Open cholecystectomy with Cholecystogastric fistula

Open Cholecystectomy in a complicated case of Cholecystogastric fistula with minimum instruments, moderate incision, No Sandbag at back, No Sponge on Holder, No Pea-nut on holder, No blunt dissection with almost negligible bleeding in quick time under spinal anesthesia in a 45 year old female GA unfit patient is "POSSIBLE".