PMID: 9448115Aug 1, 1997Paper

Gallstones in cirrhotics revisited by a laparoscopic view

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
L AngrisaniR Vincenti

Abstract

Surgical literature around 1980 has emphasized the technical challenge and the risks of cholecystectomy in cirrhotic patients reporting discouraging results. The aim of this study is the retrospective analysis of laparoscopic cholecystectomy in cirrhotics. The collected laparoscopic experience of 3 surgical groups for the last 5 years is reported. Cirrhotics were classified according to Child-Pugh criteria. Postoperative complications were classified using Clavien's rules. Forty patients were recruited; 31 received successful laparoscopic cholecystectomy. Liver cirrhosis was preoperatively diagnosed in all Child-Pugh B (n = 11) and in 11/20 Child-Pugh A patients. Compared with 989 noncirrhotics undergoing laparoscopic cholecystectomy, cirrhotics were similar in terms of age (59.9+/-10.3 vs. 58.1+/-10.9) and sex (male: 51.6% vs. 50.1%). Acute cholecystitis has a similar frequence in cirrhotics and noncirrhotics (3.2% vs. 4.1%, respectively). Bile duct stones and acute pancreatitis were significantly more frequent in cirrhotic patients (6.4% vs. 3.7%, p < 0.001; and 6.4% vs. 0.3%, p < 0.001, respectively). Endoscopic papillotomy and stone extraction combined with laparoscopic cholecystectomy was performed in 2 patients. Intraoper...Continue Reading

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Citations

Dec 4, 2003·Journal of the American College of Surgeons·Alessandra Puggioni, Linda L Wong
Apr 27, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Oktar AsogluErsin Selcuk Unal
Feb 13, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Theodoros E PavlidisAthanasios K Sakantamis
Mar 6, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Abdul Razaque Shaikh, Ambreen Muneer
Jan 16, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Norman Oneil Machado
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Apr 12, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·W T NgTsuen Wan
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Feb 4, 2006·The American Journal of Gastroenterology·Christine SchlenkerMainor R Antillon
Mar 24, 2006·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·James D Perkins
Jan 9, 2001·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·M MorinoP Simone
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Aug 24, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jean-Jacques TuechJean-Pierre Arnaud

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