Laparoscopic Subtotal Cholecystectomy

Jani, Kalpesh; Contractor, Samir

doi:10.1007/978-981-16-5473-2_3

Cited by 4 publications

(3 citation statements)

References 43 publications

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“…However, these negative changes can be managed and controlled [ 18 , 19 ]. Complications that the patient may encounter during or after laparoscopic surgery are still a problem faced by the surgeons [ 20 ]. In an attempt to avoid port site consequences, other techniques have been developed in practice, including the open technique devised by Harrith M. Hasson (1974), who described the open method of pneumoperitoneum to eliminate complications associated with the port entry.…”

Section: Discussionmentioning

confidence: 99%

“…In an attempt to avoid port site consequences, other techniques have been developed in practice, including the open technique devised by Harrith M. Hasson (1974), who described the open method of pneumoperitoneum to eliminate complications associated with the port entry. Still, this approach has not gained much acceptance because it has been reported to be time-consuming and associated with a large gas leaks [ 20 - 22 ]. In this study, females had more patients than males, which aligned with most of the previous literature [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

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Port Site Consequences After Laparoscopic Cholecystectomy Using an Open Versus Closed Approach of Pneumoperitoneum

Sultan¹,

Ali²,

Ghareeb³

2022

Cureus

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Introduction: Laparoscopic surgery is the standard method for cholecystectomy, and pneumoperitoneum is performed either in a closed or open technique. However, exposure to the consequences of the port site may increase the patient's morbidity. Therefore, this study was conducted to compare both approaches in terms of complications at the port site of each procedure and potential risk factors.Methods: A prospective study was conducted in the department of surgery, in hospitals affiliated with Kirkuk and Diyala governorates in Iraq, from January 2019 to March 2022. The participating patients (200) were electively divided into two groups, each group comprising 100 patients. The pneumoperitoneum was established in the first group by an open technique (Hasson) while in the second group it was by using a closed technique (Veress needle). A comparison was made between the two techniques for intraoperative and postoperative complications that may have occurred due to port insertion up to 18 weeks.Results: According to the results, the highest percentage was for the following: females (84.0%), ages between 50 and 59 years (43.5%), and body mass index (BMI) range 25-30 kg/m 2 (49.0%). No significant difference was observed between those variables for the two surgical techniques (p-value > 0.05). No death was recorded in the study. Consequences at the port site were observed in 10.5% of patients, the majority reported in the open approach (8.5%) as follows: bleeding (3.0%), hematoma (2.0%), wound infection (1.5%), hernia (1.5%), and vascular injury (0.5%).Conclusions: Thus, we concluded that port site complications are lowest in closed laparoscopic surgery which was not shown to be statistically significant but values showed less complications. Furthermore, samples could be used to gain a good statistical significance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Port Site Consequences After Laparoscopic Cholecystectomy Using an Open Versus Closed Approach of Pneumoperitoneum

Sultan¹,

Ali²,

Ghareeb³

2022

Cureus

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“…The method was first reported as an unplanned modification in 1898 by Kehr, and since 1993, it has also been performed laparoscopically. [ 21 , 22 ] Nowadays, it is well known that, within the increasing laparoscopy experience among surgeons, LSC is being favored against conversion while lowering bile duct injury rates by almost 0% in many studies. [ 8 , 10 , 11 , 22 ] As a reflection of the challenging conditions, SC is performed more frequently in acute cholecystitis.…”

Section: Discussionmentioning

confidence: 99%

Does the subtotal cholecystectomy rate for acute cholecystitis change with previous endoscopic retrograde cholangiopancreatography?

Kesgin

2023

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:Acute cholecystitis is one of the most common emergent surgeries. As a safe alternative in challenging operations, laparoscopic subtotal cholecystectomy (LSC) is widely used. We questioned whether the results in acute cholecystitis cases changed with a history of endoscopic retrograde cholangiopancreatography (ERCP). When we searched the literature, we could not find a study focusing on the subtotal cholestectomy results in acute cholecystitis. In our study, we aimed to investigate whether the history of ERCP affects the rates of subtotal cholecystectomy (SC) in acute cholecystitis. METHODS:The results of patients (n=470) who underwent surgery for acute cholecystitis at our clinic between 2016 and 2019 were retrospectively evaluated. The patients were divided into two groups according to their history of ERCP. The primary outcome was the SC rate. The secondary outcomes were conversion to open, postoperative complications, serious complications, operative duration, and length of hospital stay. RESULTS:The standard group included 437 patients, whereas the ERCP group included 33 patients. A total of 16 patients underwent SC, with 15 in the standard group and 1 in the ERCP group. There was no significant difference in terms of SC rates between groups (P=0.902). While four cases of operation were completed with conversion to open in the non-ERCP group, no conversion was seen in the ERCP group (P=0.581). No significant differences were detected between the groups in terms of complications, serious complications, operation duration, length of hospital stay, and mortality. CONCLUSION:The results of this study showed that ERCP is not related to an increased rate of SC and conversion in patients with acute cholecystitis. Laparoscopic cholecystectomy for acute cholecystitis can be safely performed in patients with a history of ERCP. LSC is a safe procedure in challenging patients, and fenestrating SC can be preferred to avoid hazardous consequences in such cases.

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Subtotal laparoscopic cholecystectomy versus open total cholecystectomy for the difficult gallbladder: A systematic review and meta-analysis

Aloraini,

Alanezi,

AlShahwan

2024

Current Problems in Surgery

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Laparoscopic Subtotal Cholecystectomy

Cited by 4 publications

References 43 publications

Port Site Consequences After Laparoscopic Cholecystectomy Using an Open Versus Closed Approach of Pneumoperitoneum

Port Site Consequences After Laparoscopic Cholecystectomy Using an Open Versus Closed Approach of Pneumoperitoneum

Does the subtotal cholecystectomy rate for acute cholecystitis change with previous endoscopic retrograde cholangiopancreatography?

Subtotal laparoscopic cholecystectomy versus open total cholecystectomy for the difficult gallbladder: A systematic review and meta-analysis

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