Laparoscopic subtotal cholecystectomy for difficult gallbladder management: A single-center study

In cases of severe inflammation, fibrosis, or distorted anatomy, achieving a "Critical View of Safety" during laparoscopic cholecystectomy is often impossible, which significantly increases the risk of catastrophic bile duct injury. The laparoscopic subtotal cholecystectomy is a very important bailout operation in that complete cholecystectomy cannot be performed in a challenging injury of the gallbladder due to extreme inflammation or the absence of anatomy. This retrospective BMHRC Bhopal (January 2024-January 2025) retrospective study looked at 55 patients with a combination of indications, such as chronic calculouscholecystitis, Mirizzi syndrome, gallbladder perforation and post-ERCP situation, with a mean of 78.5 ± 24.3 minutes of operative time, 4.2 ± 2.8 days of hospital stay and a complication rate of 12 per cent, 2 per cent Modified laparoscopic subtotal cholecystectomy is a safe and effective compromised surgical procedure where avoidance of great bile duct injury is a priority and where operative variables, postoperative complications and minimized final outcome are satisfactory with 8.7 ± 3.2 months at the mean follow-up.