What is a cholecystectomy?

A cholecystectomy is a surgery for gallbladder removal. The gallbladder is a small organ under your liver that stores a digestive juice called bile which is made in the liver; it is on the upper right side of your abdomen.

Why does a cholecystectomy need to be performed?

A cholecystectomy may be done if your gallbladder:

  • Has lumps of solid material, known as gallstones
  • Is red or swollen or infected
  • Is cancerous

Gallbladder problems may cause pain, which:

  • Is usually on the right side or middle of your upper abdomen
  • May be constant or may get worse after a heavy meal
  • May sometimes feel more like fullness than pain
  • May be felt in your back and in the tip of your right shoulder blade

Other gallbladder symptoms may include nausea, vomiting, fever and chills.

Having laparoscopic cholecystectomy

Small incisions are made in your abdomen, and the scope is put through one of the incisions. Surgical tools are put through other incisions. Small clips are used to close the connection between the gallbladder and the bile duct. The gallbladder can be detached from the liver. The gallbladder is removed through one of the incisions; bile still flows from the liver to the small intestine.

Once the gallbladder removal surgery is done, all tools are removed, and incisions are closed with stitches or staples. Sometimes, a laparoscopic surgery may need to be changed to an open surgery using one large incision. This change may occur because of scar tissue, unusual anatomy or for some other reason.

Risks and possible complications of gallbladder removal surgery

All surgeries have risks, gallbladder removal surgery risks can include:

  • Bleeding
  • Infection
  • Injury to the common bile duct or nearby organs
  • Blood clots in the legs
  • Bile leaks
  • A hernia at incision site
  • Pneumonia

Your guide to gallbladder surgery

To help you and your family be informed about your gallbladder surgery, our guide offers information about what you can expect before, during and after surgery at your local Baylor Scott & White Health hospital.