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

Abstract

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.

Single-port laparoscopic hepatectomy: technique, safety, and feasibility in a clinical case series

“…However, for patients with hepatoma located on the liver surface, ablation is not safer or more effective than hepatectomy [6]. Laparoscopic cholecystectomy is comparable with the open approach in terms of the operative time, morbidity, mortality, and effect on liver function in cirrhotic patients [22]. Studies have shown that LH for cirrhosis patients is safer than conventional open hepatectomy [14,[23][24][25].…”

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

“…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.…”

Laparoscopic Cholecystectomy in Cirrhotics

“…In such patients, laparoscopic subtotal cholecystectomy may be performed by leaving the posterior wall intact with the liver. 7,10,14,25 This variant of subtotal cholecystectomy has been designated laparoscopic subtotal cholecystectomy (LSC) I . 7,10 Because with this procedure, deliberate iatrogenic gallbladder perforation may lead to stone spillage, abdominal lavage and retrieval of stones will lead to time-consuming consequences.…”