Scientific paper| Volume 89, ISSUE 3, P604-607, March 1955

Subtotal cholecystectomy in acute cholecystitis

      This paper is only available as a PDF. To read, Please Download here.


      When feasible, total cholecystectomy is still the operation of choice in the surgical treatment of acute gallbladder disease and subtotal cholecystectomy should not be considered to supplant it. However, when complete removal cannot be safely accomplished, subtotal cholecystectomy recommends itself for consideration to obviate the use of cholecystostomy. Subtotal cholecystectomy incorporates the advantages of total cholecystectomy and has none of the drawbacks of cholecystostomy. A procedure such as cholecystostomy, which is followed by the need for further biliary tract surgery in such a large percentage of cases, leaves much to be desired. In all, excepting the extreme bad risk case in which a drainage operation only is permissible, subtotal cholecystectomy has proved, in my hands, a safe operation, yielding just as satisfactory permanent results as complete cholecystectomy.
      Four cases are reported with no mortality and a morbidity comparable to that following total cholecystectomy in the treatment of chronically infected gallbladder with cholelithiasis.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The American Journal of Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Buxton R.W.
        • Ray D.K.
        • Coller F.A.
        Acute cholecystitis.
        J.A.M.A. 1951; 146: 301-307
        • Holman E.
        An incisional approach for cholecystectomy and choledochotomy designed to reduce injuries to the common duct.
        Surg. Gynec. & Obst. 1953; 97: 344-352
        • Judd E.S.
        • Priestley J.T.
        Ultimate results from operations on biliary tract.
        J.A.M.A. 1932; 99: 887
        • Cattell R.
        Ann. Surg. 1928; 8: 930-941
        • Ileuer G.J.
        Treatment of gallstone disease.
        Internat. Clin. 1940; 3: 121-134
        • Dunphy J.E.
        • Ross F.P.
        Studies in acute cholecystitis-cholecystostomy indications and technic.
        New England J. Med. 1950; 242: 359-362
        • Glenn F.
        Surgical treatment of acute cholecystitis.
        Surg. Gynec. & Obst. 1950; 90: 643-649
        • Fallis L.S.
        • McClure R.D.
        Acute cholecystitis—review of 320 cases.
        Surg., Gynec. & Obst. 1940; 70: 1022
        • Singleton A.L.
        • Blocker Jr., T.G.
        Problem of disruption of abdominal wounds and post operative hernia; review of 9,000 consecutive abdominal incisions.
        J.A.M.A. 1939; 112: 122
        • Mayo W.J.
        • Mayo C.H.
        Collection of Papers Published Previous to 1909.
        in: W. B. Saunders Co, Philadelphia1912: 348-355
        • Thorek M.
        Experience with electrosurgical obliteration of the gallbladder.
        J.A.M.A. 1954; 154: 738-740
      1. Ray, D. K. Discussion of Paper by Buxton, R. W., Ray, D. K. and Coller, F. A.

        • Estes Jr., W.L.
        Acute gangrenous cholecystitis and the use of partial cholecystectomy in its treatment.
        Am. J. Surg. 1938; 40: 197-204