Abstract

Laparoscopic subtotal cholecystectomy for complicated gall bladder surgeries: Experience at our setup

Author(s):Prashant K. Dhannur, Krishna Prasad and Gaurav Prasad

Laparoscopic Cholecystectomy is one of the common surgical procedures performed. But complicated gall bladder pathologies like chronically inflamed GB, Gangrenous GB, Empyema GB can make dissection around the Calot’s triangle difficult with high risk of injury to CBD and hepatic artery or its branches. Thus, subtotal cholecystectomy can be considered as a safe alternative in the management of patients with complicated GB where the degree of inflammation precludes safe visualization of the biliary structures. To assess the safety and efficacy of laparoscopic subtotal cholecystectomy for complicated gallbladder in our institution. It is a retrospective study. All the patients who underwent laparoscopic subtotal cholecystectomies by the same surgeon from January 2014 to November 2014 in our institution, was included in the study. Surgeon’s experience of laparoscopic subtotal cholecystectomies, its safety and efficacy, associated surgical difficulties, and post-operative complications was studied. Laparoscopic subtotal cholecystectomy is a safe, effective and an alternative procedure for complicated gallbladder surgeries

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