What type of surgical incision is commonly used for an open cholecystectomy?

The commonly used surgical incision for an open cholecystectomy is the right subcostal incision. This approach provides optimal exposure of the gallbladder and is advantageous for several reasons. It allows the surgeon to access the gallbladder easily while minimizing trauma to the surrounding structures. The right subcostal area is directly over the liver and gallbladder, making it a strategic choice for surgical intervention in this region.

Using this incision, the surgeon can also mobilize the liver if necessary for better visualization and access to the cystic duct and artery. Furthermore, this incision can be extended if needed, accommodating larger surgical exposures for potential complications.

Other incision types, while they may be utilized in specific situations, do not offer the same level of direct access or visibility for gallbladder surgery as the right subcostal incision does. The vertical midline incision, for example, provides general abdominal access but may not be as efficient for targeted gallbladder procedures. Transverse and oblique incisions are less commonly employed for this specific operation, as they can complicate the exposure necessary for cholecystectomy.