Colelitiasis, a common and costly biliary disease, affects 10-15% of the adult population worldwide. In the United States, 25 million people will suffer from this disease, with annual costs estimated at $6200 million. Geographical factors play a significant role in the prevalence of the disease, with high rates in Europe and North America. Factors such as sex, ethnicity, and family history contribute to the increase in colelitiasis. The definitive treatment includes surgical extirpation of the vesicle, which has numerous benefits, including safety, rentability, lower mortality, and less hospital stay. However, there are situations where open surgery is necessary, resulting in a difficult colecistectomía. Definir adecuadamente los factores de riesgo para una colecistectomía laparoscópica difícil es crucial, as it involves preparing the entire medical team for the necessary interventio...