Indications and Contraindications

Indications ■ Failed laparoscopic cholecystectomy

■ Whipple resection or bile duct resection as part of hepatectomy

■ Patient choice

■ Suspected malignant gallbladder polyp

Contraindications ■ There are no absolute contraindications to cholecystectomy

■ A severely ill patient where a cholecystostomy may be the best option

Open cholecystectomy is now performed most frequently as part of other major procedures as listed above. If it is in the setting of a failed laparoscopic procedure it is often a very difficult cholecystectomy and it is vital in this situation to make an adequate incision.

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