SynthesisAmerican journal of surgery2024
Subtotal vs total cholecystectomy for difficult gallbladders: A systematic review and meta-analysis.
Synthesis in American journal of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Fundus-first dissection: a salvage technique for the difficult laparoscopic cholecystectomy.Surgical endoscopy · 2026Article
- Subtotal cholecystectomy as a bailout strategy in difficult cholecystectomy: Outcomes and patient selection criteria.Annals of hepato-biliary-pancreatic surgery · 2026Article
- The 48-h window of opportunity: patient and health system-related predictors of surgical severity in symptomatic cholelithiasis.Surgical endoscopy · 2026Article
- Navigating the Impossible Gallbladder: Bailout Strategies and Culture of Safety in Laparoscopic Cholecystectomy.Cureus · 2026Review
- Comparison of laparoscopic manual suturing and laparoscopic stapler usage for gallbladder duodenal fistula stoma closure.BMC surgery · 2026Article
- Clinical Outcomes and Complications Following Subtotal Cholecystectomy: A Single-Centre Cohort Analysis.Cureus · 2025Article
- Subtotal cholecystectomy for difficult gall bladder due to chronic cholecystitis: a retrospective cohort study.Annals of medicine and surgery (2012) · 2025Article
- Is subtotal cholecystectomy a safe strategy for difficult cases? Long-term outcomes in a high-volume center.Surgical endoscopy · 2025Observational
- Emergency Laparoscopic Cholecystectomy Pathway Reduces Elective Waiting Times and Preoperative Admissions: A Prospective Propensity-Matched Cohort Study.Medical sciences (Basel, Switzerland) · 2025Article
- Robotic versus laparoscopic cholecystectomy for difficult gallbladders: an observational study of tertiary centre cases.Surgical endoscopy · 2025Observational
- Article
- Anatomical Considerations for Biliary Interventions: Navigating Challenging Cases.Seminars in interventional radiology · 2025Review
- The association between gender and industry payments to minimally invasive surgeons.Surgical endoscopy · 2025Article
- Bailout for the Difficult Gallbladder: Subtotal vs. Open Cholecystectomy-A Retrospective Tertiary Care Center Experience.Medicina (Kaunas, Lithuania) · 2024Article
- Intraoperative imaging and management of common duct stones during subtotal cholecystectomy.Surgical endoscopy · 2024Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
introductionWith severely inflamed gallbladders, laparoscopic cholecystectomy can be difficult and may require procedures like subtotal cholecystectomy (SC). Few studies exist comparing SC and total cholecystectomy (TC) in the setting of severe biliary inflammation. This meta-analysis aims to compare SC and TC for difficult gallbladders.
methodsMedline-OVID, Embase-OVID, and Cinahl were searched including only studies comparing SC to TC for difficult gallbladders. Primary outcome was CBD injury. Secondary outcomes included bile leak, duodenal injury, retained stone, bleeding, intraabdominal collection, wound infection, reoperation, and mortality.
resultsTen studies were included. Compared to TC, SC significantly lowered the risk for CBD injury (0 % vs. 1.6 %, RR 0.30, 95%CI 0.10-0.87) but increased risk of bile leaks (RR 3.5, 95%CI 1.79-6.84), postoperative ERCP (RR 2.86, 95%CI 1.53-5.35), intraabdominal collections (RR 2.55, 95%CI 1.32-4.93), and reoperation (RR 2.92, 95%CI 1.14-7.47).
conclusionSC is a reasonable alternative to difficult gallbladders that may decrease the risk of CBD injuries. Knowing both approaches is crucial to manage the difficult gallbladder while minimizing harm. Further studies are needed to understand the value of SC for difficult cholecystectomy.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.