Title

Laparoscopic subtotal cholecystectomy for difficult gallbladder management: A single-center study

Authors

Vishal Patil^1,*, Pramod Verma¹, DheerajKain¹, Rishi Kumar Athya², Nitin Patta², Akansha Sahare³ & Sachin Parmar⁴

Affiliation

¹Department of Gastrointestinal Surgery, Bhopal Memorial Hospital and Research centre, Bhopal, Madhya Pradesh, India; ²Department of Surgical Oncology, Bhopal Memorial Hospital and Research centre, Bhopal, Madhya Pradesh, India; ²Department of Surgical Oncology, Bhopal Memorial Hospital and Research centre, Bhopal, Madhya Pradesh, India; ³Department of Obstetrics and Gynaecology, Mahaveer Medical College, Bhopal, Madhya Pradesh, India; ⁴Departmentof Community Medicine, V.K.S. Government Medical College, Neemuch, Madhya Pradesh, India; *Corresponding author

Email

Vishal Patil - E-mail: vishal18patil@gmail.com; Phone: +91 8517916565
Pramod Verma - E-mail: drpramod2806@gmail.com; Phone: +91 7987903449
Dheeraj Kain - E-mail: kaindheeraj.555@gmail.com; Phone: +91 8269986417
Rishi Kumar Athya - E-mail: rishi.athya@gmail.com; Phone: +91 9425999109
Nitin Patta - E-mail: nitin.patta@gmail.com; Phone: +91 7987748605
Akansha Sahare - E-mail: akanshasahare13@gmail.com; Phone: +91 9907151769
Sachin Parmar - E-mail: dr.sachinparmar@gmail.com; Phone: +91 9993813103

Article Type

Research Article

Date

Received February 1, 2026; Revised February 28, 2026; Accepted February 28, 2026, Published February 28, 2026

Abstract

In cases of severe inflammation, fibrosis, or distorted anatomy, achieving a "Critical View of Safety" during laparoscopic cholecystectomy is often impossible, which significantly increases the risk of catastrophic bile duct injury.The laparoscopic subtotal cholecystectomy is a very important bailout operation in that complete cholecystectomy cannot be performed in a challenging injury of the gallbladder due to extreme inflammation or the absence of anatomy. This retrospective BMHRC Bhopal (January 2024-January 2025) retrospective study looked at 55 patients with a combination of indications, such as chronic calculouscholecystitis, Mirizzi syndrome, gallbladder perforation and post-ERCP situation, with a mean of 78.5 ± 24.3 minutes of operative time, 4.2 ± 2.8 days of hospital stay and a complication rate of 12 per cent, 2 per cent Modified laparoscopic subtotal cholecystectomy is a safe and effective compromised surgical procedure where avoidance of great bile duct injury is a priority and where operative variables, postoperative complications and minimized final outcome are satisfactory with 8.7 ± 3.2 months at the mean follow-up.

Keywords

Laparoscopic subtotal cholecystectomy; difficult gallbladder; Bailout procedure;

Citation

Patil et al. Bioinformation 22(2): 1065-1069 (2026)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.