Surgery for Gallstones in Patients with Liver Cirrhosis
Author Information
Author(s): CHENG-CHUNG WU, CHI-JOU HWANG, JUNE-HEI FANG, TSE-JIA LIU
Primary Institution: Taichung Veterans General Hospital
Hypothesis
Is definitive surgery appropriate for cirrhotic patients with gallstones?
Conclusion
Definitive biliary surgery is safe for Child's A and B cirrhotic patients, while a conservative approach is recommended for Child's C patients.
Supporting Evidence
- 87 out of 112 patients underwent definitive surgical procedures.
- 93.9% of survivors after surgery were alive without biliary symptoms 52.8 months later.
- 4 deaths occurred after surgery, all in Child's grade C patients.
Takeaway
Doctors can safely perform surgery for gallstones in some patients with liver problems, but others need to be more careful.
Methodology
Retrospective review of 112 cirrhotic patients with gallstones, analyzing outcomes based on Child's classification.
Potential Biases
Potential selection bias due to the exclusion of certain patients.
Limitations
The study excluded patients with malignant disease and relied on retrospective data.
Participant Demographics
112 patients with liver cirrhosis and gallstone disease, including Child's A, B, and C classifications.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Want to read the original?
Access the complete publication on the publisher's website