Outcome of cirrhotic patients undergoing cholecystectomy: Applying Bayesian analysis in gastroenterology

Silveira, Eduardo B. V. Da

doi:10.1111/j.1440-1746.2006.04227.x

Cited by 14 publications

(12 citation statements)

References 17 publications

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“…A large body of research has demonstrated that LC in patients with early, well-compensated cirrhosis is safe and offers advantages over the open approach [5–7]. However, the cirrhotic background and severe inflammation may prolong the operative time and increase both blood loss and the conversion rate to an open procedure.…”

Section: Introductionmentioning

confidence: 99%

Delayed Laparoscopic Cholecystectomy Is Safe and Effective for Acute Severe Calculous Cholecystitis in Patients with Advanced Cirrhosis: A Single Center Experience

Yao

Huang

et al. 2014

Gastroenterology Research and Practice

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Acute calculous cholecystitis is a common disease in cirrhotic patients. Laparoscopic cholecystectomy can resolve this problem but is performed based on the premise that the local inflammation must been controlled. An Initial ultrasound guided percutaneous transhepatic cholecystostomy may reduce the local inflammation and provide advantages in subsequent surgery. In this paper, we detailed our experience of treating acute severe calculous cholecystitis in patients with advanced cirrhosis by delayed laparoscopic cholecystectomy plus initiated ultrasound guided percutaneous transhepatic cholecystostomy and provided the analysis of the treatment effect. We hope this paper can provided a kind of standard procedure for this special disease; however, further prospective comparative randomized trials are needed to assess this treatment in cirrhotic patients with acute cholecystitis.

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Section: Introductionmentioning

confidence: 99%

Delayed Laparoscopic Cholecystectomy Is Safe and Effective for Acute Severe Calculous Cholecystitis in Patients with Advanced Cirrhosis: A Single Center Experience

Yao

Huang

et al. 2014

Gastroenterology Research and Practice

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“…The 1992 National Institutes of Health consensus stated that end‐stage liver cirrhosis is a contraindication to laparoscopic cholecystectomy (LC) 4 . In the last 10 years there has been a growing body of evidence that laparoscopic cholecystectomy in patients with early, well‐compensated cirrhosis is safe and has advantages over the open approach 5–8 …”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Cholecystectomy in Cirrhotic Patients With Symptomatic Gallstone Disease

Leandros

Albanopoulos

Tsigris

et al. 2008

ANZ Journal of Surgery

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“…A case control study showed the conversion and morbidity rate was higher in the cirrhosis group than in the control group (Fernandes, 2000), (Treatment studies 3b); and two case series shows similar results than the previous RCT reported in patients with cirrhosis and portal hypertension Child A and B (Palanivelu, 2006;da Silveira, 2006).…”

Section: (Treatment Studies 2b)mentioning

confidence: 44%

“…Low quality: it very likely that future studies change our confidence in the estimate of effect, therefore our confidence is low. Table. 2001; Elder, 1996;Finan, 2006;Zacks, 2002;Collet, 1997;Ibrahim, 2006;Weber, 2003;Feldman, 1994;Perez Lara, 2006;Sungler, 2000;Daradkeh, 1999;Ji, 2005;Fernandes, 2000;Palanivelu, 2006;da Silveira, 2006;Gurusamy, 2006;Chandler, 2000;Kiviluoto, 1998;Glavic, 2001;Eldar, 1998;Lujan, 1995;Tan, 2006;Perez-Morales, 2005;Bagia, 2001;Schafer, 2003;Kwon, 2001;Woods, 1996).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Laparoscopic Surgery for Gallstones and Common Bile Duct Lithiasis: a Systematic Overview

et al. 2010

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SUMMARY:The aim of the present study was to evaluate the available evidence on the effectiveness of laparoscopic surgery for treating gallstones and common bile duct lithiasis (CBDL). A systematic overview was performed. Medline, EMBASE and The Cochrane Library were searched (1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008). Systematic reviews (SR), clinical practice guidelines (CPG), randomised clinical trials (RCT) and observational studies were included. Internal validity and overall quality of the evidence were assessed. The available evidence was classified according to the Oxford Centre for Evidence Based Medicine proposal. 87 studies were included in this review (12 SR, 23 RCT, 3 CPG, 13 cohort studies, 3 cross-sectional studies, 2 case and control studies and 31 case series). Compared with open cholecystectomy, laparoscopic cholecystectomy (LC) is associated with shorter operating time, shorter hospital stay and better quality of life (high quality evidence). The use of antibiotic prophylaxis does not appear to reduce the infection rate in low-risk patients (high quality evidence). Although many techniques have been advocated to perform LC their effectiveness is as yet inconclusive (low-quality evidence). Two-stage surgery is the most appropriate strategy for high-risk patients with CBDL (high-quality evidence). Mortality is similar to open surgery, as the effectiveness is similar to that of endoscopic treatment (high-quality evidence). As a conclusion we can state that the evidence concerning the effectiveness of laparoscopic surgery for gallstones and CBDL is scarce and of low methodological quality and that better quality studies are warranted to assess these techniques more adequately.

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Outcome of cirrhotic patients undergoing cholecystectomy: Applying Bayesian analysis in gastroenterology

Cited by 14 publications

References 17 publications

Delayed Laparoscopic Cholecystectomy Is Safe and Effective for Acute Severe Calculous Cholecystitis in Patients with Advanced Cirrhosis: A Single Center Experience

Delayed Laparoscopic Cholecystectomy Is Safe and Effective for Acute Severe Calculous Cholecystitis in Patients with Advanced Cirrhosis: A Single Center Experience

Laparoscopic Cholecystectomy in Cirrhotic Patients With Symptomatic Gallstone Disease

Effectiveness of Laparoscopic Surgery for Gallstones and Common Bile Duct Lithiasis: a Systematic Overview

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