Abstract About 10-15% of the population have gall stones, and nearly 25 million in America with 2-4% becomes symptomatic annually, leading to annual 500 000 cholecystectomies. In Egypt About 7-10 million people have gall stones, About 100-150 000 cholecystectomies are performed annually Carl Langenbuch performed the first open cholecystectomy in 1882, with the predominant philosophy ″Big surgeons make big incisions″, ... Read more