Abstract
Liver cirrhosis is considered a contraindication to laparoscopic cholecystectomy for the moment. Here we are reporting on results in the surgical treatment of gallstone disease in cirrhotic patients by laparoscopic means. We reviewed the experience over the final period of time in 11 patients since the introduction of laparoscopic procedures in our unit. The index of conversion rate was 9.1% (1/11). The morbidity was nil. The average length of hospital stay was 1.8 days (1–6 days). We propose the use of laparoscopic cholecystectomy in gallstone disease in patients with liver cirrhosis as first-line surgical treatment.
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References
Aranha G (1982) Cholecystectomy in cirrhotic patients: a formidable operation. Am J Surg 143: 55–60
Bolch R, Allabe R, Walt A (1985) Cholecystectomy in patients with cirrhosis. A surgical challenge. Arch Surg 120: 669–672
Bouchier I (1969) Postmortem study of the frequency of gallstones in patients with cirrhosis of the liver. Gut 10: 705–710
Castaing D (1983) Surgical management of gallstones in cirrhotic patients. Am J Surg 146: 310–313
Flowers J, Bailey R, Zucker K (1991) Laparoscopic management of acute cholecystitis. Am J Surg 161: 388–392
Garrison R, Cryer H, Howard D, Polk HJ (1984) Clarification of risk factors for abdominal operations in patients with hepatic cirrhosis. Ann Surg 199: 648–655
Gregg J, McDonals D (1977) Endoscopic retrograde cholangio-pancreatography and grey scale abdominal ultrasound in the diagnosis of jaundice. Am J Surg 134: 705–711
Jacobs M, Verdeja J, Goldstein H (1991) Laparoscopic cholecystectomy in acute cholecystitis. J Laparoendosc 1: 175–178
Koguth K, Aragoni T, Ackerman N (1985) Cholecystectomy in patients with mild cirrhosis. A more favorable situation. Arch Surg 120: 1310–1311
Lacy A, Grande L, García-Valdecasas J, et al. (1990) Gallstone surgery in cirrhotic patients: morbidity and mortality in relation to risk groups. Dig Surg 7: 153–155
Ligoury C, Vitale GC (1990) Biliary perestroika. Am J Surg 160: 237–238
Nicholas P, Rinaudo P, Conn H (1972) Increased incidence of cholelithiasis in Laennec's cirrhosis. A postmortem evaluation of pathogenesis. Gastroenterology 63: 112–121
NIH (1993) Consensus conference statement on gallstones and laparoscopic cholecystectomy. Am J Surg 165: 390–398
Schwartz S (1981) Biliary tract surgery and cirrhosis: a critical combination. Surgery 1981: 577–583
Yerdel M, Tsuge H, Mimura H, Sakagami K, Mori M, Orita K (1993) Laparoscopic cholecystectomy in cirrhotic patients: expanding indications. Surg Laparos Endosc 3: 180–183
Zucker K (1991) Laparoscopic guided cholecystectomy with electrocautery dissection. In: Zucker KA, Bailey RW (eds) Surgical laparoscopy. Quality Medical Publishing, St Louis, MO, pp 143–182
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Lacy, A.M., Balaguer, C., Andrade, E. et al. Laparoscopic cholecystectomy in cirrhotic patients. Surg Endosc 9, 407–408 (1995). https://doi.org/10.1007/BF00187160
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DOI: https://doi.org/10.1007/BF00187160