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ISSN 1665-2576 (Print)

2016, Number 3

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Rev Mex Cir Endoscop 2016; 17 (3)

The role of laparoscopic subtotal cholecystectomy in complicated acute cholecystitis

Alcocer TRJ, Tort MA, Olvera HH, Ugalde VF, Hernández ZJI

Language: Spanish
References: 19
Page: 146-150
PDF size: 236.65 Kb.


ABSTRACT

Background: Traditional subtotal cholecystectomy not only prevents the common bile duct injury in difficult cholecystectomies but also suppresses the event of acute cholecystitis. This procedure has been proposed to solve complicated cholecystitis events. Our goals are to evaluate the results of laparoscopic subtotal cholecystectomy in patients with complicated cholecystitis and also propose subtotal laparoscopic cholecystectomy as a safe surgical procedure. Material and methods: 30 laparoscopic subtotal cholecystectomies in complicated cholecystitis were reviewed. Conversion rate to open surgery, pre and postoperative hospital stay, complications, sex, age, mortality, re operation including early and late recurrence were analyzed. Results: Age average was 61.2 years, 15 females and 15 males. Preoperative hospital stay was 2.2 days. Subtotal cholecystectomy was performed in all 30 patients, laparoscopic approach in 76.6% of cases (n = 23); 7 cases were converted to open approach. Postoperative hospital stay in patients with laparoscopic subtotal cholecystectomy was 3.5 days. During the follow up; no cholecystitis recurrences were reported. One death was reported due to septic shock. No early or late re operations in this group of patient were required. Conclusions: Laparoscopic subtotal cholecystectomy adds safety for those patients with complicated cholecystitis not only preventing bile duct injury but also providing acute cholecystitis remission. In our series, laparoscopic subtotal cholecystectomy has advantages over open surgery mainly by reducing the days of postoperative hospital stay and the complications that this implies.


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