This protocol addresses the management of porcelain gallbladder characterised by complete intramural calcification of the gallbladder wall, in the absence of symptoms or complications of gallbladder disease, in a patient who is young and fit and does not carry a high risk of perioperative mortality.
Gallbladder calcification can be classified by its extent — complete intramural calcification is one recognised pattern. In this scenario the patient is asymptomatic, free of active gallbladder complications, and is considered a suitable surgical candidate given their age, fitness, and low perioperative risk.
For patients meeting this profile, a surgical approach using a minimally invasive technique is considered appropriate, with intraoperative evaluation of the surgical specimen as a required step. The full structured regimen — including the specific procedural details — is available via the link below.