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Revista Colombiana de Cirugía
versão impressa ISSN 2011-7582versão On-line ISSN 2619-6107
Resumo
SIERRA, Sebastián et al. Subtotal cholecystectomy: an alternative in the management of difficult cholecystectomy. rev. colomb. cir. [online]. 2020, vol.35, n.4, pp.593-600. Epub 14-Fev-2021. ISSN 2011-7582. https://doi.org/10.30944/20117582.565.
Introduction.
About 10% of laparoscopics are converted to open surgery due to difficulties in obtaining critical vision during cholecystectomy in severe cholecystitis. Subtotal cholecystectomy is an available therapeutic possibility, which decreases the conversion rate in laparoscopic surgery and maintains low morbidity and mortality rates.
Methods.
Descriptive, retrospective study of patients who underwent subtotal cholecystectomy between January and December 2015. Demographic variables, details of surgery, morbidity and mortality were identified.
Results.
Of a total of yio cholecystectomies in that period, 17 (2.4%) underwent subtotal cholecystectomy. Fifteen (88%) of them were by laparoscopy and two required conversion. The gender distribution was similar (10 women/7 men) and the average age was 51 years. The average surgical time was 119 minutes. Subhepatic drainage was left in 14 (82%) patients. Two patients had a biliary fistula and one patient was readmitted for a hematoma; there were no other complications. The average hospital stay was 5.2 days.
Discussion.
Subtotal cholecystectomy is an alternative in patients with difficult cholecystectomy and in our experience, it has a high success rate.
Palavras-chave : acute cholecystitis; cholecystectomy, laparoscopic; complications; conversion to open surgery.