New concept of cholecystectomy combined resection of the gallbladder bed for chronic cholecystitis.

Cholecystectomy is sometimes the most difficult operation to perform. When the atrophic gallbladder with severe inflammation falls into the spongy soft liver, it is not easy to perform a standard cholecystectomy without causing bleeding and serious injury around the hilar structures. Some selected patients with chronic cholecystitis under some particular circumstances might be better suited to undergo a cholecystectomy combined resection with the gallbladder bed rather than the ordinary standard cholecystectomy. Herein, we showed a partial hepatic resection of the gallbladder bed with the gallbladder using an intermittent hepatic inflow occlusion.