Surgical presentation of cholecystectomy

There are two types of cholecystectomy, the retrograde (from the bottom of the gallbladder) and the collateral (from the cystic duct). Paracolic cholecystectomy, with less bleeding and easy operation, should be preferred. However, when the inflammation is severe and the gallbladder is tightly adherent to the surrounding organs, so that it is not easy to reveal the cystic duct and the cystic artery, retrograde resection is preferred. Sometimes a combination of both is required.

The gallbladder is located on the right side of the abdomen, below the liver. The gallbladder stores and concentrates the bile produced by the liver and carries it to the duodenum to aid in fat digestion. Bile drains from the gallbladder into the duodenum through the cystic duct and common bile duct.