Subtotal cholecystectomy.
Subtotal cholecystectomy has been carried out on 11 patients during a 5-year period, constituting 3.8 per cent of cholecystectomies performed during this time. The indications were severe inflammation/fibrosis in six patients, portal hypertension in three and the Mirizzi syndrome in two patients. There were no deaths and only minor in-hospital morbidity. One patient developed a common bile duct stone 21 months after the operation. None of the remaining patients has to date developed postcholecystectomy sequelae (mean follow-up period 29 (range 1-62) months). Subtotal cholecystectomy is a safe, straightforward and definitive operation in patients for whom standard cholecystectomy could be dangerous, and is a more attractive proposition than cholecystostomy.
Cottier
D J
DJ
University Department of Surgery, Royal Infirmary, Glasgow, UK.
McKay
C
C
Anderson
J R
JR
D000208:Acute Disease; D000328:Adult; D000368:Aged; D002763:Cholecystectomy / Q000379:methods*; D002764:Cholecystitis / Q000150:complications / Q000601:surgery*; D002779:Cholestasis / Q000601:surgery*; D002908:Chronic Disease; D000075202:Contraindications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008297:Male; D008875:Middle Aged