What is a cholecystectomy?
Cholecystectomy is the surgical removal of the gallbladder. Your doctor may recommend a cholecystectomy if you develop gallstones (cholelithiasis) that can cause pain.
The gallbladder is located in the upper right side of your abdomen under the liver. The pear-shaped gallbladder is a hollow sac that concentrates and stores bile produced by the liver. Bile moves from the gallbladder through the bile duct into the small intestine during digestion. A gallstone can move from the gallbladder and block a bile duct, causing irritation, pain and swelling of the gallbladder (cholecystitis).
Cholecystectomy is a common but major surgery with significant risks and potential complications. You may have less invasive treatment options. Consider getting a second opinion about all of your treatment choices before having a cholecystectomy.
Types of cholecystectomy
The types of cholecystectomy include:
- Laparoscopic cholecystectomy involves removing your gallbladder through several small incisions. The surgeon will use a laparoscope, a thin, lighted instrument with a small camera that transmits pictures of the inside of your body to a video screen. The surgeon sees the surgical area on the video screen while removing the gallbladder using surgical instruments adapted for laparoscopic surgery. This is the most common method of removing the gallbladder.
- Open cholecystectomy involves making a larger incision in the upper abdomen that allows the surgeon to see and remove the gallbladder directly.
Other procedures that may be performed
Your doctor may perform other procedures in addition to cholecystectomy. These include:
- Endoscopic retrograde cholangiopancreatography (ERCP) is used to locate and remove a gallstone that is stuck in the major bile duct. In ERCP, your doctor will use an endoscope. An endoscope is a long, lighted instrument that contains a camera to transmit pictures of the inside of your body to a video screen during surgery. Your doctor will pass the endoscope down your throat and through the stomach into the small intestine. Your doctor will remove the stone through the endoscope.
- Laparoscopic transcystic common bile duct stone extraction is used to locate and remove a gallstone that is stuck in the bile duct. Your doctor will insert surgical instruments through small abdominal incisions and remove the stone through the bile duct with a small basket.
Why is a cholecystectomy performed?
Your doctor may recommend a cholecystectomy to treat diseases and conditions of the gallbladder and sometimes the pancreas. Your doctor may only consider cholecystectomy if other treatment options that involve less risk of complications have not worked. Ask your doctor about all of your treatment options and consider getting a second opinion before deciding on a cholecystectomy.
Cholecystectomy treats the following conditions:
- Cholecystitis, which is inflammation of the gallbladder resulting in severe pain called biliary colic. A gallstone that gets stuck in a bile duct that carries bile to or from the gallbladder causes cholecystitis.
- Choledocholithiasis, which is a gallstone that moves through the bile duct. In some cases, the gallstone will pass by itself. If it gets stuck in the bile duct it can cause inflammation of the gallbladder and possibly the pancreas.
- Cholelithiasis (gallstones) in the gallbladder, if they cause frequent or severe pain
- Gallstone pancreatitis, which is inflammation of the pancreas caused by a gallstone that gets stuck in the bile duct. The stone can also block the pancreatic duct. The pancreatic duct carries digestive juices from the pancreas.
- Perforated gallbladder, which is leaking or bursting of the gallbladder
- Gallbladder cancer, a rare cancer
Who performs a cholecystectomy?
General surgeons commonly perform cholecystectomies. A general surgeon specializes in the surgical treatment of a variety of diseases, disorders and conditions, including gallbladder disease. General surgeons who focus on gastrointestinal surgery (which includes the gallbladder) are also known as gastrointestinal, or GI surgeons. General surgeons who practice minimally invasive surgery may be called laparoscopic surgeons.