How long does gallbladder surgery take

Gallbladder surgery or cholecystectomy is a very common general surgery procedure in the United States. For most gallbladder conditions the definitive, curative treatment is the removal of the gallbladder.

What are the symptoms of gallstones?

Symptoms can vary between patients but typically include pain or discomfort in the upper part of the abdomen – usually in the center or right-hand side. This pain can be referred to the back or even the shoulder. Some patients will experience nausea and vomiting during a particularly strong “attack.”  If a gallstone becomes lodged in the common bile duct, the pancreas and liver may become involved. Pancreatitis and jaundice may develop as a result. Both are concerning issues that need to be addressed immediately.

What causes gallstones?

Gallstones are caused by a variety of conditions. Middle-aged women, those suffering from obesity, those who lose weight quickly or yo-yo diet frequently and those who are chronically dehydrated all have a higher risk of developing gallstones. There may be a genetic component involved as well.

How is gallbladder disease diagnosed?

Beyond a comprehensive medical exam by a qualified physician or surgeon, ultrasound imaging is the best diagnostic tool for gallbladder issues including gallstones.

What are the options for treating gallbladder disease?

If the inflammation of the gallbladder can be managed with medication, antibiotics maybe the extent of treatment. Failing that, the only truly effective long-term option for treating gallbladder disease is removal of the organ.

Do I need my gallbladder?

The gallbladder does not perform any vital function in the body and therefore patients live a normal and healthy life when their gallbladder is removed.

Is gallbladder surgery safe?

Gallbladder surgery, when performed laparoscopically, is one of the safest general surgical procedures. The complication rate is extremely low in the hands of an experienced general surgeon.

Do I have to remove my gallbladder right away?

The short answer is no, however you risk certain complications by waiting when there is a clear indication for surgery. Gallstones do not go away and gallstone attacks typically get worse over time. Acute or chronic inflammation of the gallbladder not only causes problems with the organ itself but may create issues with neighboring organs such as the pancreas and liver. If left untreated, these issues can lead to an emergency.

How long does the surgery last?

An uneventful laparoscopic cholecystectomy or gallbladder removal requires about 30 to 45 minutes of operative time, one to two hours of preoperative preparation and approximately an hour or two of recovery time.

How long will I be in the hospital?

Laparoscopic or minimally invasive gallbladder removals are typically performed on an outpatient basis meaning you will leave the surgical facility on the same day as your surgery.

Do I have gallbladder cancer?

Gallstones and other gallbladder disease is not necessarily indicative of gallbladder cancer. Gallbladder cancer is a very rare condition. However, after surgery, we do send your gallbladder to pathology to ensure there is no malignancy.

What can I eat after gallbladder removal?

There are no dietary restrictions after surgery, however because of the anesthesia and narcotic pain medication, you may experience a lack of appetite for a few days.

Will I gain weight after my gallbladder is removed?

There is no solid evidence to suggest that the removal of a gallbladder alone causes weight re-gain. (Read our blog post on gaining weight after gallbladder surgery.)

When can I go back to work?

Most patients will be able to go back to work within 3 to 5 days after surgery. More strenuous activity should be avoided for a week or two after surgery.

When is follow-up?

You will visit with one of our surgeons to evaluate the progress of your recovery at approximately 2 weeks after surgery.

When do I need to call the office?

You will receive a postoperative packet that explains what you should expect and what is not normal. For any emergencies, you need to call 911 or visit your nearest emergency room immediately. For other non-emergency questions, our office is available to help.

Medically Reviewed by Poonam Sachdev on February 22, 2022

If you have symptoms like sharp belly pain, digestion problems, fever, and yellow skin, you'll have an ultrasound so your doctor can look inside your belly. That may be followed by a CT scan or other tests. When gallbladder infection, gallstones, or cancer is causing your pain, your doctor may suggest surgery to remove your gallbladder. They may call it a cholecystectomy.

They're rocks that form from cholesterol and a chemical called bilirubin in the bile your liver makes. The stones are stored in your gallbladder, a small pear-shaped organ in your upper right belly. Gallstones are often too small to cause problems. But larger stones, sometimes as big as golf balls, can block ducts and cause painful attacks that can lead to needing the surgery.

You may need to sign a consent form. Tell your doctor if you’re pregnant. Also tell them about all the medications you're taking. You might need to stop taking some for a bit before your procedure. Your doctor will give you other instructions, including how to bathe before your operation and how long before the surgery you'll need to stop eating and drinking. 

At the hospital, you’ll take off your clothes and jewelry and put on a gown. A nurse will put an IV needle into your arm or hand. In the operating room, a doctor known as an anesthesiologist will put you to sleep with drugs you'll get through your IV. They'll also put a tube down your throat to help you breathe. Nurses will clean the surgery site and cut any excess hair. 

This is the most common type. Once the anesthesiologist has put you to sleep, the surgeon will make several small cuts, or incisions, in your upper belly and insert hollow tubes to pass instruments through to the area. Then, your surgeon will inflate your belly with CO₂ gas for a better view. They'll remove your gallbladder and sew up the holes. The whole thing usually takes an hour or two.

If your surgeon opts for this type, once you’re asleep, they'll make a 6-inch cut through fat and muscle to get to your gallbladder. Then, they'll remove the organ. Your ducts may be closed off as well. After that, the cut is closed with stitches or staples. In some cases, doctors may install a drain or two to get rid of excess fluid. Hospital staff will get rid of all that in a day or so. The surgery usually takes an hour or two.

In recovery, medical personnel will keep an eye on your breathing, heart rate, and blood pressure until you’re awake, alert, and stable. You’ll also get pain meds as needed. Typically, someone will help you stand and walk. You'll make that journey the day of your surgery if yours is laparoscopic, and the day after if you had open surgery. In either case, you can start to drink within a few hours and then, slowly, begin to eat solid food.

You’ll need to arrange a ride home because you’ll be groggy from anesthesia. You typically go home the same day for laparoscopic surgery, but stay longer for open surgery (usually a day or two). You might have a tube from your nose to your stomach that removes air from your belly. Hospital staff can take it out once you can go to the bathroom normally.

Make sure you have all your approved medications, bandages, medicated soaps, and instructions. It’s a good idea to have someone spend your first night home with you after surgery, in case you don’t feel well or need help. Keep your incision clean and dry. Make sure to follow your doctor’s bathing instructions. Take only meds that your doctor approves or prescribes.

You’ll typically see your doctor about 3 weeks after your operation for a follow-up. But call your doctor right away if you can’t eat, drink, or go to the bathroom, or if you have:

• Fever more than 101 F
• Seriously painful or swollen belly
• Yellowish skin (jaundice)
• Blood, pus, or growing redness where you had your surgery
• Serious pain, even after medication
• Breathing problems or a cough that won't go away
• Nausea or vomiting 

You might have a sore throat, nausea, and vomiting for a day or two after your surgery, thanks to the anesthesia. You might feel some pain around your incisions, or in your shoulders from the air pumped into your body during surgery. Icing can help with this. With your doctor’s approval, you can take nonprescription pain meds like ibuprofen or acetaminophen. They can prescribe meds for the pain, if you need them.

Drink plenty of water, and have foods with plenty of fiber. This can keep you from having to strain when you go to the bathroom. Stay away from high-fat foods for at least a week after your operation. Eat smaller meals during that time, too. That way, there'll be enough bile to help digest what you eat. Look for lean protein, whole grains, fruits, and vegetables. Too much caffeine, dairy, or sugar can worsen any diarrhea you have. 

Slowly get back into things as you feel better. Walking every hour or so is a good start. You should be able to go back to normal activity a couple of weeks after laparoscopic surgery. It could take a month or more for open surgery. Usually, people can resume sexual activity about 2 weeks after the operation. Talk to your doctor about when they'd like you to ease back into your normal day-to-day.