Patients who are less than 60 years old whose nutritional status is good albumin greater than 3.5 gr/dl can be operated on when their bilirubin levels are higher than 10 gr/ dl as long as no biliary infection is present.
Sin embargo, pacientes menores a 60 años, con estado nutricional conservado albúmina mayor de 3,5 gr/dl pueden operarse con bilirrubinas mayores a 10 gr/dl siempre que no haya infección biliar.