TITLE

Clinical effects of laparoscopic cholecystectomy on cholecystolithiasis patients complicated with liver cirrhosis

AUTHOR(S)
Jianjun Ren; Jianxiang Niu; Xingkai Meng
PUB. DATE
June 2013
SOURCE
HealthMed;2013, Vol. 7 Issue 6, p1884
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: To study the feasibility and effect of laparoscopic cholecystectomy on cholecystolithiasis patients complicated with liver cirrhosis. Methods: The clinical data of 263 cases of cholecystolithiasis patients associated with liver cirrhosis admitted to our hospital from January 2009 to June 2012 were analyzed retrospectively. All the patients were randomly divided into two groups: laparoscopy group (147 cases) and laparotomy group (116 cases). The intraoperative and postoperative indicators were compared between the two groups, and statistical analysis was made. Results: The operative time, intraoperative blood loss and the average hospital stay of the laparoscopy group were lower than those of the laparotomy group, and the average total cost of hospitalization of the former was higher than that of the latter, with the difference statistically significant (P <0.05); in the laparoscopy group, the changes of total bilirubin, albumin, AST, ALT and GGT before and after surgery were significantly lower than those of the laparotomy group, in which the difference was statistically significant (P <0.05), while there was no significant difference in the changes of direct bilirubin, indirect bilirubin and ALP; the overall incidences of various complications were 8.16% and 13.79% respectively in the two groups, which was not statistically significant (P> 0.05). Conclusion: Laparoscopic cholecystectomy is safe and feasible in the treatment of cholecystolithiasis associated with liver cirrhosis (Child's class A and B liver function), showing distinct advantages.
ACCESSION #
88975683

 

Related Articles

  • Elective Laparoscopic Cholecystectomy: The Effect of Age on Conversions, Complications and Long-Term Results. Lill, Sven; Rantala, Arto; Vahlberg, Tero; Grönroos, Juha M. // Digestive Surgery;2011, Vol. 28 Issue 3, p205 

    Background/Aims: The purpose of the present study was to analyze the appropriateness and long-term results of elective laparoscopic cholecystectomy in the treatment of gallstone disease in the elderly. Methods: We studied all elderly (≥75 years) patients (n = 80) who underwent laparoscopic...

  • The Role of Prophylactic Antibiotics in Laparoscopic Cholecystectomy in Preventing Postoperative Infection: A Meta-Analysis. Yan, Rui-Cheng; Shen, Shi-Qiang; Chen, Zu-Bing; Lin, Fu-Sheng; Riley, Jan // Journal of Laparoendoscopic & Advanced Surgical Techniques;May2011, Vol. 21 Issue 4, p301 

    Background: Although laparoscopic cholecystectomy (LC) is a common and widely applied technique, the use of antibiotics during the perioperative period in infection prevention remains controversial. In our study, a meta-analysis was performed to assess the impact of antibiotic prophylaxis on the...

  • Laparoendoscopic single site (LESS) cholecystectomy. Hodgett, Steven E.; Hernandez, Jonathan M.; Morton, Connor A.; Ross, Sharona B.; Albrink, Michael; Rosemurgy, Alexander S. // Journal of Gastrointestinal Surgery;Feb2009, Vol. 13 Issue 2, p188 

    Introduction: The journey from conventional "open" operations to truly "minimally invasive" operations naturally includes progression from operations involving multiple trocars and multiple incisions to operations involving access through the umbilicus alone. Laparoscopic operations...

  • The Efficacy and Safety of Different Kinds of Laparoscopic Cholecystectomy: A Network Meta Analysis of 43 Randomized Controlled Trials. Li, Lun; Tian, Jinhui; Tian, Hongliang; Sun, Rao; Wang, Quan; Yang, Kehu // PLoS ONE;Feb2014, Vol. 9 Issue 2, p1 

    Background and Objective: We conducted a network meta analysis (NMA) to compare different kinds of laparoscopic cholecystectomy [LC] (single port [SPLC], two ports [2PLC], three ports [3PLC], and four ports laparoscopic cholecystectomy [4PLC], and four ports mini-laparoscopic cholecystectomy...

  • Study Of Non-Biliary Complications Of Laparoscopic Cholecystectomy. Wani, Mumtaz-Ud-Din; Hameed, Shahid; Shahdhar, Muddassir; Wani, Hilal; Mubeen, Basharat; Khan, Sana // Internet Journal of Surgery;2012, Vol. 28 Issue 5, p1 

    Background: Laparoscopic cholecystectomy gained wide acceptance as treatment of choice for cholelithiasis. However, major complications may still account for high morbidity. The most important complications of laparoscopic cholecystectomy are biliary tract injuries. Non-biliary complications can...

  • Metal endoclips for the closure of the appendiceal stump in laparoscopic appendectomy. Alis, H.; Gonenc, M.; Deniztas, C.; Kapan, S.; Turhan, A. // Techniques in Coloproctology;Apr2012, Vol. 16 Issue 2, p139 

    Closure of the appendiceal stump in laparoscopic appendectomy is the most crucial part of the procedure. In this retrospective clinical study, we describe a technique for laparoscopic appendectomy, in which the appendiceal stump is secured by metal endoclips. Medical data of the patients who...

  • Reversal of Hartmann’s procedure through the stomal side: a new even more minimal invasive technique. Vermeulen, Jefrey; Vrijland, Wietske; Mannaerts, Guido H.H. // Surgical Endoscopy;Oct2008, Vol. 22 Issue 10, p2319 

    Several minimal invasive, mainly laparoscopic-assisted, techniques for reversal of Hartmann’s procedure (HP) have been published. The purpose of this pilot study was to assess a minimal invasive procedure through the stomal site that may compare favorably with open or...

  • Laparoscopic appendicectomy reduces complication rate.  // Nursing Standard;2/11/2004, Vol. 18 Issue 22, p10 

    Focuses on the research paper "Laparoscopic Versus Open Appendicectomy: Outcomes Comparison Based on a Large Administrative Database," by U. Gullder, published in the 2004 issue of the periodical "Annals of Surgery." Advantages of laparoscopic appendicectomy over open procedures; Median hospital...

  • Laparoscopic hysterectomy may be better with the robot.  // Contemporary OB/GYN;Apr2012, Vol. 57 Issue 4, p16 

    The article discusses a meta-analysis in Italy that evaluated differences between traditional and robot-assisted laparoscopic hysterectomy and concluded that robotic approach was superior in terms of shorter length of hospital stay, fewer complications, and fewer conversions to laparotomy.

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