Healthdirect Free Australian health advice you can count on.

Medical problem? Call 1800 022 222. If you need urgent medical help, call triple zero immediately

healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do.

beginning of content

Cholecystectomy (gall bladder removal)

4-minute read

A cholecystectomy is surgery to remove the gallbladder. It is usually done using keyhole surgery, when a tiny video camera and surgical equipment are inserted through 4 small cuts in the abdomen.

Why is the procedure performed?

The gallbladder is a small organ that sits just below the liver on the right side of your abdomen. It collects and stores bile from your liver, which is used by the gut to help digest food.

Sometimes the gallbladder becomes blocked with gallstones that form from within the bile and can cause pain, bloating, nausea and vomiting. Other complications can also occur, including inflammation of the gallbladder, inflammation of the pancreas, jaundice and infection.

In these cases, a cholecystectomy is performed under general anaesthetic to remove the gallbladder.

Sometimes, gallstones can move into your common bile duct. Bile ducts are 'pipes' that carry bile from the liver to the gallbladder and from the gallbladder to the small intestine. A cholecystectomy and exploration of the bile duct is a procedure to remove your gallbladder as well as any stones found in your common bile duct.

How to prepare for the procedure

If you need to have a cholecystectomy, you will be asked to eat nothing the night before the surgery. If you need to take medications, you may have a sip of water. You should have nothing at all 4 hours before the surgery.

Your surgeon will discuss with you whether to stop taking any medicines or supplements. Make sure you follow all the instructions from your doctor.

Many people go home the same day as the operation, but you may need to stay in hospital. Make sure you arrange for someone to be with you after the surgery since the anaesthetic will make you drowsy.

What happens during the procedure

Most cholecystectomies are performed laparoscopically, which means they use keyhole surgery. The surgeon will make 4 small cuts (incisions) in your abdomen so they can introduce a piece of equipment known as a laparoscopic telescope through one of the incisions. This will allow them to see inside your abdomen.

They will then pass metal tubes through the other incisions. The surgeon will put carbon dioxide inside you to lift the wall of the abdomen away from the organs. They will then use surgical clips to close off the ducts and arteries leading to the gallbladder and remove the gallbladder with instruments inserted through the tubes.

After the gallbladder has been removed, the carbon dioxide is allowed to escape before the incisions are stitched or closed with staples. The clips will stay inside you.

If your gallbladder is very inflamed you may need 'open cholecystectomy', which requires a larger cut in your upper abdomen.

What to expect after the procedure

You will be monitored in recovery for some time and will normally be able to go home within 24 hours. You may have some side effects from the general anaesthetic such as a headache, nausea or vomiting, which can be controlled with medicine.

You will have some pain in your abdomen after the operation, which can be controlled using pain relief. You may also have some pain in your shoulder from the gas used in the operation, which can be eased with walking.

You will have a drip in your arm at first, which will be removed after the anaesthetic wears off. You can take sips of water at first then slowly get back to eating and drinking normally.

Illustration showing anatomy of the liver and gallbladder before cholecystectomy
Anatomy of the liver and gallbladder

Your wounds will have clips or stitches and you may also have a drain in your side to allow fluid to leave your body. This is usually removed the next day. Make sure you keep your wounds clean.

You will be tired at first. Do not drive for the first 7 days, smoke or lift heavy weights. You can expect to recover fully and return to your normal activities within 2 weeks.

Contact your doctor immediately if you have:

  • a lot of discharge from the wounds
  • a fever
  • pain that can't be controlled by pain relief medicine
  • swelling, tenderness or redness in the abdomen
  • yellow eyes or skin

Risks

A cholecystectomy is a very safe procedure. As with all surgery, however, there is a very small risk of complications, which include:

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: April 2019

Need more information?

These trusted information partners have more on this topic.

Top results

Gallstones: treatment - myDr.com.au

Gallstones that are causing symptoms can be treated by removing the gallbladder using a procedure called cholecystectomy.

Read more on myDr website

Gallbladder - gallstones and surgery - Better Health Channel

Medical treatment for gallstones may not be necessary unless the gallstones cause symptoms.

Read more on Better Health Channel website

Gallstones | HealthEngine Blog

Gallstone disease is characterised by the formation of cholesterol or pigment stones in the gallbladder. They do not usually cause symptoms.

Read more on HealthEngine website

Cholecystitis (gallbladder inflammation) | HealthEngine Blog

Cholecystitis refers to inflammation of the gallbladder. It is typically a complication of gallstones, a condition which affects 10-20% of people.

Read more on HealthEngine website

Common bile duct stone (choledocholithiasis; cholangitis; obstructive jaundice) | HealthEngine Blog

Choledocholithiasis or bile duct stone refers to the passage of gallstones into the bile duct. The gallstones obstruct the bile duct, causing jaundice.

Read more on HealthEngine website

General Surgery | HealthEngine Blog

A general surgeon is a doctor who specialises in diseases that require surgery as part of their treatment.

Read more on HealthEngine website

LFTs: Liver Function Tests Explained | HealthEngine Blog

>What are liver function tests? Liver function tests (LFTs) are a collection of blood parameters to assess for varying degrees of liver damage or abnormalities of liver function.

Read more on HealthEngine website

Ultrasound Scan | HealthEngine Blog

An Ultrasound Scan is a method of obtaining images of almost any part of the body. It works on the principle of reflection of high-frequency sound waves at interfaces between tissues of different density. It does not use any radiation and is safe for children and pregnant women. An Ultrasound Scan of the Abdomen gives a structural view of many abdominal organs, including the liver, gallbladder, spleen, kidneys, bladder, uterus and ovaries. Sometimes the pancreas can also be visualised.

Read more on HealthEngine website

Abdominal Ultrasound Scan | HealthEngine Blog

An Ultrasound Scan is a method of obtaining images of almost any part of the body. It works on the principle of reflection of high-frequency sound waves at interfaces between tissues of different density. It does not use any radiation and is safe for children and pregnant women. An Ultrasound Scan of the Abdomen gives a structural view of many abdominal organs, including the liver, gallbladder, spleen, kidneys, bladder, uterus and ovaries. Sometimes the pancreas can also be visualised.

Read more on HealthEngine website

ERCP for pancreatic and biliary disease information | myVMC

ERCP (endoscopic retrograde cholangiopancreatography) is a procedure for viewing from the mouth to the duodenum to diagnose pancreatic or billiary disease.

Read more on myVMC – Virtual Medical Centre website

Healthdirect 24hr 7 days a week hotline

24 hour health advice you can count on

1800 022 222

Government Accredited with over 140 information partners

We are a government-funded service, providing quality, approved health information and advice

Australian Government, health department logo ACT Government logo New South Wales government, health department logo Northen Territory Government logo Government of South Australia, health department logo Tasmanian government logo Government of Western Australia, health department logo