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This process has been driven by the advent of lumen\u2010apposing metal stents (LAMS) with electrocautery\u2010enhanced capability, which has rendered the drainage procedure easier to accomplish and safer. Studies and meta\u2010analyses have proven the superiority of EUS\u2010GBD over PT\u2010GBD in high\u2010surgical\u2010risk patients with AC. Little evidence exists in the same setting that EUS\u2010GBD compares equally with laparoscopic cholecystectomy (LC). Moreover, EUS\u2010GBD might theoretically have a possible role in patients at high surgical risk with an indication to undergo cholecystectomy or with a high probability of conversion from LC to open cholecystectomy. 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