ABSTRACT
Laparoscopic cholecystectomy has emerged as the treatment of choice for acute cholecystitis. Surgery should ideally be performed in the first week of the onset of an attack. Tokyo 2018 guidelines are followed for diagnosis, severity assessment and treatment guidelines. During surgery, dissection is carried out close to the gallbladder in the subserosal plane. Suction cannula is used as a blunt dissector and also to keep the operating field clean. Alternative techniques, such as subtotal cholecystectomy, may prove useful when CVS is not definable for a variety of reasons.
