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Surgical Endoscopy

Published in:

01-02-2016

Laparoscopic subtotal cholecystectomy for severe cholecystitis

Authors: Yuji Shingu, Shunichiro Komatsu, Shinji Norimizu, Yoshiro Taguchi, Eiji Sakamoto

Published in: Surgical Endoscopy | Issue 2/2016

Abstract

Background

The concept of laparoscopic subtotal cholecystectomy (LSC), without approaching Calot’s triangle to avoid both laparotomy and serious complications, is not widely accepted. In this study, we evaluated the outcomes of LSC for severe cholecystitis when dissection of the cystic duct and cystic artery is hazardous.

Methods

From January 2004 to December 2013, 110 consecutive patients who underwent LSC without ligation of the cystic duct and vessels were enrolled in this retrospective study. Their clinical records, including operative records and outcomes, had been entered into a prospectively maintained database and were analyzed.

Results

The mean operating time and blood loss were 121 min and 33.8 ml, respectively. All LSCs were completed without conversion to an open procedure. No injuries to the bile duct or vessels were experienced. Postoperative complications occurred in ten (9.1 %) patients, including subhepatic hematoma in 3, bile leakage in 3, and subhepatic abscess in 1. Patients recovered from complications without requiring re-operation. During follow-up periods (mean 30.7 months), symptomatic biliary stone diseases relapsed in three patients (2.7 %) and were successfully treated by endoscopic management.

Conclusions

LSC without an attempt to dissect Calot’s triangle is a safe and feasible procedure that can avoid conversion to laparotomy.

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Title: Laparoscopic subtotal cholecystectomy for severe cholecystitis
Authors: Yuji Shingu
Shunichiro Komatsu
Shinji Norimizu
Yoshiro Taguchi
Eiji Sakamoto
Publication date: 01-02-2016
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 2/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-015-4235-5

At a glance: The STEP trials

Springer Medicine

Laparoscopic subtotal cholecystectomy for severe cholecystitis

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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