Clinical outcome of laparoscopic partial cholecystectomy: Experience in a tertiary care hospital setting

Abstract

Objectives: To determine the outcome of Laparoscopic Partial Cholecystectomy in cases where Laparoscopic Cholecystec-tomy is not possible safely. Materials & Methods: The clinical records of patients who underwent Laparoscopic Cholecystectomy (LC) in our surgical unit (Surgical A Unit, Khyber Teaching Hospital Peshawar) between 1 January 2015 and 31 January 2019 were examined. Out of those cases where Laparoscopic Cholecystectomy could not be performed, and we had to resort to Laparoscopic Partial Cholecystectomy(LPC) were identified. The morbidity and mortality of this sub-group was analyzed. Results: Records of total 48 patients were examined. Thirty one(65.6%) patients were female while 17(34.4%) were male. Mean age was 52.2±13.6(2SD) years. Forty one (85.4%) cases had acute cholecystitis, 5(10.4%) had chronic cholecystitis and 2(4.2%) had adenocarcinoma. No mortality was observed; while among the morbidities, bile leak was observed in 5(10.4%) cases and 3(6.2%) patients developed sub hepatic collections. The hospital stay was 3.44±1.2 (Mean ± 2SD; range 1-5) days. Conclusion: Laparoscopic Partial Cholecystectomy is a safe option where Laparoscopic Cholecystectomy cannot be com-pleted safely due to intraoperative difficulty.