{"id":6072,"date":"2020-07-02T16:45:17","date_gmt":"2020-07-02T15:45:17","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=6072"},"modified":"2020-08-19T09:12:26","modified_gmt":"2020-08-19T08:12:26","slug":"better-safe-than-total-experience-of-laparoscopic-subtotal-cholecystectomy-in-a-specialist-upper-gi-and-bariatric-surgery-unit-and-literature-review-2019","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2020\/07\/02\/better-safe-than-total-experience-of-laparoscopic-subtotal-cholecystectomy-in-a-specialist-upper-gi-and-bariatric-surgery-unit-and-literature-review-2019\/","title":{"rendered":"Better safe than total; experience of laparoscopic subtotal cholecystectomy in a specialist Upper GI and Bariatric surgery unit and literature review (2019)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Rehman S.; *Abayomi S.; *Jahangir B.; *Maciejewski M.; *<a href=\"https:\/\/orcid.org\/0000-0003-3820-1038\">Qassem M.<\/a> <a href=\"https:\/\/orcid.org\/0000-0003-3820-1038\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6147 size-full\" src=\"https:\/\/www.library.sath.nhs.uk\/research\/files\/2020\/07\/orcid_16x16.gif\" alt=\"\" width=\"16\" height=\"16\" \/><\/a>; *Kirby G.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nBritish Journal of Surgery; Sep 2019; vol. 106, S5; p. 117<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nAims: NICE\/AUGIS guidelines suggest performing cholecystectomies while 'hot' (within a week). There is a<br \/>\nsignificant risk of biliary injury and\/or open procedure in severely inflamed gallbladders and subtotal<br \/>\ncholecystectomies have been suggested to prevent these. The objective of this article is to present short and<br \/>\nmedium term outcomes of laparoscopic subtotal cholecystectomy (LSC) in a specialist upper GI and bariatric<br \/>\nunit.<br \/>\nMethod(s): This study included all consecutive patients who underwent LSC between August 2014 and August<br \/>\n2018. Clinical notes were retrospectively analysed. Assessed parameters included demographics, urgency of<br \/>\noperation, method of stump closure, length of inpatient stay, biliary injury, post-op incidence of intervention or<br \/>\nre-operation and post-op complications.<br \/>\nResult(s): 20 patients underwent LSC comprising around 0.7% of all the gallbladder operations performed in<br \/>\nour unit during this period. Median age was 67.1 years. 15 (75%) of these operations were carried out as<br \/>\nelective. Stump was closed by absorbable sutures in 18 (90%) of these patients while endoloop was used in one. Median length of stay was 6.2 days. None of the patients had biliary injury on later follow up and 7 (35%)<br \/>\npatients required ERCP. Post-op complications included chronic abdominal pain, wound infection and bile leak<br \/>\nin 2 (10%), 1 (5%) and 1 (5%) patient respectively.<br \/>\nConclusion(s): Laparoscopic subtotal cholecystectomy proved to have an acceptable profile of safety and<br \/>\noutcomes in our unit and data is comparable with already published literature. Increased incidence of LSC in<br \/>\nelective patients may highlight the significance of establishing a hot gallbladder service.<\/p>\n<p><a href=\"https:\/\/bjssjournals.onlinelibrary.wiley.com\/doi\/10.1002\/bjs.11342\">Link to full-text<\/a> [NHS OpenAthens account required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Rehman S.; *Abayomi S.; *Jahangir B.; *Maciejewski M.; *Qassem M. ; *Kirby G. Citation: British Journal of Surgery; Sep 2019; vol. 106, S5; p. 117 Abstract: Aims: NICE\/AUGIS guidelines suggest performing cholecystectomies while 'hot'<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2020\/07\/02\/better-safe-than-total-experience-of-laparoscopic-subtotal-cholecystectomy-in-a-specialist-upper-gi-and-bariatric-surgery-unit-and-literature-review-2019\/\">Read more <span class=\"screen-reader-text\">Better safe than total; experience of laparoscopic subtotal cholecystectomy in a specialist Upper GI and Bariatric surgery unit and literature review (2019)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[832,954],"class_list":["post-6072","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-832","tag-cholecystectomy"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6072","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=6072"}],"version-history":[{"count":3,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6072\/revisions"}],"predecessor-version":[{"id":6185,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6072\/revisions\/6185"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=6072"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=6072"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=6072"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}