Background: Subtotal cholecystectomy is reserved as a bailout surgery when the critical view of safety cannot be achieved in cases of severe cholecystitis to avoid operating in hazardous conditions. and to reduce iatrogenic injury to the bile duct and major vessels. Objective: To conduct a systematic literature review to evaluate current studies and present an evidence-based assessment of the outcomes for the techniques available for subtotal cholecystectomy in cases of the difficult gallbladder. Methods: A systematic literature review of the PubMed, EMBASE and Cochrane databases was conducted up to April 2021, for studies reporting on subtotal cholecystectomy in cases of severe cholecystitis. The following outcomes of subtotal cholecystectomy were investigated: conversion rate, hospital length of stay (LOS), bile duct injury, bile leak, symptomatic gallstones in the remnant gallbladder, need for reoperation, postoperative endoscopic retrograde cholangiopancreaticography (ERCP), percutaneous intervention, and mortality.
Background: Subtotal cholecystectomy is reserved as a bailout surgery when the critical view of safety cannot be achieved in cases of severe cholecystitis to avoid operating in hazardous conditions. and to reduce iatrogenic injury to the bile duct and major vessels. Objective: To conduct a systematic literature review to evaluate current studies and present an evidence-based assessment of the outcomes for the techniques available for subtotal cholecystectomy in cases of the difficult gallbladder. Methods: A systematic literature review of the PubMed, EMBASE and Cochrane databases was conducted up to April 2021, for studies reporting on subtotal cholecystectomy in cases of severe cholecystitis. The following outcomes of subtotal cholecystectomy were investigated: conversion rate, hospital length of stay (LOS), bile duct injury, bile leak, symptomatic gallstones in the remnant gallbladder, need for reoperation, postoperative endoscopic retrograde cholangiopancreaticography (ERCP), percutaneous intervention, and mortality.
Subtotal cholecystectomy as a bailout procedure in severe cholecystitis: A Systematic Literature Review
HAMADZIRIPI, MILLICENT ELIZABETH SOBER
2020/2021
Abstract
Background: Subtotal cholecystectomy is reserved as a bailout surgery when the critical view of safety cannot be achieved in cases of severe cholecystitis to avoid operating in hazardous conditions. and to reduce iatrogenic injury to the bile duct and major vessels. Objective: To conduct a systematic literature review to evaluate current studies and present an evidence-based assessment of the outcomes for the techniques available for subtotal cholecystectomy in cases of the difficult gallbladder. Methods: A systematic literature review of the PubMed, EMBASE and Cochrane databases was conducted up to April 2021, for studies reporting on subtotal cholecystectomy in cases of severe cholecystitis. The following outcomes of subtotal cholecystectomy were investigated: conversion rate, hospital length of stay (LOS), bile duct injury, bile leak, symptomatic gallstones in the remnant gallbladder, need for reoperation, postoperative endoscopic retrograde cholangiopancreaticography (ERCP), percutaneous intervention, and mortality.È consentito all'utente scaricare e condividere i documenti disponibili a testo pieno in UNITESI UNIPV nel rispetto della licenza Creative Commons del tipo CC BY NC ND.
Per maggiori informazioni e per verifiche sull'eventuale disponibilità del file scrivere a: unitesi@unipv.it.
https://hdl.handle.net/20.500.14239/13306