Our Summary
This research paper talks about the role of a specific surgical procedure, laparoscopic subtotal cholecystectomy, in the treatment of a severe form of gallbladder disease known as complicated calculous cholecystitis. The authors have looked at various studies, both prospective (looking forward) and retrospective (looking back), to understand how often this procedure is used, how safe it is, when it’s recommended, the different ways it can be performed, and the outcomes of the surgery. This procedure involves the partial removal of the gallbladder using a minimally invasive technique called endovideosurgery.
FAQs
- What is the role of laparoscopic subtotal cholecystectomy in treating complicated calculous cholecystitis?
- What are the safety, feasibility, and indications of laparoscopic subtotal cholecystectomy?
- What were the results and technical options for laparoscopic subtotal cholecystectomy according to the analyzed studies?
Doctor’s Tip
A helpful tip that a doctor might give to a patient about laparoscopic cholecystectomy is to follow post-operative care instructions carefully, including taking prescribed medications, avoiding heavy lifting or strenuous activities, and eating a light, low-fat diet to aid in recovery. It is also important to attend follow-up appointments with your surgeon to monitor your progress and address any concerns.
Suitable For
Patients who are typically recommended for laparoscopic cholecystectomy include those with uncomplicated gallstones, symptomatic cholelithiasis, acute cholecystitis, chronic cholecystitis, and biliary dyskinesia. Laparoscopic cholecystectomy is considered the gold standard treatment for these conditions due to its minimally invasive nature, shorter recovery time, and lower risk of complications compared to open surgery. In cases of complicated cholecystitis or patients who are not suitable candidates for traditional laparoscopic cholecystectomy, laparoscopic subtotal cholecystectomy may be recommended as an alternative surgical option.
Timeline
Before laparoscopic cholecystectomy, a patient may experience symptoms of gallbladder disease such as abdominal pain, nausea, vomiting, and jaundice. They may undergo diagnostic tests such as ultrasound or CT scan to confirm the presence of gallstones. Once a diagnosis is made, the patient may be advised to follow a special diet and take medications to manage symptoms.
After laparoscopic cholecystectomy, the patient may experience some pain and discomfort at the incision sites. They will be monitored for any complications such as infection or bleeding. The patient will be advised to gradually resume normal activities and follow a specific diet to aid in digestion and prevent complications. In most cases, the patient can expect a quick recovery and return to their normal daily routine within a few days to a week after surgery.
What to Ask Your Doctor
- What is laparoscopic subtotal cholecystectomy and how does it differ from traditional cholecystectomy?
- What are the indications for undergoing laparoscopic subtotal cholecystectomy?
- What are the potential risks and complications associated with this procedure?
- How long is the recovery period after laparoscopic subtotal cholecystectomy?
- Will I need to follow any specific dietary or lifestyle recommendations after the surgery?
- How soon after the procedure can I return to normal activities and work?
- Are there any long-term effects or considerations I should be aware of after undergoing laparoscopic subtotal cholecystectomy?
- What are the success rates of laparoscopic subtotal cholecystectomy in treating complicated calculous cholecystitis?
- How experienced are you in performing laparoscopic subtotal cholecystectomy procedures?
- Are there any alternative treatment options that I should consider before proceeding with this surgery?
Reference
Authors: Ukhanov AP, Zakharov DV. Journal: Khirurgiia (Mosk). 2025;(7):67-73. doi: 10.17116/hirurgia202507167. PMID: 40590739