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Dr. Harsh J Shah

Keyhole Surgery for a Gallbladder Polyp: What to Expect

Last updated: 07-Nov-2026

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Dr Harsh Shah, gallbladder surgeon, Ahmedabad

Dr Harsh Shah
MS, MCh (Surgical Gastroenterology), DrNB (Surgical Gastroenterology)
Registered with Gujarat Medical Council, Reg. No. G-38738
Gallbladder Surgeon
Dr. Jivraj Mehta Hospital, Vasna, Ahmedabad · 18 years of experience

In short

For a gallbladder polyp, the operation is a keyhole removal of the whole gallbladder. It is called laparoscopic cholecystectomy.

The polyp is not taken out alone. The full gallbladder goes to the laboratory so the polyp and the wall can be checked in full.

Most people walk the same evening and go home the next day. You can live normally without a gallbladder.

Not sure whether you need surgery at all? Our gallbladder polyps page explains when to watch and when to operate. This post covers the operation itself.

Why is the whole gallbladder removed?

A polyp sits on the gallbladder wall and cannot be cut off safely on its own. The gallbladder is also not a part you need to save.

Some polyps are harmless fatty bumps. A few are true growths that can slowly turn into cancer. A scan cannot always tell which is which. Only the laboratory can, and it needs the whole polyp with the wall under it.

  • It is the only way to get an answer. A needle test of a gallbladder polyp is not done, because it can spread cells.
  • It removes the risk at the source. With no gallbladder, there is no place for the polyp to grow.
  • It costs you little. The liver makes the bile, and it reaches the gut without the gallbladder.

Who needs this operation?

Surgery is advised when a polyp is large, growing or looks worrying, or when it comes with pain or stones.

The choice rests on a few facts. These are the size of the polyp, its growth on repeat scans, its shape, the wall thickness and your age. A single small polyp with no symptoms is often just watched. The full guide is on the gallbladder polyps page.

What happens in the keyhole operation?

You are asleep under general anaesthesia. The surgeon works through a few small cuts, using a camera, and removes the gallbladder in a bag.

The main steps of laparoscopic cholecystectomy
StepWhat the surgeon doesWhy it matters
1. AccessMakes a few small cuts and fills the belly with gasGives room to see and work
2. Look firstChecks the gallbladder, liver and nearby organsConfirms the plan and looks for anything unexpected
3. Identify the ductsClears the tissue until the cystic duct and artery are clearly seenProtects the main bile duct
4. Seal and cutClips the duct and artery, then cuts themFrees the gallbladder from its blood and bile supply
5. SeparateLifts the gallbladder off the liverTakes the whole organ without opening it
6. Bag and removePlaces it in a bag and draws it out through a cutKeeps the polyp from touching the belly wall
7. Check and closeLooks for bleeding or leak, then closes the cutsMakes sure the area is dry and safe

The bag matters more for a polyp than for a stone. We do not want the gallbladder to tear or leak, since a rare growth could then spill cells. This is one reason to choose a surgeon who handles gallbladder growths often.

How should you prepare?

Preparation is simple: a fitness check, blood tests, an empty stomach, and a list of your medicines for the surgeon.

You will usually have blood tests, a heart check if you are older, and your scans reviewed again. Blood thinners and some diabetes tablets may need to stop for a few days. Do not change any medicine until your surgeon tells you.

  1. Bring all earlier scans and reports, so they can be compared.
  2. Tell us about heart, lung or kidney problems and any past belly surgery.
  3. Stop food and drink as told on the day before, usually from midnight.
  4. Arrange for a family member to stay with you.

What does recovery look like?

Most people walk on the evening of surgery and go home the next day. Full recovery takes a few weeks.

The cuts are small and sore for a few days. Shoulder-tip pain from the gas is common and fades in a day or two. Medicines keep you comfortable, and you can take light food once you are awake.

Walk daily from the first day. Desk work is often possible within one to two weeks. Hold off on heavy lifting and hard exercise for about a month, or as advised. You may notice loose stools for a few weeks. Small, light meals help, and this settles for most people.

What are the risks?

Keyhole gallbladder surgery is routine and safe in experienced hands, but every operation has some risk.

  • Bleeding, usually small and seen at the time of surgery.
  • Infection of a cut or of the fluid inside the belly.
  • Bile leak from the cut duct, which may need a drain or a tube.
  • Injury to the main bile duct. It is rare, but it is the most serious risk, so we spend time making the ducts clear before we cut.
  • A small hernia at one of the cuts, long after surgery.
  • Switching to a larger cut during the operation, if the view is poor or the gallbladder is badly stuck.

What does the lab report mean?

The report tells you what the polyp really was. In most people it is a harmless polyp and no more treatment is needed.

The report comes back in about a week. A cholesterol polyp or an inflamed wall needs nothing further. If the report shows an early growth, we explain what it means. We tell you if it is fully removed or needs more surgery.

If the report shows cancer, we plan a second operation on the liver bed and nearby glands, and we explain the steps in detail. Read about gallbladder cancer treatment if you want to see how this is done.

Frequently asked questions

Why remove the whole gallbladder for a polyp?

A polyp cannot be taken out alone, and a small piece cannot tell us if it is safe. Removing the whole gallbladder gives the laboratory the complete polyp and wall to examine.

How long does the keyhole operation take?

It often takes about an hour. It can take longer if the gallbladder is inflamed or stuck to nearby organs. Your surgeon will tell you what to expect after seeing your scans.

Will I stay in hospital?

Most people go home the next day. You walk and sip fluids the same evening. Your surgeon decides the day of discharge after checking how you are.

Can I live normally without a gallbladder?

Yes. The liver still makes bile, and it flows straight into the gut. Some people have loose stools for a few weeks, which usually settles. Most eat a normal diet.

What if the report shows cancer?

This is uncommon in a small polyp, but it is why the lab check matters. If cancer is found, we explain the stage and plan any further surgery on the liver bed and glands. This is done only after a full discussion.

Can the surgery be done through open cuts instead?

Yes. Keyhole is the usual route. If the gallbladder is badly stuck, bleeding is hard to control, or a worrying growth needs a wider operation, the surgeon may switch to a larger cut. This is a safety step, not a failure.

When can I return to work?

People with desk jobs often return within one to two weeks. Heavy lifting and hard exercise wait about a month. Your surgeon will give dates that suit your job.

Related pages

Where Dr Harsh Shah sees patients and operates

Dr Harsh Shah — Dr. Jivraj Mehta Hospital, Vasna, Ahmedabad
Dr. Jivraj Mehta Hospital, Dr Jivraj Mehta Marg, Vasna, Ahmedabad 380007.
Consultations, review of reports and scans, operations and follow-up. OPD Monday to Saturday, 9 am to 5 pm.
Appointments: +91-63555-64601 · +91-63590-11009 · Hospital 079-2663 6363
Directions to the hospital · WhatsApp +91-63555-64601

Told you need your gallbladder removed for a polyp? Dr Harsh Shah goes through your scans with you and explains why surgery is advised. He shows you each step of the keyhole operation before you decide. Bring your scans and reports to the consultation. You can also call, or message us on WhatsApp. Call +91-63555-64601 Ask on WhatsApp

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Dr. Harsh J Shah
Dr Harsh Shah, Gastro, Cancer & Laparoscopic Surgeon, Ahmedabad
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