Endoscopic cholecystectomy
Surgeries/Endoscopic/Cholecystectomy

Endoscopic cholecystectomy

Removal of the gallbladder by a minimally invasive approach, the gold-standard treatment for symptomatic gallstones.

What is it?

Cholecystectomy is the removal of the gallbladder, most often made necessary by stones causing pain (biliary colic) or complications such as inflammation of the gallbladder. Performed by a minimally invasive approach, it has become one of the most common and best-mastered digestive operations. The operation is carried out through small incisions, through which a camera and fine instruments are introduced. The gallbladder is detached from the liver and then removed, with no consequences for digestion: bile continues to flow naturally from the liver to the intestine. At Clinique Pasteur Tunis, minimally invasive cholecystectomy is performed in operating theaters equipped with high-definition video towers, by experienced digestive surgeons. The hospital stay is short, often limited to one night, and the return to normal activities is rapid.
Endoscopic cholecystectomy

When is it indicated?

Gallbladder stones causing pain (biliary colic)

When stones cause painful attacks under the right ribs, removing the gallbladder prevents their return.

Acute cholecystitis (inflammation of the gallbladder)

When the gallbladder becomes inflamed, its removal treats the episode and prevents it from happening again.

History of a stone migrating into the main bile duct

When a stone has already left the gallbladder and blocked the bile duct, removing the gallbladder prevents a new migration.

Complications of gallstones: biliary pancreatitis

After inflammation of the pancreas triggered by a stone, removal of the gallbladder protects against recurrence.

Gallbladder polyps requiring excision, on specialist advice

Certain growths on the gallbladder wall justify its removal as a precaution, after specialist assessment.

Preparation

1Pre-operative work-up: blood tests and abdominal ultrasound
2Anesthesia consultation a few days before the operation
3Fasting for 6 hours before the operation
4Report all ongoing treatments, particularly anticoagulants
5Pre-operative shower according to the instructions provided

Procedure

1

General anesthesia

2

Small abdominal incisions to introduce the camera and instruments

3

Gas insufflation to create a working space in the abdomen

4

Dissection and removal of the gallbladder

5

Careful verification of the absence of bleeding

6

Closure of the incisions and recovery in the monitoring room

Duration

45 minutes to 1 hour 30

Aftercare & Recovery

Discharge usually takes place the day after the operation. Pain is moderate and well controlled with standard painkillers. Normal activities can be resumed within a few days, and removal of the gallbladder does not require any special long-term diet.

Risks and side effects

Temporary shoulder pain related to the gas used during the operation
Hematoma or infection of the small incisions, rare
Conversion to a conventional incision if local conditions require it, decided in the patient's best interest

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: 45 minutes to 1 hour 30
Preparation: Required
Dedicated specialist team