Transcylindrical cholecystectomy is a promising, safe approach for outpatient treatment of cholelithiasis.

• 1626 patients with an average age of 59 saw low complication rates: only 0.9% conversion and 5.5% unplanned admissions.
• 78% reported good to excellent physical condition within 24 hours post-op.

This method, particularly under various anesthetic options, can enhance patient selection and care in outpatient settings.

• Complications included 0.5% bile leaks and 2.2% wound infections, indicating high safety in this procedure.