The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Ukhanov A.P.

Veliky Novgorod City Central Clinical Hospital;
Yaroslav the Wise Novgorod State University

Zakharov D.V.

Veliky Novgorod City Central Clinical Hospital;
Yaroslav the Wise Novgorod State University

Laparoscopic subtotal cholecystectomy for severe cholecystitis

Authors:

Ukhanov A.P., Zakharov D.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(7): 67‑73

DOI: 10.17116/hirurgia202507167

Read: 970 times

Buy for 300₽
Contact the author
Table of contents

LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY FOR SEVERE CHOLECYSTITIS
LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY FOR SEVERE CHOLECYSTITIS

To cite this article:

Ukhanov AP, Zakharov DV. Laparoscopic subtotal cholecystectomy for severe cholecystitis. Pirogov Russian Journal of Surgery. 2025;(7):67‑73. (In Russ.)
https://doi.org/10.17116/hirurgia202507167

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
Recommended articles:
Transversus abdo­minis plane block for lapa­roscopic cholecystectomy in short-term acute care hospital. Piro­gov Russian Journal of Surgery. 2024;(12):13-19
Lapa­roendoscopic hybrid treatment of a patient with choledocholithiasis, cholecystitis and large duodenal dive­rticula. Piro­gov Russian Journal of Surgery. 2025;(1):62-67
Endo­scopic papi­llosphincterotomy in early childhood. Piro­gov Russian Journal of Surgery. 2025;(10):131-135
Modern methods of gallbladder deco­mpression in acute cholecystitis for patients with high surgical risk. Russian Journal of Evidence-Based Gastroenterology. 2024;(4):51-58
Modern view on the etiology of gallstone disease in children. Russian Journal of Evidence-Based Gastroenterology. 2024;(4):59-68
Diseases and death of Napo­leon I Bona­parte: can stomach cancer be considered a cause of death?. P.A. Herzen Journal of Onco­logy. 2024;(6):96-102
Standardized lapa­roscopic cholecystectomy: methodology for the formation of intraoperative safety algo­rithms. Endo­scopic Surgery. 2025;(1):25-30
Abstract:

The review is devoted to the role of laparoscopic subtotal cholecystectomy in the treatment of complicated calculous cholecystitis. We analyzed the reviews, prospective and retrospective studies describing the incidence, safety and feasibility, indications, technical options and results of laparoscopic subtotal cholecystectomy.

Keywords:

cholelithiasis
acute cholecystitis
laparoscopic cholecystectomy

Authors:

Ukhanov A.P.

Veliky Novgorod City Central Clinical Hospital;
Yaroslav the Wise Novgorod State University

Zakharov D.V.

Veliky Novgorod City Central Clinical Hospital;
Yaroslav the Wise Novgorod State University

Received:

09.09.2024

Accepted:

29.09.2024

Close metadata

References:

  1. Sanders G, Kingsnorth AN. Gallstones. BMJ. 2007;335(7614):295-299. 
  2. Shaffer EA. Gallstone disease: epidemiology of gallbladder stone disease. Best Pract Res Clin Gastroenterol. 2006;20(6):981-996. 
  3. Salky BA, Edye MB. The difficult cholecystectomy: problems related to concomitant diseases. Semin Laparosc Surg. 1998;5(2):107-114. 
  4. Laws HL. The difficult cholecystectomy: problems during dissection and extraction. Semin Laparosc Surg. 1998;5(2):81-91. 
  5. Nassar AHM, Ashkar KA, Mohamed AY, Hafiz AA. Is laparoscopic cholecystectomy possible without video technology? Minim Invasive Ther Allied Technol. 1995;4:63-65. 
  6. Lirici MM, Califano A. Management of complicated gallstones: results of an alternative approach to difficult cholecystectomies. Minim Invasive Ther Allied Technol. 2010;19(5):304-315. 
  7. Lee J, Miller P, Kermani R, Dao H, O’Donnell K. Gallbladder damage control: compromised procedure for compromised patients. Surg Endosc. 2012;26(10):2779-2783.
  8. Eikermann M, Siegel R, Broeders I, et al.; European Association for Endoscopic Surgery. Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). Surg Endosc. 2012;26(11):3003-3039.
  9. Anderson JE, Chang DC, Talamini MA. A nationwide examination of outcomes of percutaneous cholecystostomy compared with cholecystectomy for acute cholecystitis, 1998-2010. Surg Endosc. 2013;27(9):3406-3411.
  10. Martin IG, Dexter SP, Marton J, Gibson J, Asker J, Firullo A, McMahon MJ. Fundus-first laparoscopic cholecystectomy. Surg Endosc. 1995;9(2):203-206. 
  11. Mahmud S, Masaud M, Canna K, Nassar AH. Fundus-first laparoscopic cholecystectomy. Surg Endosc. 2002;16(4):581-584. 
  12. Henneman D, da Costa DW, Vrouenraets BC, van Wagensveld BA, Lagarde SM. Laparoscopic partial cholecystectomy for the difficult gallbladder: a systematic review. Surg Endosc. 2013;27(2):351-358. 
  13. Beldi G, Glättli A. Laparoscopic subtotal cholecystectomy for severe cholecystitis. Surg Endosc. 2003;17(9):1437-1439.
  14. Palanivelu C, Rajan PS, Jani K, et al. Laparoscopic cholecystectomy in cirrhotic patients: the role of subtotal cholecystectomy and its variants. J Am Coll Surg. 2006;203(2):145-151. 
  15. Lidsky ME, Speicher PJ, Ezekian B, Holt EW, Nussbaum DP, Castleberry AW, Perez A, Pappas TN. Subtotal cholecystectomy for the hostile gallbladder: failure to control the cystic duct results in significant morbidity. HPB (Oxford). 2017;19(6):547-556.  https://doi.org/10.1016/j.hpb.2017.02.441
  16. Tashkinov NV. Subtotal laparoscopic cholecystectomy in acute cholecystitis. Far Eastern Medical Journal. 2018;1:120-126. (In Russ.).
  17. Ji W, Li LT, Li JS. Role of laparoscopic subtotal cholecystectomy in the treatment of complicated cholecystitis. Hepatobiliary Pancreat Dis Int. 2006;5(4):584-589. 
  18. Michalowski R, Bornman PC, Krige JE, Gallagher PJ, Terblanche J. Laparoscopic subtotal cholecystectomy in patients with complicated acute cholecystitis or fibrosis. Br J Surg. 1998;85(7):904-906.  https://doi.org/10.1046/j.1365-2168.1998.00749.x
  19. Abdelrahim WE, Elsiddig KE, Wahab AA, Saad M, Saeed H, Khalil EAG. Subtotal laparoscopic cholecystectomy influences the rate of conversion in patients with difficult laparoscopic cholecystectomy: Case series. Ann Med Surg (Lond). 2017;19:19-22.  https://doi.org/10.1016/j.amsu.2017.04.018
  20. Ali L, Bashir T, Bashir S. Laparoscopic subtotal cholecystectomy in difficult cholecystitis — our experience. Pak J Med Health Sci. 2015;9:917-919. 
  21. Lunevicius R. 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’. J Clin Med. 2023;12(3):1230. https://doi.org/10.3390/jcm12031230
  22. Chowbey PK, Sharma A, Khullar R, Mann V, Baijal M, Vashistha A. Laparoscopic subtotal cholecystectomy: a review of 56 procedures. J Laparoendosc Adv Surg Tech A. 2000;10(1):31-34. 
  23. Butt F, Butt AF, Butt II. Subtotal laparoscopic cholecystectomy: our experience of 32 patients. Biomedica. 2017;33:25-28. 
  24. Jara G, Rosciano J, Barrios W Vegas L, Rodríguez O, Sánchez R, Sánchez A. Laparoscopic subtotal cholecystectomy: a surgical alternative to reduce complications in complex cases. Cir Esp. 2017;95:465-470. 
  25. Tashkinov NV, Nikolaev EV, Boyarintsev NI, et al. Choice of the method of laparoscopic cholecystectomy in acute destructive cholecystitis. Far Eastern Medical Journal. 2006;4:14-16. (In Russ.).
  26. Davis B, Castaneda G, Lopez J. Subtotal cholecystectomy versus total cholecystectomy in complicated cholecystitis. Am Surg. 2012; 78(7):814-817. 
  27. Imamura T, Kato S, Nishimura Y, Soga K, Nishio M, Oguro A, Nakagawa N. Am Surg. 2017;83(1):1209-1213.
  28. Philips J, Lawes D, Cook A, Arulampalam TH, Zaborsky A, Menzies D, Motson RW. The use of laparoscopic subtotal cholecystectomy for complicated cholelithiasis. Surg Endosc. 2008;22:1697-1700.
  29. Tian Y, Wu S, Su Y, Kong J, Yu H, Fan Y. Laparoscopic subtotal cholecystectomy as an alternative procedure designed to prevent bile duct injury: experience of a hospital in Northern Chine. Surg Today. 2009;39:510-513. 
  30. Tsukada T, Nagano T, Miyata T, Sasaki S, Ohta T. Cholecystomucoclasis: revolution of safety and validity in aged populations. BMC Gastroenterology. 2012;12:113. 
  31. Soleimani M, Mehrabi A, Mood ZA, Fonouni H, Kashfi A, Büchler MW, Schmidt J. Partial cholecystectomy as a safe and viable option in the emergency treatment of complex acute cholecystitis: a case series and review of the literature. Am Surg. 2007;73(5):498-507. 
  32. Cakmak A, Genç V, Orozakunov E, Kepenekçi I, Cetinkaya OA, Hazinedaroğlu MS. Partial cholecystectomy is a safe and efficient method. Chirurgia (Bucur). 2009;104(6):701-704. 
  33. Di Carlo I, Pulvirenti E, Toro A, Corsale G. Modified subtotal cholecystectomy: results of a laparotomy procedure during the laparoscopic era. World J Surg. 2009;33(3):520-525. 
  34. Cottier DJ, McKay C, Anderson JR. Subtotal cholecystectomy. Br J Surg. 1991;78(11):1326-1328.
  35. Hubert C, Annet L, van Beers BE, Gigot JF. The “inside approach of the gallbladder” is an alternative to the classic Calot’s triangle dissection for a safe operation in severe cholecystitis. Surg Endosc. 2010;24(10):2626-2632.
  36. Katsohis C, Prousalidis J, Tzardinoglou E, Michalopoulos A, Fahandidis E, Apostolidis S, Aletras H. Subtotal cholecystectomy. HPB Surg. 1996;9(3):133-136. 
  37. Kuwabara J, Watanabe Y, Kameoka K, Horiuchi A, Sato K, Yukumi S, Yoshida M, Yamamoto Y, Sugishita H. Usefulness of laparoscopic subtotal cholecystectomy with operative cholangiography for severe cholecystitis. Surg Today. 2014;44(3):462-465. 
  38. Ransom KJ. Laparoscopic management of acute cholecystitis with subtotal cholecystectomy. Am Surg. 1998;64(10):955-957. 
  39. Sharp CF, Garza RZ, Mangram AJ, Dunn EL. Partial cholecystectomy in the setting of severe inflammation is an acceptable consideration with few long-term sequelae. Am Surg. 2009;75(3):249-252. 
  40. Sinha I, Smith ML, Safranek P, Dehn T, Booth M. Laparoscopic subtotal cholecystectomy without cystic duct ligation. Br J Surg. 2007; 94(12):1527-1529.
  41. Bornman PC, Terblanche J. Subtotal cholecystectomy: for the difficult gallbladder in portal hypertension and cholecystitis. Surgery. 1985;98(1):1-6. 
  42. Crosthwaite G, McKay C, Anderson JR. Laparoscopic subtotal cholecystectomy. J R Coll Surg Edinb. 1995;40(1):20-21. 
  43. Nakajima J, Sasaki A, Obuchi T, Baba S, Nitta H, Wakabayashi G. Laparoscopic subtotal cholecystectomy for severe cholecystitis. Surg Today. 2009;39(10):870-875. 
  44. Tamura A, Ishii J, Katagiri T, Maeda T, Kubota Y, Kaneko H. Effectiveness of laparoscopic subtotal cholecystectomy: perioperative and long-term postoperative results. Hepatogastroenterology. 2013;60(126): 1280-1283.
  45. Semenisina G, Rosenberg J, Gögenur I. [Laparoscopic subtotal cholecystectomy for complicated gallstone conditions]. Ugeskr Laeger. 2010;172(32):2168-2172. (In Danish).
  46. Bickel A, Lunsky I, Mizrahi S, Stamler B. Modified subtotal cholecystectomy for high-risk patients. Can J Surg. 1990;33(1):13-14. 
  47. Bickel A, Shtamler B. Laparoscopic subtotal cholecystectomy. J Laparoendosc Surg. 1993;3(4):365-367. 
  48. Singh K, Matta H, Nain PS, Basra BK, Kumar R. Modification of laparoscopic subtotal cholecystectomy. Surg Endosc. 2011;25(8):2760.
  49. Madding GF. Subtotal cholecystectomy in acute cholecystitis. Am J Surg. 1955;89(3):604-607. 
  50. Hussain A, El-Hasani S. The use of laparoscopic subtotal cholecystectomy for complicated cholelithiasis. Surg Endosc. 2009;23(4):913. 
  51. Zayyan KS, Sellu DP. Laparoscopic subtotal cholecystectomy in patients with complicated acute cholecystitis or fibrosis. Br J Surg. 1999;86(5):715-716. 
  52. Al-aubaidi TI, Abid-AlKadhim AA, Sbahi KR. Laparoscopic subtotal cholecystectomy in patients with acute cholecystitis. J Fac Med Baghdad. 2013;55:302-307. 
  53. Elshaer M, Gravante G, Thomas K, Sorge R, Al-Hamali S, Ebdewi H. Subtotal cholecystectomy for “difficult gallbladders”: systematic review and meta-analysis. JAMA Surg. 2015;150(2):159-168.  https://doi.org/10.1001/jamasurg.2014.1219
  54. Ibrarullah MD, Kacker LK, Sikora SS, Saxena R, Kapoor VK, Kaushik SP. Partial cholecystectomy — safe and effective. HPB Surg. 1993;7(1):61-65. 
  55. Schein M. Partial cholecystectomy in the emergency treatment of acute cholecystitis in the compromised patient. J R Coll Surg Edinb. 1991;36(5):295-297. 
  56. Rohatgi A, Singh KK. Mirizzi syndrome: laparoscopic management by subtotal cholecystectomy. Surg Endosc. 2006;20(9):1477-1481.
  57. Ташкинов Н.В., Бак В.Е. Лапароскопическая холецистэктомия по Прибраму в лечении острого и хронического калькулезного холецистита. Дальневосточный медицинский журнал. 2011;4:33-36. 
  58. Phillips E, Carroll B, Bello J, Fallas MJ, Daykhovsky L. Laparoscopic cholecystectomy in acute cholecystitis. Ann Surg. 1992;58:273-276. 
  59. Francoeur J, Wiseman K, Buczkowski A, Chung SW, Scudamore CH. Surgeons anonymous response after bile duct injury during cholecystectomy. Am J Surg. 2003;185(5):468-475. 
  60. Horiuchi A, Watanabe Y, Doi T, Sato K, Yukumi S, Yoshida M, Yamamoto Y, Sugishita H, Kawachi K. Delayed laparoscopic subtotal cholecystectomy in acute cholecystitis with severe fibrotic adhesions. Surg Endosc. 2008;22(12):2720-2723.
  61. Singhal T, Balakrishnan S, Hussain A, Nicholls J, Grandy-Smith S, El-Hasani S. Laparoscopic subtotal cholecystectomy: initial experience with laparoscopic management of difficult cholecystitis. Surgeon. 2009;7(5):263-268. 
  62. Fujiwara S, Kaino K, Iseya K, Koyamada N. Laparoscopic subtotal cholecystectomy for difficult cases of acute cholecystitis: a simple technique using barbed sutures. Surg Case Rep. 2020;6(1):238.  https://doi.org/10.1186/s40792-020-01026-1
  63. Jenner DC, Klimovskij M, Nicholls M, Bates T. Occlusion of the cystic duct with cyanoacrylate glue at laparoscopic subtotal fenestrating cholecystectomy for a difficult gallbladder. Acta Chir Belg. 2022;122:23-28. 
  64. Özçınar B, Memişog lu E, Gök AF, Agcaoglu O. Damage-control laparoscopic partial cholecystectomy with an endoscopic linear stapler. Turk J Surg. 2017;33:37-39. 
  65. Al-Azzawi M, Abouelazayem M, Parmar C, Singhal R, Amr B, Martinino A, Atici S, Mahawar K. Laparoscopic subtotal cholecystectomy for difficult gallbladders: A lifesaving bailout or an incomplete operation? A systematic review. Br J Surg. 2021;108(9):znab429.007.  https://doi.org/10.1093/bjs/znab429.007
  66. Shingu Y, Komatsu S, Norimizu S, Taguchi Y, Sakamoto E. Laparoscopic subtotal cholecystectomy for severe cholecystitis. Surg Endosc. 2016;30(2):526-531. 
  67. Elhardello O, Miu V, Liu C. Laparoscopic subtotal cholecystectomy is a safe rescue procedure: a DGH experience. World J Surg Surg Res. 2020;3:1186.
  68. Harilingam MR, Shrestha AK, Basu S. Laparoscopic modified subtotal cholecystectomy for difficult gall bladders: a single-centre experience. J Minim Access Surg. 2016;12:325-329. 
  69. Jeong IO, Kim JY, Choe YM, Choi S. Efficacy and feasibility of laparoscopic subtotal cholecystectomy for acute cholecystitis. Korean J Hepatobiliary Pancreat Surg. 2011;15:225230.
  70. Dhannur PK, Prasad K, Prasad G. Laparoscopic subtotal cholecystectomy for complicated gall bladder surgeries: experience at our setup. Int J Med Res Health Sci. 2016;5:13-16. 
  71. Ebied EF, Ebied H. Subtotal cholecystectomy in difficult laparoscopic cholecystectomies: is it safe? Egypt J Surg. 2015;34:90-93. 
  72. Koo JGA, Chan YH, Shelat VG. Laparoscopic subtotal cholecystectomy: comparison of reconstituting and fenestrating techniques. Surg Endosc. 2021;35(3):1014-1024. https://doi.org/10.1007/s00464-020-08096-0
  73. Kaplan D, Inaba K, Chouliaras K, Low GM, Benjamin E, Lam L, Grabo D, Demetriades D. Subtotal cholecystectomy and open total cholecystectomy: alternatives in complicated cholecystitis. Am Surg. 2014;80(10):953-955. 
  74. Acar N, Acar T, Sür Y, Bağ H, Kar H, Yılmaz Bozok Y, Dilek ON. Is subtotal cholecystectomy safe and feasible? Short- and long-term results. J Hepatobiliary Pancreat Sci. 2021;28(3):263-271.  https://doi.org/10.1002/jhbp.847
  75. Douglas PR, Ham JM. Partial cholecystectomy. Aust N Z J Surg. 1990;60(8):595-597. 
  76. Nzenwa IC, Mesri M, Lunevicius R. Risks associated with subtotal cholecystectomy and the factors influencing them: a systematic review and meta-analysis of 85 studies published between 1985 and 2020. Surgery. 2021;170:1014-1023.
  77. Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg. 1993;165(1):9-14. 
  78. Duca S, Bãlã O, Al-Hajjar N, Lancu C, Puia IC, Munteanu D, Graur F. Laparoscopic cholecystectomy: incidents and complications: a retrospective analysis of 9542 consecutive laparoscopic operations. HPB (Oxford). 2003;5(3):152-158. 
  79. Grbas H, Kunisek L, Zelić M, Petrosić N, Cepić I, Pirjavec A, Lovasić F, Uravić M. Outcome evaluation of 10,317 laparoscopic cholecystectomies: a 17-year experience at a single center. Hepatogastroenterology. 2013;60(128):1873-1876.
  80. Huang X, Feng Y, Huang Z. Complications of laparoscopic cholecystectomy in China: an analysis of 39,238 cases. Chin Med J (Engl). 1997;110(9):704-706. 
  81. Shea JA, Healey MJ, Berlin JA, et al. Mortality and complications associated with laparoscopic cholecystectomy: meta-analysis. Ann Surg. 1996;224(5):609-620. 
  82. Ali U, Ma ZH, Pan CE, Ma QY. Iatrogenic bile duct injuries from biliary tract surgery. Hepatobiliary Pancreat Dis Int. 2007;6(3):326-329. 
  83. Archer SB, Brown DW, Smith CD, Branum GD, Hunter JG. Bile duct injury during laparoscopic cholecystectomy: results of a national survey. Ann Surg. 2001;234(4):549-558. 
  84. Csendes A, Navarrete C, Burdiles P, Yarmuch J. Treatment of common bile duct injuries during laparoscopic cholecystectomy: endoscopic and surgical management. World J Surg. 2001;25(10):1346-1351.
  85. Karvonen J, Gullichsen R, Laine S, Salminen P, Grönroos JM. Bile duct injuries during laparoscopic cholecystectomy: primary and long-term results from a single institution. Surg Endosc. 2007;21(7):1069-1073.
  86. Konsten J, Gouma DJ, von Meyenfeldt MF, Menheere P. Long-term follow-up after open cholecystectomy. Br J Surg. 1993;80(1):100-102. 
  87. Nuzzo G, Giuliante F, Giovannini I, Ardito F. Bile duct injury during laparoscopic cholecystectomy: results of an Italian national survey on 56 591 cholecystectomies. Arch Surg. 2005;140(10):986-992. 
  88. Strasberg SM, Brunt LM. Rationale and use of the critical view of safety in laparoscopic cholecystectomy. J Am Coll Surg. 2010;211(1):132-138. 
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.