1. Laparoscopic Subtotal Cholecystectomy: A Surgical Alternative to Reduce Complications in Complex Cases
- Author
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Wuendys Barrios, Liumariel Vegas, Génesis Jara, Renata Sánchez, Alexis Sánchez, José Rosciano, and Omaira Rodríguez
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Laparoscopic subtotal cholecystectomy ,Young Adult ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,medicine ,Humans ,Complication rate ,Laparoscopy ,Laparoscopic cholecystectomy ,Aged ,Retrospective Studies ,Aged, 80 and over ,medicine.diagnostic_test ,Bile duct ,business.industry ,General surgery ,Biliary fistula ,General Engineering ,Retrospective cohort study ,Middle Aged ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Cholecystectomy, Laparoscopic ,030220 oncology & carcinogenesis ,Invasive surgery ,Female ,030211 gastroenterology & hepatology ,business - Abstract
Introduction Laparoscopic cholecystectomy is a common procedure in general surgery, and in complex cases it is important for the surgeon to know all the alternatives with low associated morbidity. Laparoscopic subtotal cholecystectomy should be considered as an option when a critical view of safety cannot be obtained, because it has a low complication rate and gives the advantages of minimally invasive surgery. Methods Retrospective study of laparoscopic subtotal cholecystectomies in an eight years period. Results A total of 1059 laparoscopic cholecystectomies were performed; 22 were subtotal cholecystectomies, without conversion. Biliary fistula (9%) and intraabdominal collections (4.5%) were the most common complications described. No iatrogenic bile duct injuries or deaths were reported. Our follow-up period was 32 months, no recurrences were reported. Conclusions Laparoscopic subtotal cholecystectomy is a safe and effective procedure. It should be considered as an option in complex cases.
- Published
- 2017
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