Abstract
Purpose
Methods
Results
Figures and Tables
Fig. 1
Transection planes in SLC (A), LSC (B), and LSCA (C). (A) In SLC, the cystic duct is exposed and transected. The dissection is then made between the gallbladder and the liver. (B) In LSC, the transection is made at the level of the neck or body of the GB. The dissection is then made between the GB and the liver. The GB stump is sutured or packed with fibrin sealant. (C) In LSCA, the transection is made at the level of the neck or body of the GB. Without GB dissection, the anterior wall of the GB is transected with electrocautery or ultrasonic scissors. The GB stump is then sutured or packed with fibrin sealant. SLC, standard laparoscopic cholecystectomy; GB, gallbladder; LSC, laparoscopic subtotal cholecystectomy; LSCA, laparoscopic subtotal cholecystectomy removing the anterior wall of the GB.
![astr-91-226-g001](/upload/SynapseData/ArticleImage/6037astr/astr-91-226-g001.jpg)
Fig. 2
Diagram of patients enrolled. GB, gallbladder; SLC, standard laparoscopic cholecystectomy; LSC, laparoscopic subtotal cholecystectomy; LSCA, laparoscopic subtotal cholecystectomy removing the anterior wall of the GB.
![astr-91-226-g002](/upload/SynapseData/ArticleImage/6037astr/astr-91-226-g002.jpg)
Table 2
Surgical outcomes
![astr-91-226-i002](/upload/SynapseData/ArticleImage/6037astr/astr-91-226-i002.jpg)
SLC, standard laparoscopic cholecystectomy; LSC, laparoscopic subtotal cholecystectomy removing both the anterior and posterior walls of the gallbladder; LSCA, laparoscopic subtotal cholecystectomy removing only the anterior wall of the gallbladder; GB, gallbladder; RHA, right hepatic artery.
a)Major bile duct injury refers to any bile duct injury which is managed with hepaticojejunostomy. b)Minor bile duct injury refers to lateral wall injury of the bile duct which was cured conservatively or endoscopically.
Table 3
The patient characteristics and surgical outcomes of LSC and LSCA according to the cystic duct procedure
![astr-91-226-i003](/upload/SynapseData/ArticleImage/6037astr/astr-91-226-i003.jpg)
LSC, laparoscopic subtotal cholecystectomy removing both the anterior and posterior walls of the gallbladder; LSCA, laparoscopic subtotal cholecystectomy removing only the anterior wall of the gallbladder; CD, cystic duct; GB, gallbladder.
a)Open CD includes cases where the cystic duct is packed with fabricated hemostatic agent.