Laparoscopic Cholecystectomy for Gallstones in Patients with Liver Cirrhosis
Author Information
Author(s): Tetsuro Ishikawa, Michio Sowa, Masayoshi Nagayama, Yukio Nishiguchi
Primary Institution: Osaka City University Medical School
Hypothesis
Can laparoscopic cholecystectomy be safely performed in patients with liver cirrhosis?
Conclusion
Laparoscopic cholecystectomy can be safely performed in patients with cirrhosis if careful management of bleeding and lymphorrhea is ensured.
Supporting Evidence
- All four patients had gallstones and were diagnosed with cirrhosis.
- Three patients had Child-Pugh class B disease and one had class A disease.
- No serious complications occurred postoperatively in any of the patients.
- Three out of four patients were alive and without complaints 7 to 11 months after surgery.
Takeaway
Doctors can safely remove gallbladders using a small camera in patients with liver problems, but they need to be very careful.
Methodology
The study reviewed the outcomes of four consecutive patients with liver cirrhosis who underwent laparoscopic cholecystectomy.
Limitations
The study had a small sample size and short follow-up period.
Participant Demographics
The participants included 1 male and 3 females aged between 37 and 71 years, all diagnosed with cirrhosis.
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