Appendix, Gallbladder and Surgical Emergencies · 17 April 2024

Safety and Viability of Laparoscopic Subtotal Cholecystectomy

Laparoscopic subtotal cholecystectomy is a safe option for complex cholecystitis, with 8.5% of cholecystectomies requiring this procedure. Factors such as male sex, older age, necrotic gallbladder, and other complications increase the likelihood of needing lsc. Postoperative complications occurred in 26.4% of lsc patients, mainly bile leaks. Despite challenges, lsc remains a viable surgical choice in difficult cases.

Journal Article by Booyse K, Lindemann J (…) Kloppers C et 3 al. in World J Surg

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JAMA Surg12 Nov 2026

Diagnosis and Management of Acute Cholangitis

Early biliary drainage and same-admission cholecystectomy remain the core of care for acute cholangitis, but the timing of drainage is still debated.

J Am Coll Surg5 Nov 2026

Waiting after pulmonary embolism cuts complications

Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.

J Am Coll Surg5 Nov 2026

Waiting 60 days after pulmonary embolism before emergency surgery is linked to fewer complications.

Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).

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