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Before the development of laparoscopy, the standard surgical treatment for gallstones was open cholecystectomy surgical removal of the gallbladder through an abdominal incision , which requires a wide 6 - 8 inch incision and leaves a large surgical scar.
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The passage of bile salts into the intestines can be prevented by blockages of the bile ducts inside or outside of the liver due to inflammation, gallstones, or external compression.