Open cholecystectomy in the laparoendoscopic era
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Updated: Jul 9, 2026
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
Brendan C Visser1, Rowan W Parks, O James Garden
1Department of Surgery, Stanford University School of Medicine, Palo Alto, CA, USA. brendanvisser@yahoo.com
Abstract:
Laparoscopic cholecystectomy has all but replaced the traditional open approach. Hence open cholecystectomy (OC) is principally reserved for cases in which laparoscopy fails, leaving fewer surgeons with experience in the procedure required for the most challenging cases. This review of OC includes discussion of the indications for a primary open approach, conversion from laparoscopy, technical aspects of OC, and alternatives (cholecystostomy and subtotal cholecystectomy). Strategies for safe OC must be formally addressed in residency programs.