Laparoscopic Cholecystectomy in Cirrhotic Patients

INTRODUCTION: The aim of this study was to evaluate the results of laparoscopic cholecystectomies in cirrhotic patients between 1995-2006 in Emergency County Hospital Moinesti.
AIMS & METHODS: The paper represents a retrospective study, which includes 113 patients (4,21%) with hepatic cirrhosis and symptomatic gallstones disease from our experience of 2685 laparoscopic cholecystectomies performed. In most of the cases 73 (64,6%) cirrhosis was diagnosed intraoperative. Retrospective, suggestive for a chronic hepatic disease were patient history (88 cases), transaminase elevations (all cases), low platelet number (49 cases) and some ecographic findings ( 83 cases). RESULTS: Eight (7,08 %) of the patients were converted to an open procedure, six due to excessive hemorrhage from gallblader bed, one to an immobile liver and one to surgeon inexperience. Laparoscopic cholecystectomy was difficult in all cases. Operating time ranged from 45 to 150 min (mean was 81 min ). Mean length of postoperative stay was 5,75 days. There were no operative deaths, bile duct injuries or returns to the operating room for bleeding.
CONCLUSION: The analysis of our results demonstrates the efficiency of laparoscopic cholecystectomy in cirrhotic patients and permits us to sustain this method as the first choice in treatment with symptomatic gallstones in cirrhotic patients.

Session: Poster

Program Number: P314

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