Sidra Dil Muhammad, Muhammad Saad Faisal, Mohammad Akmal Shafiq, Muhammad Rizwan Saeed.
Short term outcome of subtotal cholecystectomy at a Tehsil Headquarters (THQ) Hospital, Lahore: a single surgeon experience.
Pak J Surg Jan ;37(4):243-6.

Objective: To determine the short term outcome of subtotal cholecystectomy, performed by a single surgeon at a Tehsil Headquarters (THQ) hospital was the objective of this study. Material and Methods: Th is retrospective study was conducted at Government Tehsil Headquarter (THQ) Hospital Sabzazar, Lahore form June, 2018 to December, 2020 and included 65 patients with cholecystitis. All patient underwent open subtotal cholecystectomies by single consultant surgeon. Gall bladder stump was closed with absorbable suture by continuous interlocking stitches. Patient`s demographics and outcome were recorded. Results: Mean age of patients was 41.92+-5.60 years. There were 87.69% females. Mean TLC was 12.42 +-2.05+-109/L. There were 63.07% hypertensive, 29.23% diabetic and 9.23% HCV infected patients. Commonest diagnosis was mucocele (50.76%), followed by acute cholecystitis (32.30%), Empyema (9.23%) and chronic cholecystitis (7.69%). Ultrasonography displayed distended gall bladder in 36.92%, Pericholecystic fluid in 18.46%, Wall thickness >4mm in 29.23%, impacted neck stones in 73.84%, solitary stone in 40.0% and multiple stones in 60.0% patients. Mean operative time, mean hospital stay, average blood loss, mean drain output and mean duration of drain were 126.40+-11.07 min., 4.21+-1.10 days, 77.49+-9.02ml, 103.28+-10.97ml and 4.75+-1.94 days, respectively. Bile leak, post-operative collection, SSI, retained stones and mortality was not observed in any (0.0%) patient. None of our patients (0.0%) scheduled for redo surgery or ERCP. Conclusions: Subtotal cholecystectomy is a safe `U` turn from stubborn calot`s triangle with well approximated stump.

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