Laparoscopic cholecystectomy in cirrhotic patients

Cucinotta, Eugenio; Lazzara, S; Melita, G

doi:10.1007/s00464-002-8852-4

Cited by 51 publications

(44 citation statements)

References 13 publications

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“…The prevalence and incidence of gallstones in patients with liver cirrhosis are two times more than non-cirrhotic patients (4,5). Asymptomatic gallstones rarely lead to problems.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy in Cirrhotic Patients with Symptomatic Cholelithiasis

Buluş¹,

Koçak

Coşkun

et al. 2014

Electron J Gen Med

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“…The prevalence and incidence of gallstones in patients with liver cirrhosis are two times more than non-cirrhotic patients (4,5). Asymptomatic gallstones rarely lead to problems.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy in Cirrhotic Patients with Symptomatic Cholelithiasis

Buluş¹,

Koçak

Coşkun

et al. 2014

Electron J Gen Med

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“…For this study, it was arbitrarily designated as > 75 years old. Liver cirrhosis, which is not included in the AHA/ACC criteria, was added as a major peri-operative risk factor because it is known to increase post-operative mortality [12,13] . Post-operative complications were defined as newly arising occurrences related to the patient's surgical disease or management that prolonged length of stay or required treatment.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with time to laparoscopic cholecystectomy for acute cholecystitis

Daniak

Peretz²,

Fine³

et al. 2008

WJG

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AIM:To determine patient and process of care factors associated with performance of timely laparoscopic cholecystectomy for acute cholecystitis. METHODS:A retrospective medical record review of 88 consecutive patients with acute cholecystitis was conducted. Data collected included demographic data, co-morbidities, symptoms and physical findings at presentation, laboratory and radiological investigations, length of stay, complications, and admission service ( m e d i c a l o r s u r g i c a l ) . Pa t i e n t s n o t u n d e r g o i n g cholecystectomy during this hospitalization were excluded from analysis. Hierarchical generalized linear models were constructed to assess the association of pre-operative diagnostic procedures, presenting signs, and admitting service with time to surgery. RESULTS:Seventy cases met inclusion and exclusion criteria, among which 12 were admitted to the medical service and 58 to the surgical service. Mean ± SD time to surgery was 39.3 ± 43 h, with 87% of operations performed within 72 h of hospital arrival. In the adjusted models, longer time to surgery was associated with number of diagnostic studies and endoscopic retrograde cholangio-pancreatography (ERCP, P = 0.01) as well with admission to medical service without adjustment for ERCP (P < 0.05). Patients undergoing both magnetic resonance cholangiopancreatography (MRCP) and computed tomography (CT) scans experienced the longest waits for surgery. Patients admitted to the surgical versus medical service underwent surgery earlier (30.4 ± 34.9 vs 82.7 ± 55.1 h, P < 0.01), had less postoperative complications (12% vs 58%, P < 0.01), and shorter length of stay (4.3 ± 3.4 vs 8.1 ± 5.2 d, P < 0.01). CONCLUSION:Admission to the medical service and performance of numerous diagnostic procedures, ERCP, or MRCP combined with CT scan were associated with longer time to surgery. Expeditious performance of ERCP and MRCP and admission of medically stable patients with suspected cholecystitis to the surgical service to speed up time to surgery should be considered.

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“…In addition, the fibrotic liver may impact capability to retract the fundus of the gallbladder, which results in more troublesome exposure of Calot's triangle [30]. Thus, cirrhosis was initially considered as a relative contraindication for LC [31,32]. Until now, there are abundant evidences to demonstrate that LC has been improved in operating skill and equipment to be safe for cirrhotic patients with symptomatic gallbladder disease.…”

Section: Laparoscopic Cholecystectomy In Cirrhoticsmentioning

confidence: 99%

Laparoscopic Cholecystectomy in Special Situations

Phothong¹,

Trakarnsanga²

2017

Updates in Gallbladder Diseases

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Gallstone disease is one of the common diseases. Laparoscopic cholecystectomy is the routine surgical treatment. However, the optimal timing and safety to perform this operation are still debated, especially in exceptional situations of each patient. In this chapter, we have collected data from many literatures to summarize the role of laparoscopic cholecystectomy in special situations that are in patients with pregnancy, cirrhosis, diagnosis of acute cholecystitis, and situs inversus.

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Laparoscopic cholecystectomy in cirrhotic patients

Cited by 51 publications

References 13 publications

Laparoscopic Cholecystectomy in Cirrhotic Patients with Symptomatic Cholelithiasis

Laparoscopic Cholecystectomy in Cirrhotic Patients with Symptomatic Cholelithiasis

Factors associated with time to laparoscopic cholecystectomy for acute cholecystitis

Laparoscopic Cholecystectomy in Special Situations

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