Patients with symptomatic gallbladder stones who also have Child-Pugh A or Child-Pugh B liver cirrhosis represent a distinct clinical group. The presence of cirrhosis significantly affects how gallbladder disease is managed, and the approach must account for hepatic reserve.
Symptomatic gallbladder stones in the setting of liver cirrhosis classified as Child-Pugh A or Child-Pugh B. Laparoscopic cholecystectomy is the preferred surgical approach for eligible patients in this population. For those with strong contraindications to cholecystectomy — such as end-stage liver disease — the management pathway differs.
Where strong contraindications to surgery exist, an endoscopic interventional approach has been reported as an alternative. The full protocol specifies which patients are candidates, the procedural details, and the clinical criteria guiding the decision.