A comparison of open and laparoscopic cholecystectomy for patients with cirrhōsis |
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Authors: | Hiroshi Saeki Daisuke Korenaga Hirohiko Yamaga Kyotaro Mawatari Hiroyuki Orita Hidetoshi Itasaka Kazuhiro Yano Soichiro Maekawa Yoichi Muto Toshihiko Ikeda Keizo Sugimachi |
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Institution: | (1) Department of Surgery, Fukuoka City Hospital, 13-1 Yoshizukahonmachi, Hakata-ku, 812 Fukuoka, Japan;(2) Second Department of Surgery, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812 Fukuoka, Japan |
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Abstract: | To evaluate the benefits of performing laparoscopic cholecystectomy (LC) in patients with cirrhosis, data on 13 patients with
liver cirrhosis who underwent cholecystectomy for gallstones between 1989 and 1995 were retrospectively collected from charts
filed at Fukuoka City Hospital. These 13 patients were classified into two groups; one, comprised of 7 who underwent LC, and
anothe, comprised of 6 who underwent open cholecystectomy (OC). No statistical differences were observed in the duration of
surgery or the intraoperative blood loss between the two groups; however, the C-reactive protein (CRP) level in the serum
was significantly higher in the OC group than in the LC group. LC was followed by a significantly earlier resumption of a
normal diet (P<0.05) and a shorter hospital stay (P<0.05) in comparison to OC. All of the patients who underwent OC had an uneventful clinical course; however, one of the patients
who underwent LC suffered from intractable ascites postoperatively. The difference in the cost of hospitalization between
the two groups was not statistically significant. These findings suggest that the therapeutic significance of performing LC
in patients with cirrhosis should be assessdd after carefully evaluating all factors including mortality, morbidity, and cost-effectiveness.
Thus, further controlled trials are necessary. |
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Keywords: | liver cirrhosis laparoscopic cholecystectomy complication |
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