RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Jr., Robert M. A1 Pawlik, Timothy M. A1 Vaccaro, Patrick S. A1 Bitans, Marita A1 Baker, Anthony S. SR Print(0) ID 1187822254 T1 Cholecystectomy, Subtotal T2 Zollinger’s Atlas of Surgical Operations, 11e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781260440850 LK accesssurgery.mhmedical.com/content.aspx?aid=1187822254 RD 2024/04/19 AB If cholecystectomy, either open or laparoscopic, appears hazardous because of severe inflammation, if the gallbladder is partially buried in the liver, or if structures in the cystic duct region cannot be safely identified, a subtotal cholecystectomy may be the safest course of action. Subtotal cholecystectomy, also known as partial cholecystectomy, also should be strongly considered for patients with cirrhosis and portal hypertension because attempts to remove the back wall of the gallbladder will result in significant hemorrhage that can be extremely difficult to control.