Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver.

Authors

  • S. D. Khimich
  • F. T. Muraviov
  • N. G. Rudkovska

DOI:

https://doi.org/10.26641/2307-0404.2018.4(part1).145707

Keywords:

cholelithiasis, cholecystectomy, cirrhosis of the liver

Abstract

In the work the analysis of the results of the treatment of 168 patients with complicated cholelithiasis, depending on presence or absence of cirrhosis of the liver has been carried out. In 76 (45.23%) patients, cholelithiasis and concomitant cirrhosis of the liver were complicated, in 92 (54.77%) - complicated cholelithiasis without cirrhosis of the liver. The stage of liver cirrhosis was assessed by the Child-Pugh system. It has been established that cholecystectomy with laparoscopic or traditional open-release in the stage of Child A cirrhosis is quite safe, and the risk of development of complications can be compared with the risk in patients without liver cirrhosis. Urgent surgical interventions in patients with cirrhosis of the liver in the stage of Child B and Child C are associated with an increased risk of development of intra- and postoperative complications and mortality.

Author Biographies

S. D. Khimich

National Pirogov Memorial Medical University, Vinnytsya
Pirogov str., 56, Vinnytsya, 21018, Ukraine

F. T. Muraviov

Zhytomyr Regional Clinical Hospital named after O.F. Herbachevskyi
Center for Minimally Invasive Surgery
Krasnogo Kresta str., 3, Zhytomyr

N. G. Rudkovska

Zhytomyr Regional Clinical Hospital named after O.F. Herbachevskyi
Center for Minimally Invasive Surgery
Krasnogo Kresta str., 3, Zhytomyr

References

Bloch RS, Allaben RD, Walt AJ. Cholecystec­tomy in patients with cirrhosis. A surgical challenge. Arch Surg. 1985;120:669-72.

Genzini T, de Miranda MP. Cholelithiasis in cirrhotic patients. (Analysis of cholelithiasis among pa­tients with liver cirrhosis in São Paulo, Brazil). Arq Gastroenterol 1996;33:52-9.

Rafael S Pinheiro, Daniel R Waisberg, Quirino Lai, et al. Laparoscopic cholecystectomy and cirrhosis: patient selection and technical concideration. Ann Lapa­roscopic Endoscopic Surgery. 2017;2:35.

Lledó JB, Ibañez JC, Mayor LG, et al. Lapa­roscopic cholecystectomy and liver cirrhosis. Surg Lapa­rosc Endosc Percutan Tech. 2011;21:391-5.

D'Albuquerque LA, de Miranda MP, Genzini T, et al. Laparoscopic cholecystectomy in cirrhotic patients. Surg Laparosc Endosc 1995;5:272-6.

Laurence JM, Tran PD, Richardson AJ, et al. Laparoscopic or open cholecystectomy in cirrhosis: a sys­tematic review of outcomes and meta-analysis of ran­domized trials. HPB (Oxford). 2012;14:153-61.

El-Awadi S, El-Nakeeb A, Youssef T, et al. La­pa­roscopic versus open cholecystectomy in cirrhotic pa­tients: a prospective randomized study. Int J Surg 2009;7:66-9.

Hamad MA, Thabet M, Badawy A, et al. Lapa­roscopic versus open cholecystectomy in patients with liver cirrhosis: a prospective, randomized study. J Lapa­roendosc Adv Surg Tech A. 2010;20:405-9.

Demetriades D, Constantinou C, Salim A, et al. Liver cirrhosis in patients undergoing laparotomy for trauma: effect on outcomes. J Am Coll Surg 2004;199:538-42.

Machado NO. Laparoscopic Cholecystectomy in Cirrhotics. JSLS. 2012;16:392-400.

Puggioni A, Wong LL. A metaanalysis of lapa­roscopic cholecystectomy in patients with cirrhosis. J Am Coll Surg 2003;197:921-6.

Ji W, Li LT, Wang ZM, et al. A randomized controlled trial of laparoscopic versus open cho­le­cystectomy in patients with cirrhotic portal hypertension. World J Gastroenterol. 2005;11:2513-7.

Lausten SB, Ibrahim TM, El-Sefi T, et al. Sys­temic and cell-mediated immune response after lapa­roscopic and open cholecystectomy in patients with chronic liver disease. A randomized, prospective study. Dig Surg. 1999;16:471-7.

Iwashita Y, Ohyama T, Honda G, et al. What are the appropriate indicators of surgical difficulty during laparoscopic cholecystectomy? Results from a Japan-Korea-Taiwan multinational survey. J Hepatobiliary Pan­creat Sci. 2016;23:533-47.

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How to Cite

1.
Khimich SD, Muraviov FT, Rudkovska NG. Analysis of unsatisfactory results of laparoscopic cholecystectomy in patients with cirrhosis of the liver. Med. perspekt. [Internet]. 2018Dec.3 [cited 2024Nov.23];23(4(part1):107-11. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/145707

Issue

Vol. 23 No. 4(part1) (2018)

Section

CLINICAL MEDICINE

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Copyright (c) 2018 Medicni perspektivi (Medical perspectives)

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