BACKGROUND Laparoscopic surgery is the standard therapy for gastrointestinal (GI) cancers; however, its application in gallbladder cancer (GBC) remains cautious, and its clinical advantages require further validation. AIM To compare surgical performance, postoperative recovery, and complication rates between patients with early GBC undergoing laparoscopic radical cholecystectomy (LRC) and those receiving open radical cholecystectomy. METHODS A total of 89 patients treated between July 2022 and J