ABSTRACT
Laparoscopic cholecystectomy can be challenging in the presence of overhanging liver segments, Mirizzi’s syndrome, cholecystoduodenal fistula and symptomatic stone in residual gallbladder. Both the approach and the technique of laparoscopic cholecystectomy need to be modified to address this specific situation. A proper preoperative work-up, and meticulous dissection to identify structures, are key to achieving a successful outcome in such patients.
