Laparoscopic gallbladder surgery is Best

Laparoscopic gallbladder surgery is the best method of treating gallstones that cause symptoms, unless there is a reason that the surgery should not be done.
Laparoscopic surgery is used most commonly when no factors are present that may complicate the surgery. Conditions that may require an open surgery instead of a laparoscopic surgery include:

1. Severe inflammation or infection of the bile duct (cholangitis).
   Inflammation of the abdominal lining (peritonitis).
2. High pressure in blood vessels in the liver. This is caused by cirrhosis of the liver (portal hypertension).
3. Being in the third trimester of pregnancy.
4. A major bleeding disorder or use of medicines to prevent blood clotting (blood thinners or anticoagulants).
5. Scar tissue from previous abdominal surgeries. Scar tissue may make laparoscopic surgery more difficult.
6. A severe lung disease, such as emphysema, because the way the abdomen is inflated with air for surgery may make it harder to breathe.
   

Depending on the surgeon's experience and how severe your condition is, laparoscopic surgery also may not be an option if you have:

1. Sudden (acute) inflammation or infection of the gallbladder (although laparoscopic surgery is being done more often in this situation).
2. Active inflammation or infection of the pancreas (pancreatitis).
3. A minor bleeding disorder.
4. Gallstones in the common bile duct. A separate procedure called endoscopic retrograde cholangiopancreatography that is done before or after the laparoscopic surgery can remove stones in the common bile duct.
5. Excessive body weight.

How Well It Works
Laparoscopic gallbladder surgery is safe and effective.1 Surgery gets rid of gallstones located in the gallbladder. It does not remove stones in the common bile duct. Gallstones can form in the common bile duct years after the gallbladder is removed, although this is rare.