Dr. Shivanshu Misra
Gallbladder Surgery (Cholecystectomy)
Surgery at a glance
- Keyhole surgery — 3 to 4 tiny cuts
- Usually 45–90 minutes under general anaesthesia
- Often home the same or next day
- Light desk work in about 1 week (typical)
- Relief from recurring gallstone pain
UNDERSTANDING THE PROBLEM
What Is Gallbladder Surgery?
Common symptoms
- Pain in the upper right or centre of the abdomen
- Pain spreading to the back or right shoulder
- Nausea or vomiting after fatty meals
- Bloating, gas and indigestion
- Fever, chills or yellowing of eyes (seek urgent care)
WHO NEEDS IT
When Is Surgery Recommended?
Symptomatic gallstones
Repeated attacks of biliary colic (gallbladder pain) are the most common reason for surgery.
Acute cholecystitis
Inflammation or infection of the gallbladder, often needing early surgery during the same admission.
Gallstone pancreatitis
Stones that trigger pancreatitis; the gallbladder is usually removed to prevent a repeat episode.
Stones in the bile duct
Duct stones may be cleared by ERCP, followed by gallbladder removal to stop new stones travelling down.
Gallbladder polyps
Polyps larger than about 10 mm or growing on scans may need removal to rule out cancer risk.
Other conditions
Porcelain (calcified) gallbladder, biliary dyskinesia and certain high-risk cases.
SURGICAL APPROACH
Types of Gallbladder Surgery
Laparoscopic Cholecystectomy
The standard approach. A tiny camera and fine instruments are passed through 3–4 small cuts while the abdomen is gently inflated with gas.
- Smaller scars and less pain
- Hospital stay often 1 day or less
- Quicker return to normal activity
Open Cholecystectomy
Done through a single larger incision under the ribs. Needed in a minority of cases — for example severe inflammation, scarring or unclear anatomy.
- Used when keyhole is unsafe
- Longer hospital stay
- Longer recovery time
YOUR JOURNEY
Step-by-Step: What to Expect
01
Consultation & Tests
02
Pre-operative Planning
03
The Surgery
04
Recovery & Follow-up
AFTER SURGERY
Recovery Timeline
Day 0 – 1
Walking starts within hours. Start with liquids, then light food. Mild shoulder or wound pain is normal.
Week 1
Rest, short walks, wound care. Most people return to light desk work after about a week.
Weeks 1 – 4
Prefer low-fat, small meals first and add normal foods gradually. Avoid heavy lifting for 2–4 weeks.
After 4 weeks
Most patients return to full activity, exercise and a normal diet, as advised at follow-up.
Contact your surgeon urgently if you have:
- Fever above 38°C (100.4°F) or chills
- Severe or worsening abdominal pain
- Yellow eyes or skin, dark urine or pale stools
- Repeated vomiting or inability to eat or drink
- Redness, swelling or discharge from the wounds
Benefits of Keyhole Surgery
- Lasting relief from gallstone attacks
- Prevents infection, pancreatitis and duct complications
- Small, barely visible scars
- Less pain and shorter hospital stay
- Quick return to work and daily life
Possible Risks — Explained Honestly
- Bleeding or infection at the wound
- Bile leak (usually manageable)
- Rarely, injury to the bile duct or nearby organs
- Temporary loose stools after fatty meals
- Anaesthesia-related risks
QUESTIONS ANSWERED
Frequently Asked Questions
Yes. The liver continues to make bile, which flows directly into the intestine. Most people eat normally; a few notice loose stools with very fatty meals, which usually settles.
You are fully asleep during surgery. Afterwards, discomfort at the small wounds and sometimes shoulder-tip pain (from the gas used) is common and is controlled with simple medicines.
After uncomplicated laparoscopic surgery, many patients go home the same day or the next day. Complicated or open surgery may need a longer stay.
Desk work is often possible in about a week. Heavy lifting and strenuous exercise are usually avoided for 2–4 weeks, depending on your recovery.
Medicines to dissolve stones work slowly, work only for some types and stones commonly return. If the gallbladder keeps forming stones and causing symptoms, removal is the definitive treatment.
Gallstones found by chance on a scan usually need only observation. Your surgeon will advise if you have specific risk factors that call for earlier surgery.
