For severe gallbladder adhesion to the liver, open surgery is usually chosen to remove the gallbladder. If the gallbladder is more seriously adhered to the liver due to inflammation, infection and other reasons, laparoscopic operation is more difficult, and open surgery can be chosen to perform cholecystectomy under direct vision. After the abdomen is opened, the liver is pushed open to reveal the gallbladder and the triangle, the gallbladder artery and bile ducts are dissected and ligated and cut off, and then the adherent tissues are slowly peeled off and the gallbladder is freed and removed. If it is difficult to dissect the gallbladder duct due to adhesion, retrograde resection can also be performed by first separating the gallbladder and finally confirming the gallbladder duct and then ligating and cutting it off. If the adhesion between the gallbladder and the liver is heavy, there may be more bleeding during the separation process, so care should be taken to stop the bleeding and not to damage the larger blood vessels. Cholecystectomy is difficult and risky, and should be performed in a qualified hospital, so that special circumstances can be handled in the most appropriate way.