Nigam’s Strategy for Safe Cholecystectomy (NSSC) – with Do’s and Don’ts

We have developed the strategy for safe cholecystectomy, Nigam’s strategy for safe cholecystectomy (NSSC) to avoid complications. Safe cholecystectomy is safe for both the patient and the surgeon without any bile duct or hollow organ or vascular injury. The safe cholecystectomy should reduce the risk of complication to minimum. Safe cholecystectomy by laparoscopic approach can be achieved through a thoughtful strategy including good understanding of anatomy and safe dissection. It is randomized study done at Max hospital, Gurgaon, Haryana, India. The study included patients of acute and chronic cholecystitis who attended the hospital between Jan 2019-Jan 2025. Patients other than acute cholecystitis having gall bladder disease where excluded in the study. All patients were operated for cholecystectomy by same team of surgeons. The preoperative and intraoperative discussions along with achievement of critical view of safety (CVS) are essential steps in doing safe cholecystectomy according to Nigam’s strategy for safe cholecystectomy. Do’s and Don’ts guide the surgeon accordingly for performing safe cholecystectomy. Considering the number of cholecystectomies performed worldwide today it is essential to do safe cholecystectomy and train young surgeons to make a habit of selecting safety over hurry and temptation. The results of the study showed no major complication which concluded that Nigam’s strategy safe cholecystectomy (NSSC) is a good practice to avoid complications and do a safe cholecystectomy. We advise young surgeons to follow Nigam’s strategy for safe cholecystectomy.