Laparoscopic cholecystectomy in cirrhotic patients

Danny Sleeman, Nicholas Namias, David Levi, Frederick C. Ward, J. Vozenilek, Rogelio Silva, Joe U. Levi, Raj Reddy, Enrique Ginzburg, Alan Livingstone

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

Background: Reported mortality for open cholecystectomy in patients with cirrhosis ranges from 10% to 80%. Laparoscopic cholecystectomy has gained acceptance in the general population and has become the procedure of choice for symptomatic cholelithiasis. We reviewed our experience with the use of laparoscopic cholecystectomy in this group. Study Design: We did a retrospective review of the records of 25 consecutive laparoscopic choleoystectomy procedures performed on cirrhotic patients from May 1992 to July 1996. Results: There were no mortalities in our group. All procedures were completed laparoscopically. Mean length of stay was 1.7 days (range, 1 to 8 days). Morbidity consisted of wound hematomas, pneumonia, and ascites for a rate of 32%. Only patients with Child's Class A and Class B cirrhosis were operated on. Conclusions: Laparoscopic cholecystectomy can be performed safely in cirrhotic patients with well compensated liver function.

Original languageEnglish (US)
Pages (from-to)400-403
Number of pages4
JournalJournal of the American College of Surgeons
Volume187
Issue number4
DOIs
StatePublished - 1998

ASJC Scopus subject areas

  • Surgery

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