(Gallbladder Removal; Lap Chole)
|Laparoscopic Cholecystectomy vs. Open Cholecystectomy|
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Reasons for Procedure
- Gallstones that have accidentally entered 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 view gallstones
- Hepatobiliary iminodiacetic acid (HIDA) scan—an x-ray test that uses a chemical injected into the gall bladder to create pictures of your liver, gallbladder, ducts, and small intestines
- EKG and chest x-ray —to make sure that the heart and lungs are healthy enough for surgery
- MRI or CT scan to better view the gallbladder
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
- Anti-inflammatory drugs
- Blood thinners
- 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. You may be given special soap to use.
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 medications for pain and 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
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Follow your doctor’s instructions.
- 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 medications you have been given
- Blood in the stool
- Persistent nausea and/or vomiting
- Bloating and gas that persist for more than a month
- Pain and/or swelling in your feet, calves, or legs
- Dark urine, light stools, or 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 May 28, 2013.
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 surgery: laparoscopic cholecystectomy. University of California at Davis website. Available at: http://www.ucdmc.ucdavis.edu/surgery/specialties/gastro/gall.html. Accessed May 28, 2013.
Martin DJ, Wernon DR, Toouli J. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev. Apr 2006;19(2):CD003327.
Patient information for laparoscopic gallbladder removal (cholecystectomy) from SAGES. Society of American Gastrointestinal and Endoscopic Surgeons website. Available at: http://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-gallbladder-removal-cholecystectomy-from-sages/. Accessed May 28, 2013.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014 -
- Update Date: 02/10/2014 -