Laparoscopic Cholecystectomy in Patients With Cirrhosis of the Liver and Symptomatic Cholelithiasis

Theodoros E. Pavlidis*, Nikolaos G. Symeonidis, Kyriakos Psarras, Christos Skouras, Theodoros M. Kontoulis, Konstantinos Ballas, Savas F. Rafailidis, Georgios N. Marakis, Athanasios K. Sakantamis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The indications and benefits of laparoscopic cholecystectomy (LC) in patients with liver cirrhosis and symptomatic cholelithiasis have not been satisfactorily documented. The aim of this study was to investigate its efficacy and safety in such patients.

Methods: Medical records of 38 patients with liver cirrhosis (stages Child-Pugh A and B) who underwent LC were retrospectively reviewed. Demographic characteristics and other parameters including initial presentation, conversion rate, complication rate, mortality, and duration of hospital stay were investigated and compared with noncirrhotic patients' parameters in our database.

Results: Cirrhotic patients who underwent LC were older than noncirrhotic patients (P=0.021). Both the conversion rate (15.78%) and the duration of hospital stay were increased in the cirrhotic group, but without significant differences. Major complications occurred more often in the cirrhotic group (P=0.027), increasing morbidity; however, the mortality was zero.

Conclusions: LC can be safely performed in Child-Pugh A and B cirrhotic patients with symptomatic gallstone disease, with acceptable complication and conversion rates. The increased risk for a major complication, however, demands more attention than usual.

Original languageEnglish
Pages (from-to)342-345
Number of pages4
JournalJsls-Journal of the society of laparoendoscopic surgeons
Volume13
Issue number3
Publication statusPublished - 2009

Keywords

  • Laparoscopic cholecystectomy
  • Cholelithiasis
  • Gallstone disease
  • Liver Cirrhosis
  • Surgical care
  • Gallbladder
  • GALLSTONES
  • SURGERY

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