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In open gallbladder surgery (cholecystectomy), the surgeon removes the gallbladder through a single, large cut (incision) in the belly. The surgery usually lasts 1 to 2 hours. You will need general anesthesia. The surgeon will make the incision either under the border of the right rib cage or in the middle of the upper part of the belly (between the belly button and the end of the breastbone).
Doctors do most open gallbladder surgeries after trying first to remove the gallbladder with laparoscopic surgery. A few people have conditions that require open gallbladder surgery.
After surgery to remove the gallbladder, bile flows from the liver (where it is produced) through the common bile duct and into the small intestine. Because the gallbladder is gone, bile no longer is stored between meals. In most people, this has little or no effect on digestion.
Surgery usually involves a hospital stay of 2 to 4 days or longer. Most people can return to their normal activities in 4 to 6 weeks. Open surgery involves more pain afterward and a longer recovery period than laparoscopic surgery.
Try to walk each day. Follow your doctor's instructions for when you can start doing more strenuous activities, such as biking or jogging. You may want to avoid fatty foods for a while. They can cause symptoms like diarrhea or bloating.
Several conditions may lead to surgery to remove the gallbladder. For example, you may need open surgery if you:
In 5 to 10 out of 100 laparoscopic gallbladder surgeries, the surgeon needs to switch to open surgery that requires a larger incision.footnote 1 This can happen when there are problems such as unexpected inflammation, scar tissue, injury, or bleeding.
Surgery reduces the risk that gallstones will come back. But gallstones sometimes form in the bile ducts years after surgery. This isn't common, though.
The possible complications of open gallbladder surgery include:
After gallbladder surgery, some people keep having belly symptoms, such as pain, bloating, gas, or diarrhea (post-cholecystectomy syndrome).
CitationsGlasgow RE, Mulvihill SJ (2015). Treatment of gallstone disease. In M Feldman et al., eds., Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 10th ed., vol. 1, pp 1134–1138. Philadelphia: Saunders.
Current as of: November 30, 2022
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Arvydas D. Vanagunas MD - Gastroenterology
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