Subtotal Cholecystectomy for Difficult Gall Bladder Due to Chronic Cholecystitis: A Cross-sectional Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,149
- 试验地点
- 1
- 主要终点
- postoperative outcomes of subtotal cholecystectomy (STC) and total cholecystectomy (TC)
研究概览
简要总结
Subtotal cholecystectomy (STC) is a valuable technique when severe inflammation, fibrosis, or anatomical variations obscure the critical view of safety essential for identifying the cystic duct and artery. It helps reduce the risk of bile duct injuries and other complications that arise during a total cholecystectomy (TC) when these structures are not visible. This study evaluates the safety and outcomes of subtotal cholecystectomy in chronic cholecystitis.
详细描述
A retrospective analysis was conducted in all patients who underwent a cholecystectomy between May 2021 and November 2024. Indications, complications, and perioperative outcomes of STC were compared with those of standard TC.
The investigators concluded STC is an important bailout procedure in a difficult laparoscopic cholecystectomy associated with higher early postoperative complications but lower bile duct injury.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical diagnosis of cholelithiasis planned for laparoscopic cholecystectomy
- •Clinical diagnosis of gallbladder polyp planned for laparoscopic cholecystectomy
排除标准
- •Gall bladder malignancy
- •Cholelithiasis and gallbladder polyp cases managed non-operatively
- •additional procedures along with cholecystectomy like bile duct exploration, bile duct excision for choledochal cyst.
结局指标
主要结局
postoperative outcomes of subtotal cholecystectomy (STC) and total cholecystectomy (TC)
时间窗: upto 22 months
The primary outcome was to assess the postoperative outcomes of subtotal cholecystectomy (STC) and total cholecystectomy (TC) groups.
次要结局
未报告次要终点
研究者
Ishwor Thapaliya
Principal Investigator
Tribhuvan University Teaching Hospital, Institute Of Medicine.