Laparoscopic cholecystectomy.

Judith presented with a long-standing history of right upper quadrant pain which was found to be the result of cholelithiasis. She was treated by means of a laparoscopic cholecystectomy and underwent an uneventful recovery apart from complaining of tiredness. This may have been due to chronic overstrain caused by trying to cope with the needs of her family and her two elderly parents. Her problems stemmed from uncertainty about the procedure and worry about how her husband would cope while she was recovering. Both problems were resolved by explanation and discussion, bringing in other family members to support her so that her feelings of guilt could be recognized and dealt with. To date, she continues to make a good recovery and is keen to resume her normal family role.