Subtotal cholecystectomy is a method of removing most of the gallbladder instead of whole of the gallbladder in case of a difficult gallbladder. The term “subtotal cholecystectomy” was introduced by Morse and Barb. Subtotal cholecystectomy is a bailout procedure undertaken in situations where the anatomical structures are not easy to identify making total cholecystectomy difficult and risky. We have done twelve cases from June 2019 to June 2024, while performing laparoscopic cholecystectomy as we could not continue, due to risk of injury and complications. Post-operatively there were some cases of mild bile leak, but no serious complications. All cases belong to Nassar scale grade 3 and 4. Here we are describing how and when subtotal cholecystectomy should be done.
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Nigam et al. (2024) studied this question.
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