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State of the art in subtotal cholecystectomy: An overview

INTRODUCTION: Subtotal cholecystectomy is a type of surgical bail-out procedure indicated when facing difficult laparoscopic cholecystectomy due to not reaching the critical view of safety, inadequate identification of the anatomical structures involved and/or risk of injury. MATERIALS AND METHODS:...

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Autores principales: Ramírez-Giraldo, Camilo, Torres-Cuellar, Andrés, Van-Londoño, Isabella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10162495/
https://www.ncbi.nlm.nih.gov/pubmed/37151864
http://dx.doi.org/10.3389/fsurg.2023.1142579
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author Ramírez-Giraldo, Camilo
Torres-Cuellar, Andrés
Van-Londoño, Isabella
author_facet Ramírez-Giraldo, Camilo
Torres-Cuellar, Andrés
Van-Londoño, Isabella
author_sort Ramírez-Giraldo, Camilo
collection PubMed
description INTRODUCTION: Subtotal cholecystectomy is a type of surgical bail-out procedure indicated when facing difficult laparoscopic cholecystectomy due to not reaching the critical view of safety, inadequate identification of the anatomical structures involved and/or risk of injury. MATERIALS AND METHODS: A comprehensive search on PubMed were performed using the following Mesh terms: Subtotal cholecystectomy and Partial cholecystectomy. The PubMed databases were used to search for English-language reports related to Subtotal cholecystectomy between January 1, 1987, the date of the first published laparoscopic cholecystectomy, through January 2023. 41 studies were included. RESULTS: Subtotal cholecystectomy's incidence oscillates between 4.00% and 9.38%. Strasberg et al., divided subtotal cholecystectomies in “fenestrating” and “reconstituting” types based on if the remaining portion of the gallbladder was left open or closed. Subtotal cholecystectomy can sometimes be a challenging procedure and is associated to a high rate of complications such as biliary fistula, retained gallstones, subhepatic or subphrenic collections, among others. CONSLUSION: Subtotal cholecystectomy is a safe alternative when facing difficult cholecystectomy in which the critical view of safety is not reached in order to avoid complications. A classification system should be implemented in surgical descriptions to compare the different surgical techniques employed. In order to avoid bile leakage and cholecystitis of the remnant gallbladder, the surgical technique must be performed skillfully. There is still a current lack of information on alternative techniques such as omental plugging or falciform patch in order to judge their utility. There needs to be further research on long-term complications such as malignancy of the remnant gallbladder.
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spelling pubmed-101624952023-05-06 State of the art in subtotal cholecystectomy: An overview Ramírez-Giraldo, Camilo Torres-Cuellar, Andrés Van-Londoño, Isabella Front Surg Surgery INTRODUCTION: Subtotal cholecystectomy is a type of surgical bail-out procedure indicated when facing difficult laparoscopic cholecystectomy due to not reaching the critical view of safety, inadequate identification of the anatomical structures involved and/or risk of injury. MATERIALS AND METHODS: A comprehensive search on PubMed were performed using the following Mesh terms: Subtotal cholecystectomy and Partial cholecystectomy. The PubMed databases were used to search for English-language reports related to Subtotal cholecystectomy between January 1, 1987, the date of the first published laparoscopic cholecystectomy, through January 2023. 41 studies were included. RESULTS: Subtotal cholecystectomy's incidence oscillates between 4.00% and 9.38%. Strasberg et al., divided subtotal cholecystectomies in “fenestrating” and “reconstituting” types based on if the remaining portion of the gallbladder was left open or closed. Subtotal cholecystectomy can sometimes be a challenging procedure and is associated to a high rate of complications such as biliary fistula, retained gallstones, subhepatic or subphrenic collections, among others. CONSLUSION: Subtotal cholecystectomy is a safe alternative when facing difficult cholecystectomy in which the critical view of safety is not reached in order to avoid complications. A classification system should be implemented in surgical descriptions to compare the different surgical techniques employed. In order to avoid bile leakage and cholecystitis of the remnant gallbladder, the surgical technique must be performed skillfully. There is still a current lack of information on alternative techniques such as omental plugging or falciform patch in order to judge their utility. There needs to be further research on long-term complications such as malignancy of the remnant gallbladder. Frontiers Media S.A. 2023-04-21 /pmc/articles/PMC10162495/ /pubmed/37151864 http://dx.doi.org/10.3389/fsurg.2023.1142579 Text en © 2023 Ramírez-Giraldo, Torres-Cuellar and Van-Londoño. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Ramírez-Giraldo, Camilo
Torres-Cuellar, Andrés
Van-Londoño, Isabella
State of the art in subtotal cholecystectomy: An overview
title State of the art in subtotal cholecystectomy: An overview
title_full State of the art in subtotal cholecystectomy: An overview
title_fullStr State of the art in subtotal cholecystectomy: An overview
title_full_unstemmed State of the art in subtotal cholecystectomy: An overview
title_short State of the art in subtotal cholecystectomy: An overview
title_sort state of the art in subtotal cholecystectomy: an overview
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10162495/
https://www.ncbi.nlm.nih.gov/pubmed/37151864
http://dx.doi.org/10.3389/fsurg.2023.1142579
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