TITLE

Laparoscopic Versus Open Cholecystectomy in Patients with Liver Cirrhosis: A Prospective, Randomized Study

AUTHOR(S)
Hamad, Mostafa A.; Thabet, Mostafa; Badawy, Abdalla; Mourad, Farouk; Abdel-Salam, Mahmoud; Abdel-Rahman, Mohammad El-Taher; Hafez, Mohammad Zein El-Deen; Sherif, Tahra
PUB. DATE
June 2010
SOURCE
Journal of Laparoendoscopic & Advanced Surgical Techniques;Jun2010, Vol. 20 Issue 5, p405
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Gallstones are more common in patients with liver cirrhosis than in healthy individuals. Higher morbidity and mortality were reported in cirrhotic patients with either laparoscopic or open cholecystectomy. The aim of this study was to compare laparoscopic and open cholecystectomy in cirrhotic patients with symptomatic cholelithiasis in a prospective, randomized manner. Materials and Methods: Thirty patients with symptomatic cholelithiasis associated with Child-Pugh class A or B liver cirrhosis were prospectively and randomly grouped equally to either laparoscopic or open cholecystectomy. The two groups were compared regarding operative time, morbidity, mortality, postoperative liver function, and hospital stay. Results: The two groups were comparable regarding demographic data, preoperative and postoperative Child-Pugh scoring, mean operative time (57.3 minutes for laparoscopic and 48.5 for open), and complications (33.3% for each). Hospital stay was shorter for the laparoscopic group. One conversion (6.7%) to open surgery was reported. No periopertive mortality occurred in either group. Conclusions: For Child-Pugh class A and B cirrhotics, laparoscopic cholecystectomy is comparable to the open approach regarding operative time, morbidity, mortality, and effect on liver function, but with shorter hospital stay. Considering the other well-documented advantages of the laparoscopic approach, namely, less pain, earlier mobilization and feeding, and better cosmoses, laparoscopic cholecystectomy would be the first choice in cirrhotic patients.
ACCESSION #
51549891

 

Related Articles

  • Laparoscopic Cholecystectomy in Cirrhotic Patients with Symptomatic Cholelithiasis: A Case-control Study. Mancero, Jorge Marcelo Padilla; D'Albuquerque, Luiz Augusto Carniero; Gonzalez, Adriano Miziara; Larrea, Frans Ivan Serpa; de Oliveira e Silva, Adavio // World Journal of Surgery;Feb2008, Vol. 32 Issue 2, p267 

    In this study we retrospectively evaluated a group of symptomatic cirrhotic ( n = 30) and non-cirrhotic ( n = 60) patients submitted to laparoscopic cholecystectomy (LC) in a public hospital in Brazil. The groups were compared for surgical time, duration of hospitalization after surgery, period...

  • Is Cirrhosis a Contraindication to Laparoscopic Cholecystectomy? McGILLICUDDY, JOHN W.; VILLAR, JUAN JOSÉ E.; ROHAN, VINAYAK S.; BAZAZ, SAPNA; TABER, DAVID J.; PILCH, NICOLE A.; BALIGA, PRABHAKAR K.; CHAVIN, KENNETH D. // American Surgeon;Jan2015, Vol. 81 Issue 1, p52 

    Laparoscopic cholecystectomy is the gold standard treatment for the vast majority of patients with symptomatic cholelithiasis. Although cirrhotic patients are twice as likely to develop gallstones as compared with noncirrhotic patients, cirrhosis has historically been considered a relative, if...

  • Laparoscopic Cholecystectomy in Cirrhotic Patients. Moraru, Marius // Jurnalul de Chirurgie;2014, Vol. 10 Issue 1, p10 

    Background: Cholelithiasis is very common in cirrhotic patients (15-30%), occurring 1 to 3 times more often than in general population. The presence of cirrhosis, hepatocellular failure and/or portal hypertension increases the risk of postoperative complications in any type of surgery,...

  • Primary laparoscopic cholecystectomy in patients with portal cavernoma and non-obstructive portal biliopathy: Two case reports. Bhatia, Parveen; John, Suviraj; Kalhan, Sudhir; Khetan, Mukund // Journal of Minimal Access Surgery;Jul-Sep2014, Vol. 10 Issue 3, p161 

    A laparoscopic cholecystectomy can be technically challenging with co-existing portal hypertension, as commonly seen with cirrhosis of the liver. Extra hepatic portal vein obstruction (EHPVO) although less common, is a significant cause of portal hypertension in India. EHPVO has a unique...

  • CHOLECYSTECTOMY; LAPAROSCOPIC VS OPEN IN PATIENTS WITH MILD LIVER CIRRHOSIS AND SYMPTOMATIC GALL STONES. Hassan, Iram Hassan; Khan, Muhammad Sohaib; Malik, Naveed Akhtar; Khan, Jahangir Sarwar; Zaman, Saadia; Khan, Muhammad Mussadiq // Professional Medical Journal;2014, Vol. 21 Issue 1, p5 

    Objective: To compare the operative time, blood loss, postoperative pain and length of hospitalization between open (OC) and laparoscopic cholecystectomy (LC) in Liver cirrhotic patients with Child -Pugh class A & B. Study Design: Randomised Control Trial (RCT). Setting and Duration: This study...

  • Endoscopic Stenting of Gallbladder for Symptomatic Cholelithiasis in Patients with End-Stage Liver Disease Awaiting Orthotopic Liver Transplantation. Shrestha, Roshan; Bilir, Bahri M.; Everson, Gregory T.; Steinberg, Stephen E. // American Journal of Gastroenterology;Mar1996, Vol. 91 Issue 3, p595 

    Cholecystectomy in patients with advanced cirrhosis is associated with excessive morbidity and mortality. Symptomatic cholelithiasis in patients awaiting orthotopic liver transplantation poses unique management issues. Three patients with end-stage liver disease, severe enough to warrant hepatic...

  • Delayed Presentation of Spilled Gallstones. Ong, Evelyn G.P.; Watkins, R.M. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Oct99, Vol. 9 Issue 5, p445 

    Describes a case of a cutaneous sinus at the umbilical port site following spillage of gallstones during laparoscopic cholecystectomy. Rate of spillage of gallstones at laparoscopic cholecystectomy; Details of the case; Occurrence of spillage of gallstones.

  • A Comparative Study of Single Incision versus Conventional Four Ports Laparoscopic Cholecystectomy. HAJONG, RANENDRA; HAJONG, DEBOBRATTA; ANAND, MADHUR; SHARMA, GIRISH; NATUNG, TANIE // Journal of Clinical & Diagnostic Research;Oct2016, Vol. 10 Issue 10, p6 

    Introduction: Cholelithiasis is one of the most common disorders of the digestive tract encountered by general surgeons worldwide. Conventional or open cholecystectomy was the mainstay of treatment for a long time for this disease. In the 1980s laparoscopic surgery revolutionized the management...

  • GALL STONES—AN INCREASING PROBLEM: A STUDY OF HOSPITAL ADMISSIONS IN ENGLAND 1989/1990-1999/2000. Gordon, C.; Ellis, C.; Majeed, A.; Hoare, J.; Tinto, A.; Williamson, R.C.N.; Tibbs, C.; Maxwell, J.D.; Kang, J.Y. // Gut;Apr2003 Supplement 1, Vol. 52, pA109 

    Background: The frequency of admissions and operations for gall stones increased in Western countries from the 1950s to the early 1990s. Since 1990, ERCP and laparoscopic cholecystectomy have been increasingly used, and recent trends of frequency of: admission and operations for gall stones are...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics