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PARTIAL CHOLECYSTECTOMY *
Author(s) -
Douglas P. R.,
Ham J. M.
Publication year - 1990
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1990.tb07438.x
Subject(s) - medicine , cholecystostomy , porta hepatis , cholecystectomy , bile leak , gallbladder , biliary tract , general surgery , common bile duct , surgery , common duct , cholecystography , bile duct , limiting , gallstones , acute cholecystitis , mechanical engineering , engineering
An alternative to cholecystostomy and standard cholecystectomy for ‘difficult’ gall bladders has been described previously. The procesured, partial cholecystectomy, involves leaving in situ part or all of the wall of the gall bladder which lies directly in relation to the liver and/or structures in the porta hepatis. Eleven such procedures have been performed over a 5 year period, and the common indication in all was severe inflammation or fibrosis in the region of Clot's triangle. One patient developed a self‐limiting postoperative bile leak. One patient has formed bile duct stones and appears to have oriental cholangiohepatitis. In the remainder of the patients, there has been no recurrence of biliary tract symptoms. The procedures id definitive and safe, and may usually be performed when cholencystostomy would have been undertaken.