Laparoscopic Cholecystectomy (Gallbladder Removal) Laparoscopic cholecystectomy is a surgical procedure done by a surgeon for removing a diseased gallbladder. This procedure uses a laparoscope (a small, thin tube with a lighted viewing instrument on its tip) to identify and remove the gallbladder. Instead of the traditional open cholecystectomy where one large incision is made through the abdominal muscles, laparoscopic cholecystectomy involves making four very small incisions. The laparoscope enters the body through a tiny cut below the navel and allows the doctor to see the gallbladder on a TV screen. Small instruments are placed into the 3 additional small cuts made in the upper right part of the abdomen. The gallbladder is taken out through one of these incisions and incisions are closed with a stitch or two or with surgical tape. Unlike the open method, this procedure can be done in an outpatient surgical center, there is less pain and fewer complications after surgery, there is no scar on the abdomen, and recovery time is much shorter. Laparoscopic cholecystectomy may not be an option for patients with previous surgery in the area of the gallbladder, if they are prone to bleeding, or if they have problems that would interfere with access to the gallbladder through this method. Most laparoscopic cholecystectomy surgery is performed under general anesthesia with the patient asleep and pain free. Patients should consult their physician for a complete explanation of the procedure and its associated risks and complications.