Dr. Jorge Castillo is a Tijuana, Mexico board certified bariatric surgeon.

Dr. Jorge Castillo

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TBS|Gallbladder Surgery

Gallbladder Surgery

GallBladder surgery or cholecystectomy is a procedure to remove your gallbladder. Surgeons perform it through minimally invasive surgery.

Gallbladder surgery, also known as a cholecystectomy, is a procedure to remove the gallbladder. It’s a common operation performed to relieve pain and discomfort caused by gallstones or other gallbladder-related issues. The procedure can be done laparoscopically, using small incisions and a camera, or through an open incision.

What is Gallbladder Surgery?

A cholecystectomy is a surgical procedure to remove your gallbladder — the small, hollow organ that stores bile for your digestive system. According to Dr. Jorge Castillo the founder of Tijuana Bariatric Surgery gallbladder removal surgery is a common surgical procedure for many types of gallbladder disease.

Cholecystectomy is a common procedure with a typically easy recovery. It’s also one of the first procedures that’s become routinely performed using minimally invasive surgery techniques.

Minimally invasive surgery including laparoscopic surgery and robotic surgery, use very small incisions of a half-inch or less to minimize trauma, pain and recovery time.

Why is cholecystectomy done?

You might need gallbladder removal surgery if gallbladder disease:

  • Interferes with your quality of life.
  • Poses significant risks to your health.
  • Is expected to continue and/or get worse.

Gallstones are the most common reason for cholecystectomy. While many people live with gallstones and never have problems with them, those who do have problems tend to have them repeatedly. A gallstone that gets stuck anywhere in your biliary tract can block the flow of bile, causing pain and illness.

How do I know if I need to have my gallbladder removed?

The most common and recognizable symptom of gallbladder disease is biliary colic. It’s a pattern of pain in your biliary tract (generally in your upper right abdomen) that occurs in episodes, often with nausea.

Biliary colic is usually an early sign of biliary disease that’s likely to get worse. When your bile flow stalls completely, you’ll feel intense gallbladder pain that won’t go away until you get medical care.

Other signs of possible gallbladder disease include:

  • Jaundice (a yellow tint to your skin and eyes).
  • Swollen abdomen that’s tender to the touch.
  • Large gallbladder polyps discovered on ultrasound.

If you have any of these signs or symptoms, your healthcare provider will examine you and conduct the necessary tests to diagnose the cause. They’ll let you know if they recommend cholecystectomy for you.

How does gallbladder removal affect my body?

Gallbladder removal changes the structure of your biliary tract, which affects how your digestive system works. Your gallbladder usually stores extra bile until your small intestine needs it. It contracts to deliver the extra bile when you have a heavy meal to digest.

After your cholecystectomy, bile will simply flow directly to your small intestine from your liver, where it’s made, without being stored first. Most people experience a temporary adjustment period in their digestive systems after gallbladder removal.

For the first month or so, you might have more trouble digesting fats and heavier meals. This should gradually improve over time. Most people are able to resume a normal, healthy diet after their recovery. A small number of people develop longer-term digestive difficulties, for unclear reasons.

What happens during a cholecystectomy?

During a laparoscopic cholecystectomy, Dr. Jorge Castillo will:

  • Make a small incision, about 2 or 3 centimeters (cm) long, near your belly button.
  • Make two to three additional “keyhole” incisions, about 1 centimeter long, in your upper right abdomen.
  • Insert a small tube into one of the smaller incisions and pump carbon dioxide gas through it to inflate your abdomen. This helps to separate your abdominal walls from your organs.
  • Insert the laparoscope into the larger incision. The laparoscope (a small, lighted camera) projects images to a video monitor above the operating table.
  • Using the video monitor as a guide, insert narrow surgical tools through the one or two remaining incisions to remove your gallbladder.
  • Release the gas from your abdomen and close the incisions with stitches.

How long does gallbladder removal surgery take?

A laparoscopic cholecystectomy normally takes about 60 to 90 minutes. An open cholecystectomy takes about one to two hours. Your procedure might take longer if your surgeon needs to add additional steps to treat your condition.

What is the recovery time from gallbladder removal surgery?

The recovery time from a laparoscopic cholecystectomy is about two weeks. Recovery from an open cholecystectomy takes six to eight weeks. If you still have a drain in your wound, your healthcare team will remove it at your next appointment.

Most people can return to work after one to two weeks. But if you do a lot of physical activity, you might need to modify your routine until you’re fully recovered.