• Dr. Jitesh Parmar

Gallbladder Surgery

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Gallbladder Surgery (Cholecystectomy)


Gallbladder removal surgery, also known as cholecystectomy, is one of the most common general surgical procedures performed worldwide, including in the United Kingdom. Although the gallbladder is not essential for survival, it plays a role in digestion, and various conditions can affect its function, requiring medical intervention.

What is the Gallbladder?


The gallbladder is a small, pear-shaped organ located beneath the liver. It acts as a reservoir for bile, a digestive enzyme produced by the liver. The gallbladder contracts to release bile into the digestive system, particularly after consuming large or fatty meals. This explains why gallbladder-related pain often occurs after such meals.

Causes of Gallbladder Dysfunction


The most common cause of gallbladder dysfunction is gallstones. These are hardened deposits that can vary in size and number. While some individuals may have few stones, others may have thousands. Interestingly, the size and number of gallstones do not always correlate with the severity of symptoms. Some patients experience significant discomfort, while others remain asymptomatic.

Symptoms of Gallbladder Disease


Symptoms can range from mild to severe and typically include :

  • Pain in the Upper Abdomen : Discomfort is usually felt in the upper right quadrant, just under the ribs. In some cases, pain may extend to the upper left quadrant if the pancreas is involved.
  • Radiating Pain : Pain can radiate to other parts of the body, most commonly the back, and may sometimes be mistaken for kidney stones.
  • Jaundice :Yellowing of the skin and eyes may occur due to bile duct obstruction.
  • Other Symptoms :  Some patients describe intense gas pains or discomfort resembling post-exercise muscle ache.

Complications of Gallstones

Gallstones can block the flow of bile, leading to :

  • Recurrent Gallbladder Attacks : High likelihood of recurrence after initial episodes.
  • Bile Duct Obstruction : This can cause severe pain and complications such as liver dysfunction or cirrhosis.
  • Pancreatitis : A serious and potentially life-threatening condition requiring urgent treatment.

Middle-aged women, particularly those struggling with excess weight, are at the highest risk of developing gallstones, but the condition can affect anyone.

The Surgical Procedure

Gallbladder removal is typically performed as a day surgery, with most patients returning home the same day. The procedure lasts about 45 to 90 minutes, followed by a short recovery period of 3 to 4 hours.

  • Minimally Invasive Approach :  Almost all cholecystectomies are performed laparoscopically, requiring four small incisions rather than a single large one.
  • Steps in Surgery :  Patients may feel intoxicated more quickly after surgery.
  • (1)   The surgeon carefully dissects the gallbladder from the liver.
  • (2)   The artery supplying blood to the gallbladder and the tube that connects gallbladder to bile duct called “cystic duct” is also clamped and cut.
  • (3)   The gallbladder is placed in a surgical bag and removed through one of the incisions.

Recovery and Aftercare


Recovery from gallbladder surgery is typically quick and straightforward :

  • Mobility :  Patients are encouraged to walk soon after surgery and resume normal routines shortly thereafter.
  • Diet : Most patients have no dietary restrictions post-surgery.
  • Driving : Patients should avoid driving for up to a week due to the potential need for pain medication.
  • Return to Work : Most individuals can return to work within a few days.

While the risks associated with gallbladder surgery are minimal, especially when performed by an experienced surgeon, a detailed discussion with Mr Parmar regarding individual risks will take place during the consultation.

When to Consider Surgery


Gallbladder surgery is often advised if you experience :

  • Persistent abdominal pain, nausea, and fever caused by gallstones.
  • Complications such as cholecystitis (gallbladder infection), jaundice or pancreatitis.

Schedule a Consultation


If you suspect gallbladder disease or have been diagnosed with gallstones, we encourage you to schedule an appointment. Mr Parmar will provide a comprehensive evaluation and discuss the most suitable treatment options for your condition.