Gallbladder

Gallbladder cancer surgery

Gallbladder cancer can be difficult to identify early and is sometimes discovered after gallbladder removal. Treatment depends strongly on stage and whether the cancer can be completely removed.

Symptoms that need assessment

  • Persistent upper-right abdominal pain
  • Jaundice, itching, dark urine or pale stool
  • Unexplained weight loss or reduced appetite
  • A gallbladder pathology report showing unexpected cancer

Specialist assessment

  • Review of the original pathology and operation details
  • Contrast CT or MRI/MRCP for local and distant staging
  • Liver-function tests and other blood tests
  • Multidisciplinary discussion before deciding on further surgery or oncology treatment

Treatment planning

  • Simple gallbladder removal may be enough only for selected very early cancers
  • More extensive surgery may include nearby liver tissue and lymph nodes
  • Chemotherapy or radiation may be considered according to stage and pathology
  • Biliary drainage or supportive treatment may be needed for obstructive jaundice

Bring to your consultation

  • The pathology report and, if possible, pathology slides or blocks
  • The previous operation note and discharge summary
  • All CT, MRI or ultrasound images and reports
  • A timeline of symptoms, procedures and treatment

Seek urgent care for

  • • Jaundice with fever or chills
  • • Severe worsening abdominal pain
  • • Repeated vomiting or dehydration
  • • Confusion, fainting or marked weakness
Common questions

Why might another operation be advised?

When cancer is found after routine gallbladder removal, additional surgery may be considered to remove nearby liver tissue and lymph nodes, depending on the tumour stage and prior operation.

Are gallstones the same as gallbladder cancer?

No. Gallstones are common and most people with gallstones do not develop gallbladder cancer.

Important: This information is for general education. It is not a diagnosis, emergency advice or an individual treatment plan. If you have urgent symptoms, go to the nearest emergency department.

Information sources

Content last updated: 2026-08-26