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Laparoscopic (keyhole) gallbladder removal, also called laparoscopic cholecystectomy, is commonly performed as day surgery or with an overnight stay. As a general guide, many people return to a normal diet within one to two weeks and plan one to two weeks off desk work; physical work, an open operation or a more complex illness can mean a longer recovery. This guide from Dr Goutham Sivasuthan, Specialist Surgeon in Brisbane, explains what to expect before going home and during recovery, and lists the warning signs (such as fever, jaundice or severe pain) that mean you need medical care sooner. Follow the written instructions for your operation.
why gallstones are treated by removing the gallbladder
This is general guidance. Your recovery may differ depending on whether the operation was keyhole or open, whether the gallbladder was severely inflamed, and your overall health. Always follow the specific instructions given to you by Dr Goutham and the hospital team.
As the anaesthetic wears off, the recovery team monitors your blood pressure, oxygen levels, pain and wounds. They help you begin moving when you are ready. Tell the team about nausea, abdominal discomfort or shoulder-tip pain so they can help manage it.
Many people go home the same day after laparoscopic (keyhole) gallbladder removal; others need an overnight or longer stay. Going home depends on recovery from the anaesthetic, pain control and the operation you had, and the hospital team checks that you are ready before discharge.
Arrange for someone to take you home. Follow your discharge instructions about help at home and when you can drive after the anaesthetic. Check any unclear arrangements with the hospital team before leaving.
Abdominal discomfort and shoulder-tip pain are common after laparoscopic (keyhole) surgery. Shoulder-tip pain is referred pain from the gas used to inflate the abdomen and usually eases over the first day or two. Use the pain relief in your discharge plan, including the doses and timing provided for you. Gentle movement can also help, as advised by your team.
Contact your treating team if pain is worsening or is not controlled by the prescribed plan. Follow the urgent warning signs below rather than assuming every pain is from the gas used during surgery.
Follow the written wound care instructions for your operation and dressings. They cover dressings and steri-strips, showering, baths and swimming. If any instruction is unclear, check with the surgical or hospital team before changing the plan.
Most people do not need a permanent special diet after gallbladder removal, because the liver continues to make bile, which flows directly into the small intestine. Follow the hospital team’s advice when you start eating; smaller, lower-fat meals may feel easier at first. Most people gradually return to a normal balanced diet within a week or two.
Contact your treating team if loose stools, bloating or difficulty tolerating foods persists or interferes with daily life.
Gentle walking is encouraged from the day of surgery. Build up light activity gradually, following your discharge advice on exercise and lifting. After laparoscopic (keyhole) gallbladder surgery, one to two weeks is a common starting point for planning time off desk work. Physical work, an open operation or a more complex illness can mean a longer recovery. Base your return date on the work you do and the advice for your operation.
Driving depends on being able to control the car and perform an emergency stop without pain, as well as the effects of medicines and anaesthetic. Follow your treating team’s advice and check your insurance conditions. Discuss your exercise goals before restarting them.
A follow-up appointment with Dr Goutham is usually arranged two to four weeks after gallbladder surgery to check wound healing, discuss any pathology results and plan your return to usual activities. Keep a note of symptoms and questions to bring to the appointment.
You do not need to wait for a planned appointment if pain or other symptoms are worsening. Use the warning signs below and the clinical contact details on your discharge instructions.
Call triple zero (000) for an ambulance if you develop chest pain, sudden shortness of breath or severe difficulty breathing after surgery. Do not wait for a routine appointment or a response from the rooms. Seek urgent medical assessment for sudden calf pain or swelling. Contact Dr Goutham’s rooms or the operating hospital immediately – or attend the nearest emergency department – if you experience:
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