Hepato-Pancreato-Biliary: Cholecystectomy

Hepato-pancreato-biliary: Cholecystectomy

 

A cholecystectomy is a surgery to remove the gallbladder. The gallbladder is an organ that sits just below the liver on the upper right side of the abdomen. The gallbladder stores a digestive fluid made in the liver called bile.  Cholecystectomy is typically done laparoscopically or robotically, and in some cases in an open fashion. A cholecystectomy is most often used to treat gallstones and the complications they cause.  

Cholecystectomy is recommended in the following settings:

  • Gallstones in the gallbladder that are causing symptoms, called cholelithiasis

  • Gallstones in the bile duct, called choledocholithiasis

  • Gallbladder inflammation, called cholecystitis

  • Large gallbladder polyps, which can turn cancerous

  • Pancreas inflammation, called pancreatitis, from gallstones

  • Concern for cancer of the gallbladder

Image
Diagram of a cholecystectomy.

 

Complications

  • Bile duct injury 

  • Bile leak 

  • Bleeding 

  • Wound infection 

  • Intra-abdominal infection 

  • Injury to nearby structures such as small bowel