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Case Series
Subtotal cholecystectomy; A substandard bail-out technique?
1 Mackay Hospital and Health Services, Mackay, Queensland, Australia
2 Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
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Xin Yi Goai
Mackay Hospital and Health Services, 475 Bridge Road, Mackay, Queensland 4740,
Australia
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Article ID: 100132Z12XG2024
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Goai XY, Chang JH, Pretorius C, Sandroussi C, Beardsley C. Subtotal cholecystectomy; A substandard bail-out technique? J Case Rep Images Surg 2024;10(1):19–25.ABSTRACT
Introduction: While the open approach was previously mandated as the salvage procedure in difficult cholecystectomies, subtotal cholecystectomy has since been implemented. While this technique may prevent biliary duct injury intraoperatively, it comes with major pitfalls.
Case Series: We present a series of four cases where a subtotal cholecystectomy was previously performed, in which further gallstone-related complications occurred.
Conclusion: We aim to increase awareness toward recurrent symptoms that may require further evaluation and repeat procedures in patients with previous cholecystectomy; and drawbacks relating to performing subtotal cholecystectomies—opting instead for open cholecystectomy, recruitment of another senior or specialist hepatobiliary surgeon and/or transfer to a tertiary center with the appropriate facilities.
Keywords: Bile duct injury, Case series, Hepatobiliary surgery, Subtotal cholecystectomy
SUPPORTING INFORMATION
Author Contributions
Xin Yi Goai - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jia Han Chang - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Casper Pretorius - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Charbel Sandroussi - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Christian Beardsley - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Xin Yi Goai et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
