Subtotal Cholecystectomy - Type 1A

Case scenario

A type 1A subtotal cholecystectomy would be considered a situation where the cystic duct can be safely closed with a cuff of the gallbladder remaining and the remainder of the gallbladder is removed.

Standard laparoscopic cholecystectomy procedures follow the classic approach to visualize Calot's triangle. Under certain circumstances, the dissection may be difficult and even dangerous.

Utilizing anatomic landmarks such as the Sulcus of Rouvier and the hilar plate, the 'Top-Around approach' may be attempted to safely visualize the cystic duct and artery.

In severe circumstances, the decision to change the surgical plan to a subtotal cholecystectomy should be considered as a valid alternative approach.

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