Laparoscopic Subtotal Cholecystectomy is a Safe Rescue Procedure: A DGH Experience

Osama Elhardello*, Victor Miu and Cindy Liu

Department of General Surgery, Scarborough General Hospital, UK

^*Correspondance to: Osama Elhardello 

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Abstract:

Introduction: Laparoscopic subtotal cholecystectomy was developed overtime to become an
important rescue procedure in hostile gallbladders. Growing reports are proving its safety and value.
This retrospective review describes our experience of LSC in a busy DGH.
Methods: 33 Patients’ who underwent LSC between 2013 and 2018 were picked from a prospectively
collected database. Patients’ notes and electronic records were used to gather the data.
Results: The indications for SLC are acute inflammation were acute inflammation and dense
adhesions at the Calot’s triangle. 10 patients had their procedures acutely and 23 had their operations
done on an elective basis. The gallbladder remnant was closed on 19 patients and was left open in 10
of them. A bile leak has happened in all of the cases, but only 7 patients needed ERCP to control the
leak. The patients who had ERCP had a longer duration of hospital stay with an average of 12.4 days
compared to those who had no ERCP (4.7). Three patients were readmitted for reasons not directly
related to the procedure. Two patients returned to theatres.
Conclusion: The results of this retrospective review suggest that LSC is safe and associated with
satisfactory long-term outcomes.

Keywords:

Laparoscopic subtotal cholecystectomy (LSC); Gallbladder; Laparoscopic cholecystectomy

Cite the Article:

Elhardello O, Miu V, Liu C. Laparoscopic Subtotal Cholecystectomy is a Safe Rescue Procedure: A DGH Experience. World J Surg Surgical Res. 2020; 3: 1186..