Laparoscopic subtotal cholecystectomy for severe XXXX .

@entity1 @entity1157 @entity2679 @entity5990
BACKGROUND: In severe @entity2679 , laparoscopic cholecystectomy can be technically difficult, and is associated with an increased rate of procedure conversions and common @entity1157 lesions. METHODS: We investigated the safety and complications of laparoscopic subtotal cholecystectomy for severe @entity2679 in a medium- to long-term follow-up evaluation. Laparoscopic cholecystectomy was performed in 345 @entity1 during a period of 64 months. In 46 of the @entity1 (13.3%), a subtotal cholecystectomy was performed. The results were compared with data on laparoscopic cholecystectomy from 16,130 @entity1 in 84 surgical institutes in Switzerland, collected prospectively by the Swiss Association for Laparoscopic and Thoracoscopic Surgery (SALTS). RESULTS: The median operating time was 93 min (range, 50-140) min. The overall rate of procedure conversions in acute @entity2679 was lowered significantly from 23.2% (SALTS) to 9.7%. There was no @entity1157 lesion, as compared with the rate of 0.8% in the SALTS data. In follow-up evaluations, fluid collections in 16 @entity1 (35%) and residual @entity5990 in 6 @entity1 (13%) were of no clinical relevance. CONCLUSIONS: Laparoscopic subtotal cholecystectomy for acute @entity2679 offers a simple and safe solution that prevents @entity1157 injuries and decreases the rate of conversion in anatomically difficult situations.
