ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2021
Subtotal Cholecystectomy After Failed Critical View of Safety Is an Effective and Safe Bail Out Strategy.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Back to the battlefield: minimally invasive management of postcholecystectomy remnants: a systematic appraisal of safety and efficacy.Surgery today · 2026Pooled it
- Subtotal vs total cholecystectomy for difficult gallbladders: A systematic review and meta-analysis.American journal of surgery · 2024Pooled it
- Comparative effectiveness of nasobiliary versus intravenous indocyanine green fluorescence guidance for early laparoscopic cholecystectomy after ERCP: a retrospective cohort study.Updates in surgery · 2026Article
- Post-cholecystectomy Bile Duct Injury in Mexico: Prevention, Diagnosis, Management, and Healthcare System Challenges.Cureus · 2026Review
- Subtotal cholecystectomy as a bailout strategy in difficult cholecystectomy: Outcomes and patient selection criteria.Annals of hepato-biliary-pancreatic surgery · 2026Article
- Interval laparoscopic cholecystectomy for acute cholecystitis should be performed within approximately 1 week after gallbladder drainage.Surgery today · 2025Article
- The final cut: a multi-centre cohort study evaluating outcomes of robotic completion cholecystectomy.Surgical endoscopy · 2025Article
- Integrating critical view of safety and indocyanine green cholangiography to enhance safety in laparoscopic cholecystectomy: a retrospective cross-sectional study.Scientific reports · 2025Article
- Review
- Article
- Multiple logistic regression model to predict bile leak associated with subtotal cholecystectomy.Surgical endoscopy · 2023Article
- Efficacy of bailout surgery for preventing intraoperative biliary injury in acute cholecystitis.Surgical endoscopy · 2023Article
- Review of the Literature on Partial Resections of the Gallbladder, 1898-2022: The Outline of the Conception of Subtotal Cholecystectomy and a Suggestion to Use the Terms 'Subtotal Open-Tract Cholecystectomy' and 'Subtotal Closed-Tract Cholecystectomy'.Journal of clinical medicine · 2023Review
- State of the art in subtotal cholecystectomy: An overview.Frontiers in surgery · 2023Review
- Comparative Outcomes of Robotic Assisted Versus Laparoscopic Subtotal Cholecystectomy: A Retrospective Analysis of Surgical Efficacy and Postoperative Intervention.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBile duct injury (BDI) is accompanied by significant morbidity and long-term impact in quality of life. Subtotal cholecystectomy (STC) is an alternative to prevent this outcome but is associated with other complications. The aim of this work is to demonstrate that BDI associated morbidity exceeds STC associated morbidity, underscoring STC as a reasonable bail out strategy.
methodsWe compared 115 patients who underwent STC with 293 patients who were referred to our center with BDI type E1-E3 and underwent surgical repair. The groups were comparable because in both instances the surgeon had the opportunity to decide not to perform a total cholecystectomy once critical view of safety (CVS) was not achieved.
resultsBile leakage was found in 21% of the STC group with only one BDI (0.9%). More Accordion ≥ 4 were found in the STC group (10.4% vs 4.8%, p = 0.035); however, reoperations were more frequent in the BDI group (8.2% vs 0.9%, p = 0.006). No patient in the STC group required reintervention for completion cholecystectomy. After 3.8 years follow-up, 2.4% of patients had secondary biliary cirrhosis in the BDI group; none in the STC group.
conclusionsDespite complications of STC, morbidity associated with BDI is much higher due to high long-term reoperation rate, in addition to secondary biliary cirrhosis. STC is a safe alternative that can prevent BDI if properly and timely performed in the context of difficult cholecystectomy.
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