Laparoscopic versus open cholecystectomy in cirrhotic patients: A prospective randomized study

El-Awadi, Saleh; Nakeeb, Ayman El; Youssef, Tamer; Fikry, Amir; El-Hamed, Tito M. Abd; Ghazy, Hosam; Foda, Elyamany; Farid, Mohamed

doi:10.1016/j.ijsu.2008.10.013

Cited by 58 publications

(57 citation statements)

References 23 publications

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“…CTP class was calculated using prothrombin time, albumin, bilirubin, and clinical findings of ascites and encephalopathy [18]. CTP score was stratified as class A (5-6), B (7-9), and C (10)(11)(12)(13)(14)(15). MELD score was calculated by using preoperative values of three laboratory tests: international normalized ratio (INR), serum total bilirubin (TBil), and serum creatinine (Cr).…”

Section: Methodsmentioning

confidence: 99%

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Laparoscopic cholecystectomy in cirrhotic patients: the value of MELD score and Child–Pugh classification in predicting outcome

et al. 2009

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Section: Methodsmentioning

confidence: 99%

“…prospective randomized trial comparing open cholecystectomy (OC) and LC has been published [11], but more studies are needed in order for solid conclusions to be made.…”

mentioning

confidence: 99%

Laparoscopic cholecystectomy in cirrhotic patients: the value of MELD score and Child–Pugh classification in predicting outcome

et al. 2009

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“…Misidentification of biliary structures is the leading cause of biliary injury and patient related factors may contribute to this error. Although the latter point is controversial, these injuries are more often seen in difficult cases (40)(41)(42)(43)(44)(45)(46)(47)(48). Lack of experience is a risk factor, but injuries may also occur in the hands of experienced surgeons (49,50).…”

Section: Biliary Injury A) What Are the Risk Factors For Bile Duct Inmentioning

confidence: 99%

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Abbasoğlu¹,

Tekant²,

Alper³

et al. 2016

UCD

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Gallstone disease is very common and laparoscopic cholecystectomy is one of the most common surgical procedures all over the world. Parallel to the increase in the number of laparoscopic cholecystectomies, bile duct injuries also increased. The reported incidence of bile duct injuries ranges from 0.3% to 1.4%. Many of the bile duct injuries during laparoscopic cholecystectomy are not due to inexperience, but are the result of basic technical failures and misinterpretations. A working group of expert hepatopancreatobiliary surgeons, an endoscopist, and a specialist of forensic medicine study searched and analyzed the publications on safe cholecystectomy and biliary injuries complicating laparoscopic cholecystectomy under the organization of Turkish Hepatopancreatobiliary Surgery Association. After a series of e-mail communications and two conferences, the expert panel developed consensus statements for safe cholecystectomy, management of biliary injuries and medicolegal issues. The panel concluded that iatrogenic biliary injury is an overwhelming complication of laparoscopic cholecystectomy and an important issue in malpractice claims. Misidentification of the biliary system is the major cause of biliary injuries. To avoid this, the "critical view of safety" technique should be employed in all the cases. If biliary injury is identified intraoperatively, reconstruction should only be performed by experienced hepatobiliary surgeons. In the postoperative period, any deviation from the expected clinical course of recovery should alert the surgeon about the possibility of biliary injury.

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“…One study showed that open cholecystectomy for cirrhotic patients had an 11-fold risk of 30-day mortality compared to open cholecystectomy for noncirrhotic patients (13). Mortality after open cholecystectomy in cirrhotic patients varied between 0% and 7.7% (14,15). Most complications and deaths have been related to bleeding from the gallbladder bed , postoperative liver failure, and systemic infection.…”

Section: Discussionmentioning

confidence: 99%

Cholecystolithotomy Combined Armillarisin A versus Cholecystectomy in Cirrhotic Portal Hypertension Patients with Symptomatic Cholelithiasis

Yang¹,

Li²,

Zong³

et al. 2017

chr

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Scop: De a evalua în spitalul autorilor dacă la pacienţii cu ciroză şi hipertensiune portală cu colelitiază simptomatică tratamentul prin colecistotomie combinată cu Armillarisin A ar aduce noi beneficii. Metode: Şaizeci şi unu de pacienţi cu ciroză şi hipertensiune portală cu boală litiazică veziculară simptomatică trataţi pentru colelitiază fie prin colecistotomie combinată cu Armillarisin A (grupul A), fie prin colecistectomie (grupul B), în perioada februarie 2007 -martie 2011, au fost analizaţi retrospectiv. Aceşti pacienţi erau concomitent trataţi pentru varice esofagice. Au fost analizate datele operatorii relevante, modificările apărute la nivelul analizelor de sânge, complicaţiile postoperatorii şi simptomatologia. Rezultate: Nu au existat diferenţe semnificative între grupul A şi grupul B în ceea ce priveşte durata operaţiei, pierderea intraoperatorie de sânge, timpul până la reluarea dietei postoperator şi durata spitalizării (P > 0.05). Profilul biochimic al funcţiei hepatice şi scorul Child-Pugh la 2 săptămâni şi o lună după operaţie au fost ambele semnificativ mai mici în grupul A comparativ cu grupul B (ALT, 0.008, 0.011; AST, 0.006, 0.003; scorul Child-Pugh, 0.010, respectiv 0.016). Totuşi, la 6 luni postoperator, modificările nu au fost semnificative statistic (P > 0.05). Cu excepţia recurenţei litiazei biliare şi a infecţiilor de plagă, incidentele sau complicaţiile postoperatorii incluzând fistule biliare, insuficienţă hepatică şi infecţia subfrenică au prezentat diferenţe semnificative între cele două

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Laparoscopic versus open cholecystectomy in cirrhotic patients: A prospective randomized study

Cited by 58 publications

References 23 publications

Laparoscopic cholecystectomy in cirrhotic patients: the value of MELD score and Child–Pugh classification in predicting outcome

Laparoscopic cholecystectomy in cirrhotic patients: the value of MELD score and Child–Pugh classification in predicting outcome

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Cholecystolithotomy Combined Armillarisin A versus Cholecystectomy in Cirrhotic Portal Hypertension Patients with Symptomatic Cholelithiasis

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