Subtotal Cholecystectomy for Difficult Gall Bladder Due to Chronic Cholecystitis

Tribhuvan University Teaching Hospital, Institute Of Medicine.

Status: Completed

Conditions: Gallstone

Treatments: Procedure: cholecystectomy

Study type: Observational

Funder types: Other

Identifiers

NCT06969144

416(6-11)E2,081/82

Details and patient eligibility

About

Subtotal cholecystectomy (STC) is a valuable technique when severe inflammation, fibrosis, or anatomical variations obscure the critical view of safety essential for identifying the cystic duct and artery. It helps reduce the risk of bile duct injuries and other complications that arise during a total cholecystectomy (TC) when these structures are not visible. This study evaluates the safety and outcomes of subtotal cholecystectomy in chronic cholecystitis.

Full description

A retrospective analysis was conducted in all patients who underwent a cholecystectomy between May 2021 and November 2024. Indications, complications, and perioperative outcomes of STC were compared with those of standard TC.

The investigators concluded STC is an important bailout procedure in a difficult laparoscopic cholecystectomy associated with higher early postoperative complications but lower bile duct injury.

Enrollment: 1,149 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of cholelithiasis planned for laparoscopic cholecystectomy
• Clinical diagnosis of gallbladder polyp planned for laparoscopic cholecystectomy

Exclusion criteria

• Gall bladder malignancy
• Cholelithiasis and gallbladder polyp cases managed non-operatively
• additional procedures along with cholecystectomy like bile duct exploration, bile duct excision for choledochal cyst.