What to know before laparoscopic gallbladder removal

When is gallbladder removal needed?

The most common reason is symptomatic gallstones causing repeated attacks: upper abdominal pain after fatty meals, nausea or vomiting, or episodes of cholecystitis. The decision is not based on stones alone; it depends on symptoms, severity of inflammation and imaging findings.

Before the operation

• Review of imaging and required blood tests (CBC, liver tests, coagulation) depending on the case
• Tell your doctor about all medications, especially blood thinners or diabetes drugs
• Fasting instructions before anaesthesia
• Ask about the plan if severe inflammation or adhesions are expected

How is it done (in brief)?

It is usually performed under general anaesthesia through small incisions. The gallbladder is separated from the liver and removed through a small port. The goal is to remove the source of symptoms with minimal trauma.

Recovery and follow-up

• Early walking reduces clot risk and speeds recovery
• Mild wound pain or shoulder pain can occur due to the gas used during laparoscopy
• Diet is advanced gradually; some people benefit from reducing fat intake for a short period

When to call your doctor urgently

• Persistent fever
• Worsening pain not relieved by prescribed analgesics
• Yellowing of the eyes or repeated vomiting
• Severe redness or pus-like discharge from the wound

The pre-op visit is where you understand the plan and learn what is normal after surgery and what is not.