The gallbladder is a small sac that holds bile, a digestive juice produced by the liver that is used in the breakdown of dietary fats. The gallbladder extracts water from its store of bile until the liquid becomes highly concentrated. The presence of fatty foods triggers the gallbladder to squeeze its bile concentrate into the small intestine.
Gallstones (biliary calculi) are small stones made from cholesterol, bile pigment and calcium salts, usually in a mixture that forms in the gallbladder. They are a common disorder of the digestive system, and affects around 15% of people aged 45 years and over. However this is increasingly a modern disease, where younger patients are being diagnosed and treated.Read more about Gallstones here.
Some things that may cause gallstones to form include the crystallisation of excess cholesterol in bile and the failure of the gallbladder to empty completely.
A cholecystectomy is surgery to remove the gallbladder.
Sometimes the gallbladder becomes blocked with gallstones that form from within the bile and can cause pain, bloating, nausea and vomiting. Other complications can also occur, including inflammation of the gallbladder, inflammation of the pancreas, jaundice and infection.
In these cases, a cholecystectomy is performed under general anaesthetic to remove the gallbladder. Sometimes, gallstones can move into your common bile duct. Bile ducts are 'pipes' that carry bile from the liver to the gallbladder and from the gallbladder to the small intestine.
We understand that the idea of surgery and its associated costs can be overwhelming. To get a better understanding of potential costs, you can review information about hospital and insurance options here. Please note that an initial consultation is necessary to confirm your diagnosis. Once your diagnosis is confirmed, we can provide a more detailed cost estimate for your surgery.
Dr. Golani will provide further discussion regarding the specifics of your diagnosis during your consultation. Additionally, you'll have the opportunity to select the hospital for your procedure and potentially set the date for your procedure.
The best surgical hospitals in Sydney are available for your surgery:
Dr Golani has performed many cholecystectomies (gall bladder operations) over his career. He specialises in Laparoscopic (keyhole) surgery. This is a minimally invasive approach which has an advantage over open surgery as it only requires small incisions in the abdomen versus the large single incision of open surgery. Most patients will experience less pain, a quicker recovery and a shorter hospital stay with laparoscopic surgery.
Dr Golani will make 4 small cuts (incisions) in your abdomen so they can introduce a piece of equipment known as a laparoscopic telescope through one of the incisions. This will allow them to see inside your abdomen.
Then metal tubes will pass through the other incisions. Dr Golani will put carbon dioxide inside you to lift the wall of the abdomen away from the organs. At the end of the operation, titanium clips will be used to close off the ducts and arteries leading to the gallbladder and remove the gallbladder with instruments inserted through the tubes.
After the gallbladder has been removed, the carbon dioxide is allowed to escape before the incisions are stitched. The clips will stay inside you.
If your gallbladder is very inflamed you may need 'open cholecystectomy', which requires a larger cut in your upper abdomen.
You will be monitored in recovery for some time and will normally be able to go home within 24 hours. You may have some side effects from the general anaesthetic such as a headache, nausea or vomiting, which can be controlled with medicine.
You will have some pain in your abdomen after the operation, which can be controlled using pain relief. You may also have some pain in your shoulder from the gas used in the operation, which can be eased with walking.
You will have a drip in your arm at first, which will be removed after the anaesthetic wears off. You can take sips of water at first then slowly get back to eating and drinking normally.
Important Points to Remember:To schedule a consultation with Dr. Golani, please contact our team for a consultation with Dr Golani. We have appointments available at three convenient locations across Sydney:
Please note that a GP referral will be required prior to your consultation.
To make an initial consultation booking, please contact our office on 02 8599 9819.
Click here to email usDr Golani performs a variety of General Surgical and Colorectal Surgical Procedures. They treat a variety of symptoms, diseases and conditions.
Dr. Golani consistently attains outstanding results when performing laparoscopic resections for both bowel and rectal cancers.
Dr. Golani regularly performs various general surgical procedures, including laparoscopic surgery for inguinal, ventral, and umbilical hernias
Laparoscopic Cholecystectomy for Gall Stones, Dr Golani has performed more than 500 gall bladder procedures.
He has been trained in advanced endoscopic skills (certified by GESA) and can remove large polyps endoscopically.
Dr Golani's is highly skilled in performing Laparoscopic ventral mesh rectopexy for rectal prolapse.
Dr. Golani is available to provide treatment for the management of painful anal fistulas and fissures.
Dr. Golani possesses extensive expertise in in both conventional and innovative surgical techniques for repairing haemorrhoids.
He is accredited by the Gastroenterological Society of Australia (GESA).