This video demonstrates Laparoscopic Cholecystectomy for Mucocele of the Gallbladder. A mucocele of the gallbladder must be differentiated from other gallbladder conditions. Acute percutaneous drainage vs. cholecystectomy is usually the first line of treatment. This diagnosis must be suspected both by the surgeon and the radiologist. Gallbladder mucoceles (GBM) typically are treated by cholecystectomy. Medical management rarely has been reported and medical and surgical management have not been compared. In Laparoscopic management of the Mucocele of the Gallbladder, a small incision is made just below the rib cage on the right side of the abdomen. The liver is moved to expose the gallbladder. The vessels and cystic duct and artery to and from the gallbladder are cut and the gallbladder is removed. Mishra's knot is used to ligate the cystic duct.

Mucocele of the gallbladder is a rare but significant condition characterized by the overdistension of the gallbladder due to excessive mucus secretion. This occurs when the cystic duct becomes obstructed, leading to the accumulation of mucus without infection. Unlike acute cholecystitis, mucocele does not involve inflammation initially, but it can progress to complications if left untreated. Cholecystectomy, the surgical removal of the gallbladder, is the definitive treatment for this condition.
 
Causes and Symptoms
 
Mucocele of the gallbladder typically results from:
- Chronic cystic duct obstruction – due to gallstones, strictures, or tumors.
- Biliary stasis – impaired bile flow leading to mucus accumulation.
- Infections or inflammatory processes – leading to dysfunction of mucus-secreting cells.
 
Patients may be asymptomatic or present with:
- A palpable mass in the right upper quadrant
- Dull abdominal pain
- Nausea and vomiting
- Digestive discomfort or bloating
 
If the mucocele progresses, it may lead to complications such as gallbladder rupture or secondary infection, necessitating urgent surgical intervention.
 
Diagnosis
 
A combination of imaging studies helps confirm the diagnosis:
- Ultrasound – reveals an enlarged, distended gallbladder with an anechoic (clear fluid) appearance.
- CT Scan or MRI – provides detailed visualization of the gallbladder and its contents.
- Cholangiography – may be performed to assess bile duct involvement.
 
Surgical Management – Cholecystectomy
 
Cholecystectomy is the gold standard treatment for gallbladder mucocele. It can be performed using two main approaches:
 
1. Laparoscopic Cholecystectomy – A minimally invasive procedure that involves small incisions, reducing recovery time and complications.
2. Open Cholecystectomy – Reserved for cases with complications such as rupture, severe adhesions, or suspected malignancy.
 
Postoperative Care and Recovery
 
- Patients undergoing laparoscopic cholecystectomy usually recover within a few days, while open surgery may require a longer hospital stay.
- Dietary modifications, such as a low-fat diet, may be recommended temporarily.
- Regular follow-ups ensure proper healing and prevent complications.
 
Conclusion
 
Mucocele of the gallbladder, though rare, can lead to serious complications if untreated. Cholecystectomy remains the most effective treatment, providing symptom relief and preventing future risks. Early diagnosis and timely surgical intervention are crucial for optimal patient outcomes.

For more please contact:
World Laparoscopy Hospital Cyber City, Gurugram, NCR Delhi INDIA Phone: +919811416838