Laparoscopic cholecystectomy (gallbladder removal ) is indicated when the gallbladder contains stones and is giving biliary symptoms. Those includes pain in right upper quadrant ( below the right rib cage) which can be radiated to the back, the right shoulder and/or the centre of the abdomen. The pain usually comes after fatty or large meals and can be associated to nausea, vomiting and temperature (please note , not all those symptoms should be present to make diagnosis and gallstones are not the only cause of those symptoms) .
At this point indication to remove the gallbladder is given and the procedure can be performed by keyhole surgery. This can be offered as a day case surgery but is some occasions the patients is kept in for one or more nights before discharge. Laparoscopic cholecystectomy can be associated with serious risks including, bleeding, infection, bile leak, bile duct injury, bowel injury and conversion to open surgery. Bile duct injury is a serious complication and occurs in 1/200 patient having this procedure in the UK each year. It is therefore important that only surgeons with special experience in laparoscopic cholecystectomy undertake this procedure to ensure patients safety and outcomes.
Bile duct exploration
Bile duct bypass