Stratification of LSC postoperative outcomes on the basis of LSC classification scheme
| LSC type | No. (%) of patients; outcome n = 46 | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Total | Intraoperative drain placement | Bile duct injury | Bile leak | Retained CBD stones | Postoperative ERCP | Stent insertion | Subphrenic collection | Percutaneous drain insertion | Reoperation | |
| 1A | 30 (65.2) | 16 (53.3) | 0 | 2 (6.7) | 1 (3.3) | 3 (10) | 2 (6.7) | 6 (20.0) | 4 (13.3) | 2 (6.7)* |
| 1B | 2 (4.3) | 1 (50.0) | 0 | 0 | 0 | 0 | 0 | 1 (50.0) | 1 (50.0) | 0 |
| 2A | 7 (15.2) | 7 (100) | 0 | 2 (28.6) | 0 | 2 (28.6) | 2 (28.6) | 3 (42.9) | 2 (28.6) | 0 |
| 2B | 4 (8.7) | 4 (100) | 0 | 1 (25.0) | 0 | 1 (25.0) | 1 (25.0) | 0 | 0 | 0 |
| 3 | 3 (6.5) | 3 (100) | 0 1 (33.3) | 1 (33.3) | 1 (33.3) | 1 (33.3) | 0 | 0 | 0 | |
ERCP and stent placement the following day. CBD = common bile duct; ERCP = endoscopic retrograde cholangiopancreatography; JP = Jackson-Pratt; LSC = laparoscopic subtotal cholecystectomy.
↵* Both reoperations were in patients with type 1A LSC: intraabdominal hematoma from liver laceration.
Takeback, laparotomy and washout on postoperative day 0; biloma indentified on postoperative day 2. Laparoscopic washout and placement of JP drain.