Laparoscopic Sub Total Cholecystectomy- Our Experience

Abstract

Introduction

Laparoscopic cholecystectomy (LC) is considered as a standard procedure for cholelithiasis. But when the anatomy of triangle of Calot is distorted by acute or chronic inflammation, Open Subtotal Cholecystectomy without cystic duct ligation is the choice of surgery.  Increasing experience in laparoscopic surgery has made laparoscopic Subtotal cholecystectomy (LSTC) as a safer feasible alternative.  In the recent years, a few studies have shown good results with LSTC.

Materials and methods

In the present study 590 laparoscopic cholecystectomies performed in Railway Hospital, Secunderabad were analysed

Results

Out of the total 590 cases, 125 were difficult gall bladder surgeries. Subtotal cholecystectomy was performed in 25 cases, out of which 23 were completed laparoscopically. Three patients had residual calculi which were managed by ERCP and two patients had cholangitis which was treated with antibiotics. There was no mortality and minimum morbidity amongst the patients.

Conclusion

Laparoscopic Sub total cholecystectomy is a safe, relatively simple and definitive procedure allowing removal of a difficult gallbladder and reducing the need for open conversion or cholecystostomy in the majority of patients.