What type of incision will be used for access to the gall bladder if a laparoscopic cholecystectomy must be converted to an open procedure?

In the scenario where a laparoscopic cholecystectomy must be converted to an open procedure, the Kocher incision is typically chosen for access to the gallbladder. This specific incision is made along the right upper quadrant and provides adequate exposure of the gallbladder and surrounding structures.

The Kocher incision is advantageous because it allows the surgeon to access not only the gallbladder but also the liver and duodenum if necessary. It is designed to minimize damage to major blood vessels and provides good visibility for dissection and gallbladder removal.

Other incisions, while they may provide access to the abdominal cavity, are less ideal for this specific procedure. For instance, the McBurney incision is primarily used for appendectomies and may not facilitate adequate exposure for gallbladder surgery. The transverse incision is less commonly used for gallbladder access in open procedures, as it may not provide the same level of access as the Kocher incision. The midline incision offers broad access to the abdomen but may not be as efficient as the Kocher in terms of targeted visibility and minimizing recovery time for this particular surgical context.