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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