This protocol applies to patients with chronic cholecystitis presenting with symptomatic gallbladder stones who also have liver cirrhosis classified as Child-Pugh A or Child-Pugh B. The presence of underlying cirrhosis is the key factor that shapes the surgical decision-making in this group.
Liver cirrhosis alters operative risk and influences the choice of surgical technique for gallbladder removal. Child-Pugh A and Child-Pugh B classifications define a subgroup where a specific approach is strongly recommended based on evidence comparing outcomes across surgical methods.
A minimally invasive surgical approach to cholecystectomy is the preferred option in this setting, selected specifically because of its complication profile in patients with Child-Pugh A or B cirrhosis. The full structured regimen — including the complete decision pathway and perioperative considerations — is in the protocol.