1. [Laparoscopic cholecystectomy in patients with liver cirrhosis].
- Author
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Gadiev SI, Sarieva KG, and Abdinov EA
- Subjects
- Adult, Aged, Azerbaijan, Cholecystitis, Acute diagnosis, Cholecystitis, Acute etiology, Cholecystitis, Acute surgery, Female, Humans, Length of Stay statistics & numerical data, Male, Middle Aged, Minimally Invasive Surgical Procedures adverse effects, Minimally Invasive Surgical Procedures methods, Operative Time, Outcome and Process Assessment, Health Care, Retrospective Studies, Ascites diagnosis, Ascites etiology, Cholecystectomy, Laparoscopic adverse effects, Cholecystectomy, Laparoscopic methods, Cholecystolithiasis complications, Liver Cirrhosis complications, Liver Diseases diagnosis, Liver Diseases etiology, Postoperative Complications diagnosis, Postoperative Hemorrhage diagnosis, Surgical Wound Infection diagnosis
- Abstract
Aim: To assess efficacy and safety of laparoscopic cholecystectomy in patients with liver cirrhosis., Material and Methods: 46 patients with liver cirrhosis Child-Pugh class A and B underwent laparoscopic cholecystectomy for the period from August 2001 to December 2015. Indications for surgery were acute calculous cholecystitis in 21 (45.6%) patients and chronic calculous cholecystitis in 25 (54.4%) patients., Results: Mean surgery time was 75 minutes. Conversion to open surgery was required in 2 patients. Postoperative complications including bleeding, liver dysfunction, ascites, wound complications were observed in 11 (23.9%) patients. There were no deaths. Mean hospital-stay time was 2.5 days., Conclusion: Laparoscopic cholecystectomy may be successfully performed in carefully selected patients with compensated cirrhosis. The advantages of minimally invasive technique are less blood loss, surgery time and hospital-stay.
- Published
- 2017
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