Comparison of Fenestrating and Reconstituting Approaches in Laparoscopic Subtotal Cholecystectomy: Higher Complication Rates with Fenestrating Technique

The study analyzed 170 cases of laparoscopic subtotal cholecystectomy (LSC) and compared the outcomes of fenestrating LSC (F-LSC) and reconstituting LSC (R-LSC). They found that F-LSC had higher complications, including bile leaks, the need for postoperative endoscopic retrograde cholangiopancreatography, and longer length of stay. The study suggests that if LSC is performed, the reconstituted technique should be chosen, if feasible, to minimize the associated high morbidity.