daily activities in about a week, as long as they don’t involve lifting. You may need a week or two before you are physically or sexually active.
After you go home, call your healthcare provider right away if you develop any of the following:
A note from Cleveland Clinic
Gallstones can be very painful and dangerous. Laparoscopic cholecystectomy removes the gallbladder and prevents gallstones from coming back. Most people fully recover from the minimally invasive procedure in just a few weeks. But call your healthcare provider if you experience any problems after surgery.
Last reviewed by a Cleveland Clinic medical professional on 01/20/2021.
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