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Laparoscopic cholecystectomy for patients with cholelithiasis and liver cirrhosis
Joint Authors
Salim, Abd al-Aziz Ali
Rizq, Hisham Abd al-Fattah
Source
Journal of the Egyptian Society of Parasitology
Issue
Vol. 38, Issue 2 (31 Aug. 2008), pp.609-620, 12 p.
Publisher
The Egyptian Society of Parasitology
Publication Date
2008-08-31
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Topics
Abstract EN
Cirrhosis was considered an absolute or relative contraindication of laparoscopic cholecystectomy.
Open surgery in the cirrhotic patients over-years have witnessed of the poor outcome.
The present study evaluated the outcome and determined the benefit and risk of the laparoscopic cholecystectomy in cirrhotic patients with symptomatic gall stone.
19 cirrhotic patients (GI) with symptomatic gall stones and 50 non cirrhotic patients or control (GII) underwent the laparoscopic cholecystectomy.
Four patients (21 %) were Child A, MELD score < 10, 13 (68 %) were Child B, MELD score 10-15, 2 (11 %) were Child C, MELD score >15.
15 patients (79 %) had chronic cellular chole-cystitis, 4 (21 %) with acute on top of chronic calcular cholecystitis.
Average operative time was 118 minutes.
In 3 / 19 patients (16 %) con-version to the open cholecystectomy was mandatory.
Laparoscopic subtotal cholecystectomy was done in 2 / 19 patients (11 %).
The main hospital stay and time to resume diet were 5.2 days and 43.3 hours.
3 patients received fresh frozen plasma and / or blood transfusion after surgery.
No massive blood transfusion (more than 2 units) was necessary.
The postoperative complication occurred in 7 patients (37 %), ascites was worsened in 2 (11 %), hepatic encephalopathy in 2 (11 %), port site infection in 2 (11 %) and sub hepatic collection in one patient (5.5 %).
Laparoscopic cholecystectomy in patients with compensated cirrhosis was safe in those with Child A and B.
No reason postponed surgery in them as surgery in patients with Child C was hazardous.
American Psychological Association (APA)
Rizq, Hisham Abd al-Fattah& Salim, Abd al-Aziz Ali. 2008. Laparoscopic cholecystectomy for patients with cholelithiasis and liver cirrhosis. Journal of the Egyptian Society of Parasitology،Vol. 38, no. 2, pp.609-620.
https://search.emarefa.net/detail/BIM-279967
Modern Language Association (MLA)
Rizq, Hisham Abd al-Fattah& Salim, Abd al-Aziz Ali. Laparoscopic cholecystectomy for patients with cholelithiasis and liver cirrhosis. Journal of the Egyptian Society of Parasitology Vol. 38, no. 2 (Aug. 2008), pp.609-620.
https://search.emarefa.net/detail/BIM-279967
American Medical Association (AMA)
Rizq, Hisham Abd al-Fattah& Salim, Abd al-Aziz Ali. Laparoscopic cholecystectomy for patients with cholelithiasis and liver cirrhosis. Journal of the Egyptian Society of Parasitology. 2008. Vol. 38, no. 2, pp.609-620.
https://search.emarefa.net/detail/BIM-279967
Data Type
Journal Articles
Language
English
Record ID
BIM-279967