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Subtotal cholecystectomy

C Katsohis1, J Prousalidis, E Tzardinoglou

  • 1Department of Medicine, Aristotles University of Thessaloniki AHEPA Hospital, Greece.

HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery
|January 1, 1996
PubMed
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Subtotal cholecystectomy offers a safe alternative for complex gallbladder removal cases. This procedure, performed on 34 patients, showed minimal complications and is less burdensome than standard operations.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery

Background:

  • Subtotal cholecystectomy is an alternative to total cholecystectomy.
  • Indications include severe inflammation, fibrosis, or Mirizzi syndrome type 1.

Purpose of the Study:

  • To evaluate the safety and efficacy of subtotal cholecystectomy.
  • To compare outcomes with standard cholecystectomy and cholecystostomy.

Main Methods:

  • Retrospective review of 34 subtotal cholecystectomies performed between 1972 and 1992.
  • Comparison with 1620 total cholecystectomies during the same period.

Main Results:

  • Low morbidity with one mortality due to sepsis.
  • One case of retained stones in the common bile duct out of 33 patients with follow-up.

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  • Fewer complications compared to cholecystostomy.

    • Conclusions:

    • Subtotal cholecystectomy is a safe, feasible, and definitive option for high-risk patients.
    • It presents a less burdensome alternative with fewer complications than standard procedures.