Subtotal Cholecystectomy in Surgery for Pancreatic Head and Periampullary Zone Masses
https://doi.org/10.16931/1995-5464.2018-1-104-108
Abstract
Aim. To develop and evaluate efficacy of new method of subtotal cholecystectomy in surgical treatment of patients for pancreatic head and periampullary zone masses.
Material and Methods. For the period 2004–2014 subtotal cholecystectomy has been used in 23 cases of diffuse intraoperative bleeding, portal hypertension and extensive fibrosis of gallbladder caused by chronic inflammation. In the second group (n = 236) standard cholecystectomy was performed regardless surgical conditions. In both groups cholecystectomy was a stage of pancreatoduodenectomy or billiary bypass. Comparative analysis was made regarding intra- and postoperative bleeding.
Results. Subtotal cholecystectomy was not followed by intra- or postoperative bleeding required additional hemostasis. Standard cholecystectomy was accompanied by bleeding from gallbladder bed in 8 (3.9%) cases that required additional hemostasis. Postoperative bleeding was observed in 4 (1.7%) patients including 2 of them after additional hemostasis. Redo interventions were performed in 3 patients. One patient died after re-laparotomy.
Conclusion. Subtotal cholecystectomy is effective measure for prevention of intra- and postoperative bleeding from gallbladder bed in case of difficult surgical conditions.
About the Authors
G. M. Barvanyan
State Healthcare Institution of Komi Republic “Komi Republic Hospital”
Russian Federation
Russian Federation
114, Pushkin str., Syktyvkar, 167004, Russian Federation
Phone: 8-8212-42-60-94, mob. 8-912-862-60-94
Cand. of Med. Sci., Head of the Surgical Department of Komi Republic Hospital
A. P. Vlasov
Mordovia State University
Russian Federation
Russian Federation
68, Bolshevistskaya str., Saransk, 430005, Russian Federation
Doct. of Med. Sci., Professor, Head of the Chair of Surgery with the Courses of Operative Surgery, Topographic Anatomy and Urology, Mordovia State University
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Review
For citations:
Barvanyan G.M., Vlasov A.P. Subtotal Cholecystectomy in Surgery for Pancreatic Head and Periampullary Zone Masses. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2018;23(1):104-108. (In Russ.) https://doi.org/10.16931/1995-5464.2018-1-104-108
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