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Gallbladder removal - laparoscopic - discharge

Cholecystectomy laparoscopic - discharge; Cholelithiasis - laparoscopic discharge; Biliary calculus - laparoscopic discharge; Gallstones - laparoscopic discharge; Cholecystitis - laparoscopic discharge

Laparoscopic gallbladder removal is surgery to remove the gallbladder using a medical device called a laparoscope.

Images

Gallbladder
Gallbladder anatomy

Presentation

Laparoscopic surgery - series - Incision

When You're in the Hospital

You had a procedure called a laparoscopic cholecystectomy. Your doctor made 1 to 4 small cuts in your belly and used a special instrument called a laparoscope to take out your gallbladder.

What to Expect at Home

Recovering from laparoscopic cholecystectomy will take up to 6 weeks for most people. You may be back to most normal activities in a week or two, but it can take several weeks to return to your normal energy level. You may have some of these symptoms as you recover:

Activity

Start walking after surgery. Begin your everyday activities as soon as you feel up to it. Move around the house and shower, and use the stairs during your first week home. If it hurts when you do something, stop doing that activity.

You may be able to drive after a week or so if you are not taking strong pain drugs (narcotics) and if you can move quickly without being hampered by pain if you need to react in an emergency. Don't do any strenuous activity or lift anything heavy for at least a couple of weeks. At any time, if any activity causes pain or pulls on the incisions, just don't do it.

You may be able to go back to a desk job after a week depending upon how much pain you are having and how energetic you feel. Talk to your health care provider if your work is physical.

Wound Care

If sutures, staples, or glue were used to close your skin, you may take off the wound dressings and take a shower the day after surgery.

If tape strips (Steri-strips) were used to close your skin, cover the wounds with plastic wrap before showering for the first week after surgery. Do not try to wash the Steri-strips off. Let them fall off on their own.

Do not soak in a bathtub or hot tub, or go swimming, until your doctor tells you it is OK.

Diet

Eat a high-fiber diet. Drink 8 to 10 glasses of water every day to help ease bowel movements. You may want to avoid greasy or spicy foods for a while.

Follow-up

Go for a follow-up visit with your provider 1 to 2 weeks after your surgery.

When to Call the Doctor

Call your provider if:

Related Information

Chronic cholecystitis
Acute cholecystitis
Gallstones

References

American College of Surgeons website. Cholecystectomy: surgical removal of the gallbladder. American College of Surgeons Surgical Patient Education Program. www.facs.org/~/media/files/education/patient%20ed/cholesys.ashx. Accessed November 5, 2020.

Brenner P, Kautz DD. Postoperative care of patients undergoing same-day laparoscopic cholecystectomy. AORN J. 2015;102(1):16-29. PMID: 26119606 pubmed.ncbi.nlm.nih.gov/26119606/.

Jackson PG, Evans SRT. Biliary system. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 54.

Quick CRG, Biers SM, Arulampalam THA. Gallstone diseases and related disorders. In: Quick CRG, Biers SM, Arulampalam THA, eds. Essential Surgery Problems, Diagnosis and Management. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 20.

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Review Date: 9/30/2020  

Reviewed By: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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