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[Laparoscopic subtotal cholecystectomy for severe cholecystitis].
A P Ukhanov1,2, D V Zakharov1,2
1Veliky Novgorod City Central Clinical Hospital, Veliky Novgorod, Russia.
Khirurgiia
|July 1, 2025
Summary
Laparoscopic subtotal cholecystectomy is a viable option for complicated gallstone gallbladder disease. This review examines its safety, feasibility, and outcomes in various studies.
Area of Science:
- Surgical Gastroenterology
- Minimally Invasive Surgery
- Biliary Tract Diseases
Background:
- Complicated calculous cholecystitis presents significant surgical challenges.
- Traditional cholecystectomy may be difficult in severe inflammation or anatomical distortion.
Purpose of the Study:
- To review the role of laparoscopic subtotal cholecystectomy (LSC) in managing complicated gallstone gallbladder disease.
- To assess the safety, feasibility, indications, techniques, and outcomes of LSC.
Main Methods:
- Systematic review of existing literature.
- Analysis of prospective and retrospective studies on LSC.
- Evaluation of reported incidence, safety, feasibility, and results.
Main Results:
- Laparoscopic subtotal cholecystectomy demonstrates acceptable safety and feasibility.
- Specific indications and technical variations for LSC were identified.
- Outcomes reported in the analyzed studies were assessed.
Conclusions:
- Laparoscopic subtotal cholecystectomy is a valuable alternative for complicated gallstone gallbladder disease.
- Further research may refine indications and standardize techniques for LSC.

