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Open Cholecystectomy

Classic surgical method in which the gallbladder is removed via open surgery.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Open Cholecystectomy?

Open cholecystectomy is the classic operation in which the gallbladder is removed via open surgery through a right subcostal (Kocher) or upper midline incision. It was the standard treatment before laparoscopic cholecystectomy but is now performed as a secondary option.

It is preferred when laparoscopic surgery is contraindicated or unsuitable. In addition, conversion to open surgery may be required during laparoscopic cholecystectomy due to bile duct injury, bleeding, dense adhesions, or severe cholecystitis (conversion rate 5-10%).

The procedure classically involves dissection of the gallbladder triangle (Calot triangle), identification and ligation of the cystic artery and cystic duct, and removal of the gallbladder from the liver bed. Open surgery provides better access for intraoperative cholangiography and bile duct exploration.

Symptoms

Conditions unsuitable for laparoscopic surgery
Porcelain gallbladder (malignancy risk)
Suspected gallbladder cancer
Widespread adhesions after previous upper abdominal surgery
Mirizzi syndrome
Cholecystoduodenal fistula
Conversion from laparoscopic to open surgery

Risk Factors

Need for upper abdominal surgery during pregnancy
Portal hypertension
Widespread adhesions
Severe acute cholecystitis / Mirizzi
Coagulopathy and bleeding diathesis
Morbid obesity (precluding laparoscopy)
Cardiopulmonary disease (intolerance of pneumoperitoneum)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Diagnosis of complex gallbladder disease
  • Suspicious gallbladder mass
  • Severe acute cholecystitis
  • Mirizzi syndrome
  • Detection of porcelain gallbladder
  • Failure of laparoscopy due to adhesions

Treatment Methods

01
Right subcostal or upper midline incision
02
Exposure of the gallbladder and Calot triangle
03
Identification and ligation of the cystic artery and cystic duct
04
Detachment of the gallbladder from the liver bed
05
Intraoperative cholangiography when needed
06
Hemostasis of the liver bed and drainage
07
Postoperative wound care and early mobilization

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.