Specialist Surgeon | Female Health Care | Cape Town Mediclinic
Removal of the gallbladder (cholecystectomy) is the recommended treatment for gallstones that cause symptoms. Gallstones found incidentally that cause no symptoms usually do not need treatment. Keyhole (laparoscopic) surgery is the most common technique.
What Does the Gallbladder Do?
The gallbladder stores bile, a fluid made by the liver, and releases it into the bowel after eating to help digest fat.
What Are the Symptoms of Gallstones?
Some people with gallstones have no symptoms. When symptoms occur, they include:
- Pain in the upper right abdomen, which may spread to the back or right shoulder.
- Nausea.
- Fever.
- Jaundice (yellowing of the skin and eyes).
When Is Surgery Recommended?
Removal of the gallbladder is recommended when gallstones cause symptoms. Gallstones can also cause inflammation of the gallbladder (cholecystitis), a stone in the bile duct causing jaundice, or inflammation of the pancreas (pancreatitis). Depending on the situation, surgery may be performed urgently or planned. Where gallstones are found on a scan but cause no symptoms, watchful waiting is advised.
How Is the Gallbladder Removed?
Keyhole surgery is the most common technique. The gallbladder is removed through several small incisions in the abdomen, using a camera. Occasionally the operation cannot be completed this way and is converted to open surgery through a larger incision. Your surgeon will discuss the approach with you before surgery. General guidance on preparing for an operation is on the Patient Information page.
Frequently Asked Questions
Can I live normally without a gallbladder?
Yes. Bile from the liver flows directly into the bowel instead of being stored in the gallbladder.
Do gallstones always need an operation?
No. Gallstones that cause no symptoms usually do not need treatment.
When should I seek urgent help?
Seek medical attention promptly if abdominal pain is accompanied by fever or yellowing of the skin or eyes.
If you have symptoms that may be related to gallstones, please arrange a consultation with Dr. Loots.
Book a ConsultationThis article provides general information only and does not constitute medical advice. If you are concerned about your health, please seek advice from a doctor.