Liverpool Classification of Lunevicius for Subtotal Cholecystectomy

Lunevicius reported classification for subtotal cholecystectomy. The authors are from Aintree Hospital and University of Liverpool in the UK.

Patient selection: subtotal cholecystectomy

Type	Features
1	circular resection of the body of the gallbladder, leaving the cholecystic duct origin, including the wall attached to the liver
2	same as type 1 but without wall attached ot the liver
3	resection of the distal fundus (fundectomy)
4	wedge resection from lateral wall along peritoneal aspect

Type 1 represents about 80% of subtotal cholecystectomies.

Type 2 represents about 18%.

Type 3 represents 1-2%.

Type 4 is rare.

Subtype	Features
1A	fundus first then moving proximally; then transection of the proximal portion of the gallbladder (moving distal to proximal)
1B	transection of the proximal portion of the gallbladder first with progressive removal of body and fundus (moving proximal to distal)
1C	visceral wall first with hepatic wall second
2A	excision of the visceral wall
2B	transection of the cystic duct; excision of the visceral wall; excision of part of the hepatic wall

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