Laparoscopic subtotal cholecystectomy in difficult cholecystitis - Our experience

Background: laparoscopic cholecystectomy (lc) has become the gold standard in treating benign gallbladder diseases. increasing laparoscopic experience and technique have made laparoscopic subtotal cholecystectomy (lsc) a feasible safe option in more complicated cholecystitis. aim: to highlight the feasibility,indication and advantages of lsc in cases of difficult cholecystitis. study design: clinical trial place and duration of study: department of surgery,choudary akram teaching & research hospital,lahore from january 2013 - december 2014 methodology: total 150 patients of gall stoneswere treated with laparoscopic cholecystectomy,out of 150 patients 20 patients 13.3% were found to have difficult and complicated cholecystitis and treated with laparoscopic subtotal cholecystectomy. result: the result of lc and lsc were compared in terms of operative time,bleeding,hospital stay,time to resume diet,cbd injury and conversion rate. conclusion: laparoscopic subtotal cholecystectomy in difficult and complicated cholecystitis is relatively safe option.