Clinical outcome of subtotal cholecystectomy for difficult gallbladder

Experience of GIT and hepatology teaching hospital, medical city, Baghdad, Iraq

https://doi.org/10.53730/ijhs.v6nS2.6057

Authors

  • Adil Munshid Abed Al_Arkee M.B.CH.B, CABMS, FICMS (GIT-HBP), Salahaldin Health Directorate, Tikreet Teaching Hospital, Iraq
  • Firas Kamel Maseer Al-Azawii M.B.CH.B, F.I.C.M.S, Ba'aqubq teaching hospital, Diayla-Iraq
  • Mohammed Shakir Motib M.B.CH.B,F.I.C.M.S, Ba'aqupa teaching hospital, Daiyla, Iraq

Keywords:

indication, complication, total gallblaber surgery, difficult procedure

Abstract

When the Calot triangle structures cannot be found and a critical evaluation of patient safety cannot be achieved, surgeons perform a subtotal cholecystectomy (SC). objective Evaluation and analysis of the outcomes of subtotal cholecystectomy at the GIT and Hepatology teaching Hospital is to be conducted. Retrospective analysis of patient data and research methodologies thirteen hundred and eighty onsecutive cholecystectomy patients at GIT & Hepatology Hospital (Oct.2017 to Apr.2020). 53 of the 1380 people investigated underwent a partial cholecystectomy. Routine laparoscopic or open cholecystectomy patients (13.27) could not be included in the study. An individual patient's medical history is mined for information on their preoperative features. Results 53 individuals had subtotal cholecystectomy, with 29 males (55.7%) and 24 women (24.8%) both undergoing the procedure (45.2 percent ). Patients in the research, who ranged in age from 20 to 69, had an average age of 43.5 years. The bulk of the 45 patients (87.2%) had elective surgery, whereas only 8 (15%) had emergency surgery. There were 33 cases of laparoscopic subtotal cholecystectomy and only 20 cases of open subtotal cholecystectomy in this study (6 patients had conversion subtotal cholecystectomy).

Downloads

Download data is not yet available.

References

De Ut. Evolution of cholecystectomy: A tribute to Carl August Langenbuch.

Indian J Surg 2003; 66:97-100. DOI: https://doi.org/10.1177/108056990306600113

Mouret P. Celioscopic surgery. Evolution or revolution?; Chirurgie 1990;

:829-33.

Manson J. Bile duct injury in the era of laparoscopic cholecystectomy. Br J

Surg. 2006; 93:158-68. DOI: https://doi.org/10.1002/bjs.5266

Philips JA, Laws DA, Cook AJ et al. The use of laparoscopic subtotal

cholecystectomy for complicated cholelithiasis. Surg Endosc. 2008; 22:1697- DOI: https://doi.org/10.1007/s00464-007-9699-5

Avgerinos C, Kelgiorgi D, Touloumis Z, Baltatzi L, Dervenis C. One thousand

laparoscopic cholecystectomies in a single surgical unit using the „„critical view

of safety‟‟ technique. J Gastrointest Surg. 2009; 13:498–503. DOI: https://doi.org/10.1111/j.1835-9310.1983.tb00723.x

Sanjay P, Fulke J, Exon D. „Critical view of safety‟ as an alternative to routine

intraoperative cholangiography during laparoscopic cholecystectomy for acute

biliary pathology. J Gastrointest Surg. 2010; 14:1280–4. DOI: https://doi.org/10.1007/s11605-010-1251-6

Strasberg SM. Avoidance of biliary injury during laparoscopic

cholecystectomy. J Hepatobiliary Pancreat Surg. 2002; 9:543–7.

Strasberg SM. A teaching program for the "culture of safety in

cholecystectomy" and avoidance of bile duct injury. J Am Coll Surg 2013; 217:

[PMID: 23707046 DOI: 10.1016/j.jamcollsurg.2013.05.001. DOI: https://doi.org/10.1016/j.jamcollsurg.2013.05.001

Wakabayashi G, Iwashita Y, Hibi T, Takada T, Strasberg SM et al. Tokyo

Guidelines 2018: surgical management of acute cholecystitis , Hepatobiliary

and Pancreat Sci 2018; 25: 73-86.

Iwashita Y, Hibi T, Ohyama T, Umezawa A, Takada T, Strasberg SM, et al

Delphi consensus on bile duct injuries during laparoscopic cholecystectomy J

Hepatobiliary Pancreat Sci 2017; 24: 591-602.

Conrad C, Wakabayashi G, Asbun HJ, Dallemagne B, Demartines N et al,

IRCAD recommendation on safe laparoscopic cholecystectomy. J Hepatobiliary

Pancreat Sci 2017; 24: 603-615.

Santos BF, Brunt LM, Pucci MJ. The Difficult Gallbladder: A Safe Approach to

a Dangerous Problem. J Laparoendosc Adv Surg Tech A 2017; 27: 571-578. DOI: https://doi.org/10.1089/lap.2017.0038

LeeJ,MillerP,KermaniR,DaoH,O‟DonnellK. Gallbladder damage

control:compromised procedure for compromised patients.Surg Endosc.

;26(10):2779-2783.

AndersonJE,ChangDC,TalaminiMA. A nationwide examination of outcomes

of percutaneouscholecystostomy compared with cholecystectomy for acute

cholecystitis,1998-2010.Surg Endosc.2013;27(9):3406-3411. DOI: https://doi.org/10.1007/s00464-013-2924-5

MartinIG, Dexter SP , Marton J , et al .Fundus-first laparoscopic

cholecystectomy. Surg Endosc.1995;9(2):203-206.

Mahmud S, Masaud M, Canna K, Nassar AH. Fundus first laparoscopic

cholecystectomy.Surg Endosc.2002;16(4):581-584. DOI: https://doi.org/10.1007/s00464-001-9094-6

Henneman D, da Costa DW, Vrouenraets BC, van Wagensveld BA, Lagarde

SM Laparoscopic partial cholecystectomy for the difficult gallbladder: a

systematic review. Surg Endosc. 2013;27(2):351-358

Bornman PC, Terblanche J Subtotal cholecystectomy: for the difficult

gallbladder in portal hypertension and cholecystitis. Surgery (1985) 98:1–6.

Bickel A, Shtamler B (1993) Laparoscopic subtotal cholecystectomy. J DOI: https://doi.org/10.1089/lps.1993.3.365

Laparoendosc Surg 3:365–367.

M. Elshaer, G. Gravante, K. Thomas, R. Sorge, S. Al-Hamali, H. Ebdewi,

Subtotal cholecystectomy for difficult gallbladders: systematic review and

meta-analysis, JAMA Surg. (2015) 150 (2) 159–168. DOI: https://doi.org/10.1001/jamasurg.2014.1219

D. Henneman, D.W. da Costa, B.C. Vrouenraets, B.A. van Wagensveld,

S.M.Lagarde, Laparoscopic partial cholecystectomy for the difficult

gallbladder: a systematic review, Surg. Endosc. 27 (2) (2013) 351–358.

Steven M Strasberg, Michael J Pucci, MD,et al: Subtotal Cholecystectomy

“Fenestrating” vs “Reconstituting” AJS. (2015), 44 -1-8.

Cottier DK, McKay C, Anderson JR. Subtotal cholecystectomy. Br J Surg.

;78:1326-8.

Wolf AS, Nijsse BA, Sokal SM, Chang Y, Berger DL. Surgical outcomes of

open cholecystectomy in the laparo-scopic era. Am J Surg. 2009; 197:781-4. DOI: https://doi.org/10.1016/j.amjsurg.2008.05.010

Minho Shin, Namkyu Choi, Youngsun Yoo,et al. Clinical outcomes of subtotal

cholecystectomy performed for difficult cholecystectomy: Ann Surg Treat Res.

Nov; 91(5): 226–232.

Fatih Kulen, Deniz Tihan, Uğur Duman, Laparoscopic partial cholecystectomy:

A safe and effective alternative surgical technique in "difficult

cholecystectomies: Ulus Cerrahi Derg. 2016; 32(3): 185–190

Henneman D, da Costa DW, Vrouenraets BC, van Wagensveld BA, Lagarde

SM. Laparoscopic partial cholecystectomy for the difficult gallbladder: a

systematic review. Surg Endosc 2013 Feb;27(2):351– 8. DOI: https://doi.org/10.1007/s00464-012-2458-2

Singhal T, Balakrishnan S, Hussain A, Nicholls J, Grandy-Smith S, El-Hasani

S. Laparoscopic subtotal cholecystectomy: initial experience with laparoscopic

management of difficult cholecystitis. Surgeon 2009 Oct;7(5):263–8. DOI: https://doi.org/10.1016/S1479-666X(09)80002-4

Ji W, Li LT, Li JS. Role of laparoscopic subtotal cholecystectomy in the

treatment of complicated cholecystitis. Hepatobiliary Pancreat Dis Int 2006

Nov;5(4):584–9.

Michalowski K, Bornman PC, Krige JE, Gallagher PJ, Terblanche J.

Laparoscopic subtotal cholecystectomy in patients with complicated acute

cholecystitis or fibrosis. Br J Surg 1998 Jul;85(7):904–6. DOI: https://doi.org/10.1046/j.1365-2168.1998.00749.x

Mohamed Elshaer, MD; Gianpiero Gravante, MD, PhD; Katie Thomas, MD,

PhD: et al. Subtotal Cholecystectomy for “Difficult Gallbladders”

Systematic Review and Meta-analysis of Outcomes According

to Techniques Available. JAMA Surg. 2014 December

Hamdy Sedky Abdallah. Laparoscopic Subtotal Cholecystectomy for Difficult Acute Calculous Cholecystitis. 2017 Journal of Surgery. Vol. 5, No. 6, pp. 111-117. DOI: https://doi.org/10.11648/j.js.20170506.15

Peter Daechul Yoon, Tony Pang, Mehan Siriwardhane. Laparoscopic partial

cholecystectomy: A way of getting out of trouble, Int J Hepatobiliary Pancreat

Dis 2016;6:68–75 .

Published

15-04-2022

How to Cite

Al_Arkee, A. M. A., Al-Azawii, F. K. M., & Motib, M. S. (2022). Clinical outcome of subtotal cholecystectomy for difficult gallbladder: Experience of GIT and hepatology teaching hospital, medical city, Baghdad, Iraq. International Journal of Health Sciences, 6(S2), 4464–4475. https://doi.org/10.53730/ijhs.v6nS2.6057

Issue

Section

Peer Review Articles