Acta clinica Croatica, Vol. 41 No. 3, 2002.
Professional paper
Laparoscopic Cholecystectomy in Cirrhotic Patients
Žarko Rašić
Branko Bakula
Ivan Zoričić
Miljenko Bevanda
Davorin Kozomara
Zdrinko Brekalo
Abstract
In the beginning, liver cirrhosis was considered a contraindication for laparoscopic cholecystectomy, mostly for the same reasons as for other surgical procedures, i.e. mild to severe bleeding tendency, prolonged wound healing due to hypoproteinemia, and various metabolic disorders. The effect of CO2 pneumoperitoneum on the cirrhotic liver was also discussed. Results obtained by laparoscopic cholecystectomy in 24 liver cirrhosis patients are presented. The experience acquired since the introduction of laparoscopic procedures at our unit is briefly described. The index of conversion was 4.16% (1/24) and mortality rate 0. The mean length of hospital stay was 2.9 days. The use of laparoscopic cholecystectomy for gallstone disease is proposed in patients with liver cirrhosis as the first choice operative method of treatment.
Keywords
Liver cirrhosis - complications; Cholecystectomy, laparoscopic - contraindications; Cholelithiasis - surgery
Hrčak ID:
14739
URI
Publication date:
2.9.2002.
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