Laparoscopic subtotal cholecystectomy: a safe approach in difficult cholecystectomy

Khan, Hosni Mubarak; Manjunath, B. G.; Shenoy, Vasanth G.

doi:10.18203/2349-2902.isj20191904

Cited by 3 publications

(3 citation statements)

References 12 publications

(13 reference statements)

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“…Forty of the studies included in this review described the operative techniques performed. 13 – 30 , 32 – 40 , 42 – 45 , 47 – 53 , 55 – 57 Half of the patients had the posterior gallbladder wall left in situ (904/1,773, 51%). Different techniques were described for dealing with the cystic duct or gallbladder stump.…”

Section: Resultsmentioning

confidence: 99%

“…Thirty studies (1,418 patients) reported on long-term follow-up. 13 – 15 , 17 , 18 , 20 , 24 , 26 – 30 , 32 , 34 – 37 , 40 – 47 , 50 , 51 , 53 , 54 , 56 The median follow-up period was 22 months. Four deaths occurred in the period after thirty days following surgery.…”

Section: Resultsmentioning

confidence: 99%

“…As expected, the risk of bile leak was higher in patients where the gallbladder remnant/cystic duct was left open; It was 15–72% for these patients 16 , 18 , 38 , 44 , 52 , 53 compared with 0–65% for those where the gallbladder remnant/cystic duct was closed. 13 , 14 , 17 , 20 , 22 , 23 , 25 , 26 , 28 , 30 , 32 – 37 , 39 , 40 , 42 , 43 , 45 , 47 , 51 , 55 …”

Section: Discussionmentioning

confidence: 99%

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A systematic review on laparoscopic subtotal cholecystectomy for difficult gallbladders: a lifesaving bailout or an incomplete operation?

Al‐Azzawi

Abouelazayem

Parmar

et al. 2024

annals

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Introduction Laparoscopic subtotal cholecystectomy (LSTC) is a bailout procedure that is undertaken when it is not safe to proceed with a laparoscopic total cholecystectomy owing to dense adhesions in Calot’s triangle. The main aim of this review was to investigate the early (≤30 days) and late (>30 days) morbidity and mortality of LSTC. Methods A literature search of the PubMed ® (MEDLINE ® ), Google Scholar™ and Embase ® databases was conducted to identify all studies on LSTC published between 1985 and December 2020. A systematic review was then performed. Results Overall, 45 studies involving 2,166 subtotal cholecystectomy patients (51% female) were identified for inclusion in the review. The mean patient age was 55 years (standard deviation: 15 years). Just over half (53%) of the patients had an elective procedure. The conversion rate was 6.2% ( n =135). The most common indication was acute cholecystitis (49%). Different techniques were used, with the majority having a closed cystic duct/gallbladder stump (71%). The most common closure technique was intracorporeal suturing (53%), followed by endoloop closure (15%). Four patients (0.18%) died within thirty days of surgery. Morbidity within 30 days included bile duct injury (0.23%), bile leak (18%) and intra-abdominal collection (4%). Reoperation was reported in 23 patients (1.2%), most commonly for unresolving intra-abdominal collections and failed endoscopic retrograde cholangiopancreatography to control bile leak. Long-term follow-up was reported in 30 studies, the median follow-up duration being 22 months. Late morbidity included incisional hernias (6%), symptomatic gallstones (4%) and common bile duct stones (2%), with 2% of cases requiring completion of cholecystectomy. Conclusions LSTC is an acceptable alternative in patients with a “difficult” Calot’s triangle.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review on laparoscopic subtotal cholecystectomy for difficult gallbladders: a lifesaving bailout or an incomplete operation?

Al‐Azzawi

Abouelazayem

Parmar

et al. 2024

annals

View full text Add to dashboard Cite

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Risks associated with subtotal cholecystectomy and the factors influencing them: A systematic review and meta-analysis of 85 studies published between 1985 and 2020

Nzenwa

Mesri

Lunevičius

2021

Surgery

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Review of the Literature on Partial Resections of the Gallbladder, 1898–2022: The Outline of the Conception of Subtotal Cholecystectomy and a Suggestion to Use the Terms ‘Subtotal Open-Tract Cholecystectomy’ and ‘Subtotal Closed-Tract Cholecystectomy’

Lunevičius

2023

JCM

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Current descriptions of the history of subtotal cholecystectomy require more details and accuracy. This study presented a narrative review of the articles on partial resections of the gallbladder published between 1898 and 2022. The Scale for the Assessment of Narrative Review Articles items guided the style and content of this paper. The systematic literature search yielded 165 publications. Of them, 27 were published between 1898 and 1984. The evolution of the partial resections of the gallbladder began in the last decade of the 19th century when Kehr and Mayo performed them. The technique of partial resection of the gallbladder leaving the hepatic wall in situ was well known in the 3rd and 4th decades of the 20th century. In 1931, Estes emphasised the term ‘partial cholecystectomy’. In 1947, Morse and Barb introduced the term ‘subtotal cholecystectomy’. Madding and Farrow popularised it in 1955–1959. Bornman and Terblanche revitalised it in 1985. This term became dominant in 2014. From a subtotal cholecystectomy technical execution perspective, it is either a single-stage (when it includes only the resectional component) or two-stage (when it also entails closure of the remnant of the gallbladder or cystic duct) operation. Recent papers on classifications of partial resections of the gallbladder indicate the extent of gallbladder resection. Subtotal cholecystectomy is an umbrella term for incomplete cholecystectomies. ‘Subtotal open-tract cholecystectomy’ and ‘subtotal closed-tract cholecystectomy’ are terms that characterise the type of completion of subtotal cholecystectomy.

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Laparoscopic subtotal cholecystectomy: a safe approach in difficult cholecystectomy

Cited by 3 publications

References 12 publications

A systematic review on laparoscopic subtotal cholecystectomy for difficult gallbladders: a lifesaving bailout or an incomplete operation?

A systematic review on laparoscopic subtotal cholecystectomy for difficult gallbladders: a lifesaving bailout or an incomplete operation?

Risks associated with subtotal cholecystectomy and the factors influencing them: A systematic review and meta-analysis of 85 studies published between 1985 and 2020

Review of the Literature on Partial Resections of the Gallbladder, 1898–2022: The Outline of the Conception of Subtotal Cholecystectomy and a Suggestion to Use the Terms ‘Subtotal Open-Tract Cholecystectomy’ and ‘Subtotal Closed-Tract Cholecystectomy’

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