Cholecystectomy -- Laparoscopic Surgery
(Gallbladder Removal; Lap Chole)
|Laparoscopic Cholecystectomy vs. Open Cholecystectomy|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Gallstones that have accidentally spilled into the abdominal cavity
- Injury to other nearby structures or organs
- Reactions to general anesthesia
- Blood clots
What to Expect
Prior to Procedure
- Blood tests to evaluate liver function
- Ultrasound to visualize gallstones
- HIDA scan—an x-ray test that uses a chemical injected into the gallbladder to create pictures the gallbladder and surrounding area
- EKG and chest x-ray —to make sure that the heart and lungs are healthy enough for surgery
- Other radiological scans
Talk to your doctor about your current medicines. Certain medicines may need to be stopped before the procedure, such as:
- Aspirin or other anti-inflammatory drugs for up to one week before surgery
- Blood-thinning drugs, such as warfarin (Coumadin)
- Clopidogrel (Plavix)
- Arrange for a ride to and from the procedure. Also, have someone help you at home.
- The night before, eat a light meal. Do not eat or drink anything after midnight.
You may be given:
- Laxatives and/or an enema
- If instructed, shower before the procedure.
Description of Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Monitor you for any problems
- Give you medicines for nausea
- Provide you with nutrition through an IV (if you have a tube in your stomach to drain fluid)
- Help you to slowly progress from a liquid diet to soft foods
- Follow your doctor’s instructions.
- Also, follow the recommended diet and activity plan.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge at the incision site
- Cough, shortness of breath, chest pain
- Increased abdominal pain
- Pain that you cannot control with the medicines you have been given
- Blood in the stool
- Nausea and/or vomiting that you cannot control with the medicines you were given, or which last for more than two days
- Bloating and gas that persist for more than a month
- Pain, burning, urgency or frequency of urination, or blood in the urine
- Pain and/or swelling in your feet, calves, or legs
- Dark urine, light stools, or evidence of jaundice (yellowing of the skin or eyes)
American Gastroenterological Association http://www.gastro.org/
National Digestive Diseases Information Clearinghouse http://digestive.niddk.nih.gov/
The Canadian Association of Gastroenterology http://www.cag-acg.org/
Canadian Digestive Health Foundation http://www.cdhf.ca/
About cholecystectomy: surgical removal of the gallbladder. American College of Surgeons. Medem website. Available at: http://www.medem.com/ . Accessed July 11, 2008.
Cholecystectomy. American College of Surgeons website. Available at: http://www.facs.org/public%5Finfo/operation/cholesys.pdf . Accessed November 10, 2011.
Clayton ES, Connor S, Alexakis N, Leandros E. Meta-analysis of endoscopy and surgery versus surgery alone for common bile duct stones with the gallbladder in situ . Br J Surg. 2006;93:1185-91.
Gallbladder removal. Baylor College of Medicine Department of Surgery website. Available at: http://www.debakeydepartmentofsurgery.org/home/content.cfm?proc%5Fname=cholecystectomy&content%5Fid=272 . Accessed July 11, 2008.
Gallbladder surgery: laparoscopic cholecystectomy. University of California at Davis website. Available at: http://www.ucdmc.ucdavis.edu/surgery/specialties/gastro/gall.html . Accessed July 11, 2008.
Laparoscopic gall bladder removal. Society of American Gastrointestinal and Endoscopic Surgeons website. Available at: http://www.sages.org/publication/id/PI11/ . Accessed November 10, 2011.
Laparoscopic surgery: bile, duct, and gallbladder. New York University School of Medicine website. Available at: http://www.nyulaparoscopy.org/surgeries/gallbladder.html#stones . Accessed July 11, 2008.
Martin DJ, Wernon DR, Toouli J. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev. Apr 2006;19(2):CD003327.
Townsend CM, Beauchamp RD, Evers BM, et al. Sabiston Textbook of Surgery. 16th ed. Philadelphia, PA: WB Saunders; 2001;1076-1095.
What are the surgical procedures for gallstones and gallstone disease? University of California at Davis website. Available at: http://www.ucdmc.ucdavis.edu/ . Accessed August 16, 2003.
- Reviewer: Marcin Chwistek, MD
- Review Date: 11/2012 -
- Update Date: 11/30/2012 -