In patients with complicated acute cholecystitis, a meta-analysis comparing laparoscopic total and subtotal cholecystectomy revealed distinct outcomes. Total cholecystectomy showed a lower risk of bile leaks and subhepatic fluid collection, along with a significantly lower mortality rate, making it a more favorable option. Subtotal cholecystectomy, while providing an alternative, exhibited increased risks of complications and a longer hospital stay. These findings emphasize the nuanced consideration required when choosing between these surgical approaches for optimal outcomes in managing complicated cholecystitis.
Review by Martinez B, Breeding T (…) Elkbuli A et 4 al. in Am Surg