Case challenge · Surgical approach decision / General surgery / Hepatobiliary · teaching

Gallstones/Cholecystitis · Observe vs Surgery + Approach · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on TG18 / SAGES

Case #1Surgical approach decision / General surgery / Hepatobiliary

📋 Case data

Symptoms/acute inflammation grade/high-riskSymptomatic (biliary colic) or acute cholecystitis Grade I/II, can tolerate surgery
Surgery · timing and approachOpen or conversion to open (unclear anatomy/bile duct injury risk/severe adhesions)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 2 · Symptoms/acute inflammation grade/high-risk

Symptoms / acute inflammation grade / can the patient tolerate surgery?

💡 Acute cholecystitis by TG18: Grade I (mild)/II (moderate, severe local)/III (severe, organ dysfunction).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.