Cholecystectomy (Gallbladder Removal)

A precise surgical removal of the gallbladder to resolve painful gallstones and inflammation, providing lasting relief through minimally invasive techniques with abbreviated recovery time.

A cholecystectomy is a specialized surgical procedure that involves removing the gallbladder—a small, pear-shaped organ located beneath the liver that stores bile for digestion. At our practice, we understand that abdominal surgery can create anxiety and concerns. That's why we're committed to providing gentle, expert care while helping you understand each step of your treatment. This focused procedure effectively treats conditions such as gallstones, cholecystitis (gallbladder inflammation), biliary dyskinesia, and gallbladder polyps that cause recurring pain and digestive issues. Our cholecystectomy approach utilizes advanced laparoscopic techniques with strategically placed tiny incisions that minimize tissue disruption. We employ specialized imaging during surgery to clearly identify bile duct anatomy, significantly reducing complication risks while ensuring complete removal of the diseased gallbladder and a swift return to normal digestive function.

Indications & Symptoms

You may need a cholecystectomy if you experience:

  • Recurring pain in the upper right or middle abdomen (biliary colic)

  • Pain that radiates to your right shoulder or back

  • Nausea and vomiting, particularly after fatty meals

  • Confirmed gallstones on imaging studies (ultrasound, CT, or MRCP)

  • Acute cholecystitis (inflamed gallbladder) diagnosed by your doctor

  • Gallbladder polyps larger than 1 cm

  • Pancreatitis caused by gallstones

  • Biliary dyskinesia (poor gallbladder function) confirmed by HIDA scan

  • Porcelain gallbladder (calcified gallbladder wall)

  • Chronic cholecystitis with recurrent symptoms

  • Inability to tolerate fatty foods without discomfort

  • Jaundice (yellowing of skin/eyes) related to gallbladder disease

Treatment Approach

At Lifetime Surgical, our approach to cholecystectomy combines precision with personalized care. The procedure typically begins with a comprehensive pre-operative assessment before surgery, including using advanced imaging to clearly map your biliary anatomy. Our surgeon's expertise in laparoscopic techniques involves making four small incisions (typically 5-10mm), strategically placed to minimize discomfort and optimize cosmetic results. We employ intraoperative cholangiography when indicated—a specialized X-ray technique that provides real-time visualization of the bile duct system during surgery—to ensure the preservation of these critical structures. Our distinctive approach includes meticulous dissection of the critical view of safety before dividing any structures, significantly reducing the risk of bile duct injury. For complex cases involving severe inflammation or scarring, we offer specialized techniques such as "top-down" dissection or subtotal cholecystectomy when appropriate, always prioritizing safety while maintaining our commitment to minimally invasive approaches whenever possible. In rare cases requiring conversion to open surgery, we utilize muscle-splitting techniques that promote faster healing.

Recovery Guidance

Immediate Post-Procedure (1-3 days)

  • Expect some shoulder pain from residual CO2 gas used during laparoscopy

  • Take prescribed pain medication as directed, typically transitioning to over-the-counter options within days

  • Begin with clear liquids, advancing to a regular diet as tolerated

  • Walk several times daily to promote circulation and reduce gas pain

  • Keep incisions clean and dry for 48 hours, after which showering is permitted

  • Avoid lifting anything heavier than 10 pounds for the first week

  • Apply ice to incision sites to reduce swelling (20 minutes on, 20 minutes off)

  • Monitor for fever, increasing abdominal pain, or bile-colored drainage

  • Use prescribed anti-nausea medication if needed

  • Expect some bruising around incision sites, which is normal

Short-Term Recovery (1-2 weeks)

  • Attend your follow-up appointment (typically 7-10 days after surgery)

  • Continue walking daily, gradually increasing distance as comfort allows

  • Resume driving once off narcotic pain medication and able to brake suddenly without pain (typically 3-5 days)

  • Return to work based on your surgeon's recommendation and job requirements (typically 5-7 days for desk jobs)

  • Begin incorporating more fatty foods gradually to assess tolerance

  • Avoid heavy lifting (over 15 pounds) for two weeks

  • Small incision sites will heal externally within 7-10 days

  • Expect digestive adjustments as your body adapts to functioning without a gallbladder

  • Use supportive pillows when coughing or laughing to reduce incisional discomfort

  • Most patients report significant improvement in pre-operative symptoms

Long-Term Expectations

  • Complete internal healing occurs within 4-6 weeks

  • Minimally visible incision lines typically fade significantly within 6-12 months

  • Most patients can return to all normal activities, including exercise, after 2-3 weeks

  • Permanent relief from gallstone-related pain for the vast majority of patients

  • Some patients (10-15%) may experience loose stools or digestive changes that typically improve over time

  • Bile-lowering medications may be recommended for those with persistent digestive symptoms

  • No long-term dietary restrictions are necessary for most patients

  • No impact on liver function or digestive enzyme production

  • Annual check-ups help ensure continued digestive health

  • Life without gallbladder pain allows the return to normal activities and an improved quality of life

Potential Risks

Common Side Effects

  • Temporary pain at the incision sites, particularly at the umbilicus

  • Mild bruising or swelling around the small incisions

  • Discreet healing marks that typically fade over time

  • Shoulder pain from CO2 gas used during laparoscopy

  • Temporary bloating or digestive adjustment

  • Mild diarrhea or looser stools in some patients

  • Residual abdominal discomfort that resolves within days

Less Common Complications

  • Surgical site infection (occurring in less than 2% of cases)

  • Bile leak from the liver bed or cystic duct stump

  • Retained common bile duct stones requiring additional intervention

  • Injury to surrounding structures (bile ducts, liver, intestine)

  • Bleeding requiring intervention (extremely rare)

  • Persistent diarrhea or digestive issues (bile salt malabsorption)

  • Conversion to open procedure (5-10% of cases, usually due to severe inflammation)

  • Post-cholecystectomy syndrome (persistent symptoms without gallbladder disease)

  • Hernia at incision site (more common with open surgery)

When to Seek Immediate Medical Attention

  • Fever over 101°F (38.3°C)

  • Severe, worsening abdominal pain

  • Jaundice (yellowing of skin or eyes)

  • Persistent nausea or vomiting

  • Inability to tolerate liquids

  • Drainage of bile (green-yellow fluid) from any incision

  • Significant redness, warmth, or swelling at incision sites

  • Chest pain or difficulty breathing

  • Severe diarrhea or constipation

  • Dark urine or light-colored stools

Experience Speaks

Dr. Nguyen’s Insights: Cholecystectomy

Drawing from over 20 years of surgical experience and specialized fellowship training, Dr. Nguyen shares his professional insights about gallbladder removal to help you make informed decisions about your care and recovery.
What are Dr. Nguyen’s tips and insights that can assist with a faster or easier recovery from gallbladder removal?
  • Two fundamental elements contribute significantly to a smoother recovery after gallbladder removal. First, prioritize proper nutrition with an emphasis on adequate protein intake—this helps your body rebuild tissue and heal more effectively. I recommend incorporating lean proteins like chicken, fish, eggs, and legumes into your meals as tolerated.

  • Second, gentle movement is crucial, even in those first days after surgery. I encourage patients to get up and walk around as much as they comfortably can, starting with short distances and gradually increasing activity. This early ambulation helps prevent complications like blood clots, reduces gas buildup that can cause discomfort, and actually can help speed up your overall recovery process.

  • Remember, everyone heals at their own pace, so listen to your body and don't push beyond what feels comfortable. These simple but important steps—good nutrition and staying mobile—form the foundation of what I've seen lead to the most successful recoveries in my patients.

What factors could complicate or lengthen the recovery process?
  • Several factors can influence your recovery timeline from gallbladder removal surgery, and understanding these helps us plan the best approach for your individual situation. Your overall health status plays the most significant role—patients who are generally healthy tend to bounce back more quickly, while those managing multiple health conditions may need a bit more time to heal.

  • Obesity can present additional challenges during recovery, as it may affect wound healing, increase the risk of complications, and make mobility more difficult in those crucial early days when movement is so important for recovery, and also for preventing blood clots.

  • Respiratory conditions like asthma or COPD deserve special attention because they can impact your body's ability to clear anesthesia and may make deep breathing exercises—which help prevent pneumonia—more challenging.

  • The good news is that by identifying these factors ahead of time, we can often take proactive steps to minimize their impact. Every patient is unique, and we'll customize your care plan accordingly.

What diet is advisable to follow after gallbladder removal?
  • The great news about gallbladder removal is that most patients can return to eating a regular, normal diet without permanent restrictions. Your body is remarkably adaptable and will adjust to functioning without the gallbladder.

  • However, I do recommend taking a gradual approach during the first few weeks after surgery. During this initial period, it's wise to avoid particularly greasy or high-fat foods while your digestive system adapts to its new normal. Think of foods like fried items, heavy cream sauces, or very fatty meats—these can sometimes cause discomfort as your body learns to process fats differently.

  • This temporary dietary modification isn't forever, though. As your body becomes acclimated to the changes, typically within a few weeks to a couple of months, you'll generally be able to resume eating whatever foods you enjoy. Some patients find they can tolerate all foods without any issues, while others may discover they prefer to limit very fatty foods long-term simply because they feel better doing so.

  • The key is listening to your body and reintroducing foods gradually. Start with lighter, easier-to-digest meals and slowly work your way back to your regular diet as you feel comfortable. Most of my patients are pleasantly surprised by how quickly they can return to their normal eating habits.

What is the minimum time for recovery?
  • Most patients can expect a recovery period of 2 to 4 weeks from the time of surgery, though this timeline can vary based on individual circumstances and the specific surgical approach used.

  • For laparoscopic gallbladder removal—which is the minimally invasive technique I use for many patients—recovery tends to be on the shorter end of this range. Many patients feel significantly better within the first week and can return to light activities and desk work within 7 to 10 days. However, I recommend allowing the full 2 to 4 weeks for complete healing before resuming heavy lifting or strenuous physical activities.

  • It's important to remember that 'recovery' means different things to different people. You might feel well enough to return to work or normal daily activities within a week or two, but your body will continue healing internally for several more weeks. This is why I emphasize patience during this process—rushing back to full activity too quickly can sometimes set you back.

  • Factors like your overall health, age, and how well you follow post-operative instructions all play a role in determining how quickly your body recovers. The key is listening to your body and not comparing your recovery to others, as everyone heals at their own pace.

What is the maximum time for recovery?
  • In most cases, patients achieve complete recovery within 6 weeks of surgery, assuming no complications arise. This represents the outer boundary of what I typically expect for a full return to all normal activities, including heavy lifting, vigorous exercise, and any physically demanding work.

  • By the 6-week mark, your incisions should be fully healed, any internal swelling should have resolved, and your body should have completely adapted to functioning without the gallbladder. This is when I generally give patients the all-clear to resume their pre-surgery lifestyle without any restrictions.

  • It's worth noting that most patients feel much better well before this 6-week point—many are back to their regular routines within 2 to 4 weeks. However, complete internal healing takes time, which is why we use 6 weeks as our maximum benchmark for a typical full recovery.

  • Of course, complications—though generally uncommon with laparoscopic gallbladder removal—could potentially extend this timeline. This might include issues like infection, unusual healing responses, or other health factors that could slow recovery. The good news is that serious complications are rare, and most patients progress smoothly through their recovery within this expected timeframe.

What are the general costs for gallbladder removal? Are costs fixed, or is there a range?
  • The cost of the procedure varies significantly depending on your insurance coverage. Almost all of my patients have their procedure covered through insurance, and in these cases, your out-of-pocket responsibility will depend entirely on the specifics of your individual insurance plan—including factors like your deductible, co-pay amount, and whether you've met your annual out-of-pocket maximum.

  • For patients who choose to pay directly or don't have insurance coverage, self-pay options are possible. The cost for gallbladder removal typically ranges between $8,000 to $12,000 for self-pay patients. This range exists because several factors can influence the final cost, including the complexity of your specific case, the length of the procedure, any additional services needed, and facility fees.

  • I always recommend checking with your insurance provider before surgery to understand your expected costs. Our office staff is also happy to help verify your benefits and provide you with an estimate of your potential out-of-pocket expenses. We believe in transparency when it comes to healthcare costs, so you'll know what to expect financially before we proceed.

What would Dr. Nguyen want patients to know before undergoing gallbladder removal?
  • There are several important things I want every patient to understand before we proceed with gallbladder removal. First, it's completely normal to experience some pain after surgery—this is part of the natural healing process. The good news is that post-operative pain is generally very manageable with the prescribed medications, and most patients find their discomfort decreases significantly within the first few days.

  • One of the most crucial factors for a successful recovery is staying active and mobile after surgery. I know it might seem counterintuitive when you're feeling sore, but gentle movement—even just walking around your home—is incredibly beneficial. It helps prevent complications, reduces gas buildup that can cause discomfort, and actually can help accelerate your healing process.

  • Setting realistic expectations is equally important. While gallbladder removal is a common procedure with generally excellent outcomes, everyone's recovery journey is unique. Some patients bounce back quickly, while others need a bit more time—the key is being patient with yourself and following the recovery guidelines we'll provide.

  • I also want patients to know that this procedure has a very high success rate and most people experience significant improvement in their quality of life afterward. The symptoms that brought you to surgery—whether it's pain, nausea, or digestive issues—typically resolve completely once we remove the problematic gallbladder. Trust the process, follow your post-operative instructions, and don't hesitate to reach out if you have any concerns during your recovery.

What to Expect When You Choose Us

From your first consultation through your complete recovery, we provide:

  • Thorough evaluation and explanation of your condition

  • Clear discussion of all treatment options, including non-surgical alternatives when appropriate

  • Detailed pre-operative instructions to help you prepare

  • Compassionate care during your hospital stay or outpatient procedure

  • Comprehensive follow-up care and support during recovery

  • Ongoing availability to address questions or concerns

We understand that facing any surgery can be intimidating, but you don't have to navigate this journey alone. Our team is committed to providing expert care with a personal touch, ensuring you feel supported, informed, and confident every step of the way.

Your health and wellbeing are our highest priorities, and we're honored to be part of your care team.

Why Choose Laparoscopic Surgery?

All our laparoscopic procedures are performed by our highly trained surgical team using state-of-the-art equipment and techniques.

We're committed to providing you with the most advanced, minimally invasive options because we believe you deserve:

  • Less pain after surgery

  • Shorter hospital stays

  • Faster return to work and activities you enjoy

  • Smaller, less visible scars

  • Lower risk of complications

  • Better overall outcomes

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About

Dr. Richard Nguyen

Dr. Richard Nguyen is a board-certified General Surgeon with over 20 years of surgical expertise and fellowship training in Minimally Invasive and Bariatric Surgery from Vanderbilt University. Since establishing his practice in San Jose in 2007, he has pioneered innovative surgical techniques, including single-incision laparoscopic procedures and mastery of the da Vinci Robotic Surgical System. Beyond his acclaimed bariatric surgery practice, he has earned national recognition for his specialized expertise in both non-mesh and advanced mesh hernia repairs, while also serving as a critical approach surgeon for anterior spine access procedures. Dr. Nguyen combines technical precision with personalized care across multiple premier facilities throughout the South Bay Area.

We are affiliated with the following Hospitals/Surgical Centers:

Good Samaritan Hospital, San Jose, CA
Los Gatos Community Hospital-El Camino, Los Gatos, CA
Silicon Valley Surgery Center, Los Gatos. CA
Fremont Surgery Center, Fremont, CA
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Real Clients, Real Results

Hear directly from patients whose lives have been transformed through Dr. Nguyen's surgical expertise and compassionate care. Their success stories inspire our work every day.
Crystal S. smiling one year after gastric sleeve surgery
Crystal S.

I would refer Doctor Nguyen to anyone, in fact I have and they have all had the same experience as me. He is truly great. I owe all my success to Doctor Nguyen and I thank him for all the work he has done for me and continues to do so. He is extremely amazing, and I am very grateful to him.

Lisa Q. standing outdoors following 100‑lb weight loss
Lisa Q.

At 50, I now have a life I had only dreamed of a year before. My body tells me if I am done eating. This surgery is a tool that I have used to the fullest. It is not an easy way out. It still took work. But I honestly know that I would not be living this amazing new life if I didn’t step forward to embrace this life-saving surgery.

Rickie W. celebrating diabetes remission post‑bypass
Rickie W.

Dr. Nguyen has changed my life completely. I feel so much better and I also feel like I’ve got control of my life again…I had high blood pressure, diabetes and cholesterol. I took at least 5 different medications for the past 30 years. NOW, after surgery I take no medications only vitamins!

Your Next Step

Wondering which surgical procedure might be right for your condition? We're here to help you understand your treatment options and develop a personalized surgical plan. Contact our office today to schedule a consultation.

Your path to improved health may be more achievable than you think—with advanced surgical techniques leading to faster recovery, reduced complications, and a significantly enhanced quality of life.

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