Endo-loop or interrupted suture closure of gallbladder remnant during laparoscopic subtotal cholecystectomy- a retrospective analysis of our experience at a high-volume centre of Eastern Nepal

Nowadays, LSC is gaining preference over conversion to open procedure in difficult cholecystectomy cases. It is better to close the remnant stump of gallbladder with endo-loop to decrease biliary leak with addition advantage of shorter operative time, lesser intraoperative blood loss, shorter length of hospital stays and shorter duration of the drain placement. We recommend to close the remnant stump with endo-loop if the remnant stump is mobilized all around with intact and adequate length of all sides (including posterior one). However, the stump closure with interrupted suture should be opted if above mentioned criteria are not achieved.