Donald M Moe, MD, Vance Y Sohn, MD. Madigan Army Medical Center
Subtotal cholecystectomy has long been described as a bail out or damage-control alternative to cholecystectomy when performing a difficult cholecystectomy. However, subtotal cholecystectomy requires completion cholecystectomy in 4-9% of cases. These reoperative surgeries are highly morbid and while there are case reports of minimally-invasive approaches they are generally completed with open surgery. Despite the open surgical approach, completion cholecystectomy following subtotal cholecystectomy has been reported with a common bile duct injury rate as high as 14%. We therefore describe our robotic approach to completion cholecystectomy following prior subtotal cholecystectomy as a safe and effective minimally-invasive approach.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95548
Program Number: V384
Presentation Session: Video Loop Day 4
Presentation Type: VideoLoop