Cholecystectomy
(Gallstone / Gallbladder removal)

Usually performed laparoscopically, cholecystectomy (or gallbladder removal) is primarily performed for complications of gall stones.  Intermittent colicky pains (biliary colic), cholecystitis (inflammation of the gallbladder) and pancreatitis are all reasons a patient may have this procedure.

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​How is cholecystectomy performed?

Laparoscopic cholecystectomy is normally performed through 4 small incisions 5mm to 12mm in size.  The gallbladders connections to its blood supply are carefully dissected and divided.  The Cystic duct which takes bile to and from the gallbladder to the Common bile duct is identified and divided.  The gallbladder is then removed from its attachments to the liver and removed.  

Most patients stay one night in hospital or go home the same day and are back to work quite soon following the procedure. 

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Conditions this treats

Biliary colic — episodic cramping pain, typically after fatty meals, caused by gallstones blocking the outlet of the gallbladder.  Cholecystitis — inflammation of the gallbladder, causing more persistent pain, often with fever.  Gallstone pancreatitis — stones that have migrated from the gallbladder and triggered inflammation of the pancreas. Gallbladder polyps - abnormal and usually benign growths protruding from the internal wall of the gallbladder, only some are cause for cholecystectomy. 

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What if stones have entered the bile duct?

If investigations suggest stones have migrated into the common bile duct, additional treatment (ERCP — a endoscopic procedure) may be required before or at the time of surgery. Dr Cocco will discuss this with you at the time of consultation. 

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Recovery 

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Most patients spend one night in hospital or go home the same day. Return to light work is typically within 1 week, and full normal activity within 2–3 weeks, but heavy activity up to six weeks. Most people can eat a normal diet after recovery with no long-term dietary restrictions.