CSFA Practice Test 2025 – Complete Exam Preparation

The right subcostal incision is the most suitable choice for providing access to the gallbladder during a cholecystectomy. This incision is located along the right side of the abdomen, just below the rib cage, and allows surgeons to effectively reach the gallbladder, which is situated in the right upper quadrant.

The right subcostal approach offers the advantage of excellent visualization of the biliary anatomy, which is crucial during a cholecystectomy. It provides adequate access to not only the gallbladder but also surrounding structures such as the cystic duct and cystic artery, facilitating the safe removal of the gallbladder.

Other incisions may be used for various types of abdominal surgeries, but they do not provide the same level of targeted access to the gallbladder specifically. For example, a midline incision can be more invasive and does not directly enhance access to the gallbladder. Vertical incisions usually involve a longer incision along the abdominal wall which similarly does not prioritize access to the right upper quadrant. Transverse incisions could provide access but are typically not as commonly utilized for cholecystectomy because they do not align well with the anatomy of the gallbladder as effectively as the right subcost