Calculus left in remnant gallbladder cause long-term complications in patients undergoing subtotal cholecystectomy. Issue 4 (April 2019)

• Record Type: Journal Article
• Authors: Kohga, Atsushi; Suzuki, Kenji; Okumura, Takuya; Yamashita, Kimihiro; Isogaki, Jun; Kawabe, Akihiro; Kimura, Taizo
• Is Part Of: HPB. Volume 21:Issue 4(2019)
• Page Start: 508
• Page End: 514
• Publication Date: 2019-04
• Subjects: Liver -- Diseases -- Periodicals; Biliary tract -- Diseases -- Periodicals; Pancreas -- Diseases -- Periodicals; 616.362005
• DOI: 10.1016/j.hpb.2018.09.007
• Languages: English
• ISSNs: 1365-182X

Abstract

Abstract: Background: There have been only a few reports that describe the long-term outcomes of Subtotal cholecystectomy (SC). Methods: A total of 59 patients underwent "reconstituting" SC at our hospital between January 2005 and July 2017. In the 59 patients, risk factors for long-term complications were analyzed. In addition, in the patients with acute cholecystitis (AC), perioperative and long-term clinical factors were compared for patients who underwent SC (n = 48) and those who underwent total cholecystectomy (n = 378). Results: In the 59 patients who underwent SC, long-term complication developed in 14 (23.7%), including residual calculus in the common bile duct (n = 12), remnant cholecystitis (n = 1), and persistent severe inflammatory response (n = 1). Postoperative magnetic resonance image was performed in 35/59 patients (59.3%) who underwent SC. In these 35 patients, the size of the remnant gallbladder calculated by magnetic resonance cholangiopancreatography was significantly associated with the occurrence of long-term complications ( p = 0.009). In the patients with AC, regarding long-term complications, the incidence of residual calculus in the common bile duct (16.6 versus 0.7%) was significantly higher in the SC group. Conclusions: SC was associated with a relatively high incidence of long-term complications associated with remnant calculus.