Acta Medica Nagasakiensia
Print ISSN : 0001-6055
Results of laparoscopic subtotal cholecystectomy by laparoscopic linear stapler in difficult cases with severe cholecystitis
Tamotsu KurokiAmane KitasatoManpei YamashitaKeisuke NodaRyo ImaiTota KugiyamaTakanori HirayamaShinichiro KobayashiTakayuki TokunagaKosho YamanouchiHiroaki TakeshitaShigeto Maeda
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2020 Volume 63 Issue 2 Pages 55-59


Laparoscopic subtotal cholecystectomy (LSC) has been recognized as a safe and feasible alternative surgical procedure for a difficult laparoscopic cholecystectomy (LC) with severe inflammation in Calot’s triangle. We compared the surgical outcomes of cholecystectomy for acute cholecystitis between standard LC and LSC using laparoscopic linear stapler. 172 patients were diagnosed as acute cholecystitis, among them, 16 patients who underwent LSC and other 156 patients who underwent standard LC were enrolled in this study. The severity grading of acute cholecystitis in LSC group was significantly higher than LC group. Operation time was longer in the LSC group than LC group. LSC had significantly more intraoperative blood loss compared to LC. However, there was no significant difference in the postoperative complications between two groups. LSC using laparoscopic linear stapler contributes surgeons avoid common bile duct injury in difficult LC.

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© 2020 by Nagasaki University School of Medicine
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