Cholecystitis and gallstones: when is cholecystectomy needed?

Cholecystitis, inflammation of the gallbladder, is often caused by the presence of gallstones. This condition can cause severe pain and serious complications.

In this article, we will explore in detail when cholecystectomy, the surgery to remove the gallbladder, becomes necessary and the benefits of laparoscopic surgery, available at Elytis.

What is cholecystitis and how do gallstones form?

Cholecystitis occurs when the gallbladder, a small organ below the liver, becomes inflamed. This inflammation is most often caused by gallstones blocking the flow of bile. Gallstones form when bile, a digestive fluid produced by the liver, contains too much cholesterol, bile salts or bilirubin.

Symptoms of cholecystitis

Symptoms of cholecystitis can range from mild to severe and may include:

• Severe pain in the upper right part of the abdomen, which may spread to the back or shoulder
• Nausea and vomiting
• Fever and chills
• Abdominal tenderness
• Jaundice (yellowing of the skin and eyes) in more severe cases

When is cholecystectomy necessary?

Cholecystectomy is recommended when:

• The patient has repeated episodes of acute cholecystitis
• Gallstones cause severe and persistent pain
• There are complications such as biliary pancreatitis, cholangitis or gallbladder empyema
• Risk of gallbladder cancer
• The patient has asymptomatic lithiasis (gallstones without symptoms) but has associated risk factors (e.g. diabetes mellitus)

The Elytisteam of experienced general surgeons evaluates each individual case, determining the most appropriate treatment option.

Benefits of laparoscopic cholecystectomy

Elytis uses minimally invasive techniques, such as laparoscopic cholecystectomy, to give patients a faster and less painful recovery. The benefits of this procedure include:

• Small incisions, resulting in minimal scarring
• Reduced postoperative pain
• Shortened hospitalization time
• Quick recovery and return to normal activities

Why choose Elytis for cholecystectomy?

• Medical expertise and excellence: at Elytisour surgeons have extensive training and are up-to-date with the latest surgical techniques. Our approach is to provide effective, safe and minimally invasive treatment whenever possible.
• Modern technology: we use state-of-the-art equipment and laparoscopic methods, which reduces postoperative pain, the risk of complications and hospitalization time.
• Multi-disciplinary approach: we collaborate with other medical specialties, such as gastroenterology, oncology, anesthesiology and intensive care, to provide comprehensive care and a personalized treatment plan.
• Personalized care: every patient is unique, and at Elytiswe ensure that each treatment plan is tailored to individual needs.
• Prevention and education: we provide advice and counseling on lifestyle, nutrition and relapse prevention, helping to maintain long-term health.

The Elytiswe understand that the decision to have surgery can be difficult. That's why we make sure every patient receives all the information needed to make an informed decision.

Services offered by Elytis

The Elytis, we offer a full range of services for patients with gallbladder disorders, including:

• In-depth consultations and assessments
• Accurate diagnosis by ultrasound and other imaging methods
• Laparoscopic and classic cholecystectomy
• Careful post-operative care
• Postoperative monitoring and control
• Treatment of purulent collections (abscess, boil, hydrosadenitis)
• Plague culture

Recovery after cholecystectomy

After laparoscopic cholecystectomy, most patients can return to normal activities within a few days. It is important to follow your doctor's instructions on diet and physical activity to ensure a full recovery.

Cholecystitis and gallstones can be painful and debilitating conditions. If you are experiencing symptoms or have questions about cholecystectomy, we encourage you to contact the team of specialists at Elytis.

We are here to provide you with high quality care and help you regain your health!

Latest medical review:

23.03.2025, Dr. Gabriela Canschi - Primary Physician

References:

• Kim, Stephanie S. (Dr.), Donahue, Timothy R. (Dr.). "Laparoscopic Cholecystectomy." JAMA, 2018, vol. 319, no. 17.
• Mou, Danny, et. al. "Advances in the management of acute cholecystitis". Annals of Gastroenterological Surgery, 2019, vol. 3, no. 3, pg. 247 - 253.