Role of Laparoscopic Subtotal Cholecystectomy in Cases Requiring Conversion

Laparoscopic cholecystectomy has become the gold standard in the treatment of cholelithiasis with cholecystitis and has replaced open cholecystectomy. The rate of conversion from laparoscopic cholecystectomy to open cholecystectomy 5 to 10%. Hence it is necessary to study the role of laparoscopic subtotal cholecystectomy in cases requiring conversion for difficult laparoscopic cholecystectomy. Therefore this study was undertaken In cases of difficult cholecystectomy like distorted callots anatomy inconditions like acute / chronic inflammation, portal hypertension, In this prospective study 332 patients suffering from symptomatic cholelithiasis are evaluated using specific clinical and ultrasonographic parameters prior to Laparoscopic Cholecystectomy to assess whether the difficulty of the procedure can be predicted and the role of laparoscopic subtotal cholecystectomy in cases requiring open converstion, over a period of 2 ? yearIt would be useful to accurately identify a patient's risk for difficult cholecystectomy based on pre-operative details and can result in accurate preoperative patient counselling, better scheduling of surgery and appropriate assignment of surgical assistance, can increase the patient safety by reducing need of conversion to open, and improving the mental preparedness of surgeons and patients also.