Laparoscopic Subtotal Cholecystectomy

Publication Date

1-1-2022

Document Type

Article

Publication Title

Mastering Endo Laparoscopic and Thoracoscopic Surgery Elsa Manual

Abstract

Severely inflamed gallbladders due to acute or chronic infections are challenging to operate on laparoscopically. This is due to the difficulty of adequate ductal identification using the critical view of safety (CVS), which increases the risk of bile duct injury. The safer method would be to avoid dissection in the hepatocystic triangle and perform a subtotal laparoscopic cholecystectomy. The two types of subtotal cholecystectomy, based on the remaining remnant gallbladder would be fenestrating (no remnant) and reconstituting (remnant present) [1].

First Page

115

Last Page

118

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