Long-term outcomes after subtotal reconstituting cholecystectomy: A retrospective case series - 05/09/20
, Alexander Trenk, M.D., Woody Denham, M.D., John G. Linn, M.D., Stephen Haggerty, M.D., Ray Joehl, M.D., Michael B. Ujiki, M.D.Abstract |
Background |
Subtotal cholecystectomy, where the gallbladder infundibulum is transected to avoid dissecting within the triangle of Calot, has been suggested to conclude laparoscopic cholecystectomy while avoiding common bile duct injury. However, some reports suggest the possibility of recurrent symptoms from a remnant gallbladder.
Methods |
A retrospective database containing 900 randomly selected cholecystectomies occurring between 2009 and 2015 was reviewed for instances of subtotal cholecystectomy. All documentation for these patients was reviewed through 01/2018.
Results |
Six patients who underwent subtotal cholecystectomy were identified. All six returned for care within our institution, with a median 76 months of follow-up. No patient had signs or symptoms indicating recurrent cholelithiasis or cholecystitis.
Conclusions |
This series represents six cases of subtotal reconstituting cholecystectomy with no recurrent gallbladder symptoms on long-term follow-up. This may encourage surgeons who feel that subtotal reconstituting cholecystectomy is the safest way to proceed with cholecystectomy in the setting of severe inflammation.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Subtotal cholecystectomy avoids CBD injury during laparoscopic cholecystectomy. |
• | Subtotal cholecystectomy may be fenestrating or reconstituting. |
• | Subtotal reconstituting cholecystectomy (SRC) may increase risk for recurrent symptoms. |
• | Six patients underwent SRC and had no recurrent long-term gallbladder symptoms. |
Keywords : Laparoscopic cholecystectomy, Subtotal cholecystectomy, Acute cholecystitis, Choledocholithiasis, Complications
Plan
Vol 220 - N° 3
P. 736-740 - septembre 2020 Retour au numéro
Article précédent
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