Abandoned Cholecystectomy: A Single-Center Retrospective Cross-Sectional Cohort Study, 2013-2024

Area of Science:

• Gastroenterology
• Surgical Innovation
• Biliary Surgery

Background:

• Abandoned cholecystectomy (AbC) is an infrequently studied bailout procedure in gallbladder surgery.
• Understanding its utilization and outcomes is crucial for improving patient care.

Purpose of the Study:

• To estimate the annual utilization rates of AbC.
• To provide AbC-specific clinical outcome data.
• To discuss AbC-related themes in a broader surgical context.

Main Methods:

• Retrospective cross-sectional study at a university hospital (2013-2023).
• Exploratory data analysis of patient demographics and outcomes.
• Final follow-up conducted on January 31, 2024.

Main Results:

• Mean AbC rate was 1% in elective surgery; 37 patients underwent AbC (mean age 62.5).
• Chronic pericholecystic inflammatory mass was the most common indication (59.5%).
• 30-day outcomes included prolonged hospital stay, 18.9% readmission, 13.5% reoperation, and 5.4% iatrogenic injury; long-term complications included acute biliopancreatic events.

Conclusions:

• Abandoned cholecystectomy is largely preventable.
• Adherence to acute calculous cholecystitis management guidelines is essential.
• Early decisions regarding surgical approach are key to avoiding AbC and its associated burdens.