Open Cholecystectomy
Conventional open surgical removal of the gallbladder through a small abdominal incision — used in select complex cases where keyhole surgery is not safe or feasible.
What is Open Cholecystectomy?
Open Cholecystectomy is the traditional surgical removal of the gallbladder through a single small incision in the upper-right abdomen. While most gallbladder surgeries today are done laparoscopically, the open approach is still essential in selected complex situations such as severe inflammation, dense adhesions from previous surgery, anatomical concerns, or when laparoscopic surgery cannot be safely completed. Dr. Tejasree Vengala performs open cholecystectomy at Lux Hospitals, Hyderabad, prioritising safety, careful dissection, and protection of the bile duct in challenging cases.
How the Procedure Works
Anaesthesia & Preparation
Surgery is performed under general anaesthesia. The upper abdomen is prepared and draped in sterile fashion.
Subcostal or Midline Incision
A small subcostal (right-side) or midline incision is made to expose the gallbladder and surrounding structures.
Calot's Triangle Dissection
The cystic artery and cystic duct are carefully identified, clipped, and divided with attention to the critical view of safety.
Gallbladder Removal
The gallbladder is dissected from the liver bed under direct vision, ensuring complete removal without spillage of bile or stones.
Closure & Recovery
The wound is closed in layers. Patients are mobilised the next day, with structured pain control and gradual return to oral intake.
Outcomes
Who Needs This Treatment?
- →Best option in severely inflamed or stuck gallbladders
- →Allows full direct vision in difficult anatomy
- →Safer choice when laparoscopy needs to be converted
- →Established, reliable technique with excellent outcomes
- →Suitable when keyhole surgery is contraindicated
- →Permits safe management of suspected gallbladder cancer
Knowing when to open is just as important as knowing how to operate laparoscopically. In a difficult gallbladder, choosing safety over speed protects the bile duct and protects the patient — and that is always the right call.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
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