Laparoscopic Cholecystectomy in Cirrhosis of the Liver and Portal Hypertension

Laparoscopic cholecystectomy in the presence of cirrhosis of the liver and portal hypertension is a formidable undertaking. Rigid liver, distorted anatomy, venous collaterals and associated coagulopathy have to be dealt with carefully. In the absence of any inflammatory changes, it may be possible to carefully dissect and demonstrate CVS. Alternative strategy should be adopted when the anatomy of the hepatocystic triangle is distorted.