IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-4-14912 Original Research Paper RECONSTITUTING LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY FOR DIFFICULT GALL BLADDER Wasif Ali Dr. April 2018 7 4 01 02 ABSTRACT

To evaluate the short term morbidity of Reconstituting Laparoscopic Subtotal Cholecystectomy(RLSC) in difficult situations during Laparoscopic Cholecystectomy. Of the 614 patients scheduled to undergo Laparoscopic Cholecystectomy between January 2016 and December 2017, 30 underwent RLSC for complicated cholecystitis. Our approach and technique of RLSC is described and also the results of this procedure.All 30 patients underwent RLSC ie., 4.88% of all scheduled Laparoscopic Cholecystectomy patients had to undergo Laparoscopic Subtotal Cholecystectomy. The mean postoperative hospital stay was 3 day (2 – 5 days) and duration of drain was 3 – 5 days (1 – 15 days) two patients (6.6%) had postoperative bile leak and there was no bile duct injury or mortality.RLSC is a safe alternative definitive procedure for difficult gall bladders. It helps inavoiding bile duct injury and also avoids conversion to open surgery.