Laparoscopic cholecystectomy

Indications

Performed for recurrent uncomplicated attacks of pain if they are found to impact the patient’s day to day life and function. Also performed for complications of gallstones (infection, pancreatitis, bile duct obstruction)

Technique 

Four small incisions are made and the gallbladder is removed with long instruments

Complications

Infection 1% - mesh removal may be necessary

Bleeding, serious <1% and enough for a bruise/hematoma 5%

Injury to main bile duct 1 in 400 to 800

Diarrhea - persistent 1%

Medical complications: heart attack, stroke, blood clots, pneumonia, etc. depending on underlying health

Day of Surgery

This is generally performed as a day surgery with discharge within hours of surgery

Recovery

Return to most activities within 1-3 weeks depending on pain

No lifting >10-15lbs for 4 weeks