Subtotal Cholecystectomy and Endoscopic Retrograde Cholangiopancreatography: A Colossal Synergy

Abstract

Introduction: acute cholecystitis disease is defined as inflammation of the gallbladder and is more common in women. Objective: to report the experience of endoscopic retrograde cholangiopancreatography in patients with biliary pathology with partial cholecystectomies. Method: retrospective, longitudinal, descriptive and observational study with descriptive statistical analysis in patients with endoscopic retrograde cholangiopancreatography who underwent surgery by partial cholecystectomy Results: 110 patients with endoscopic retrograde cholangiopancreatography with cholecystectomy were identified, which are 72.8% of the 151 studies performed. Of these group 95 women who are 86.36% and 15 men who represent 13.63% with a male-female ratio of 6:1. The average age was 46 years with a range of 18 to 75 years. Adjusted morbidity was concluded at 60% and there was no mortality. Discussion: subtotal cholecystectomy is the removal of as much of the gallbladder as possible, intentionally leaving a portion of it in situ, making it a viable alternative for complex cases of acute or chronic gallbladder inflammation and subclassifying it into fenestrant and restorative. Conclusions: partial cholecystectomy, whether laparoscopic or conventional, is justified in a difficult cholecystectomy, in an emergency surgery and in the absence of the basic and correct supplies/resources, both to perform an obligatory trans operative cholangiography or even an endoscopic retrograde cholangiopancreatography.