Laparoscopic cholecystectomy in cirrhotic patients with symptomatic cholelithiasis

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dc.contributor.authorBuluş, Hakan
dc.contributor.authorKoçak, Erdem
dc.contributor.authorCoşkun, Ali
dc.contributor.authorKöklü, Seyfettin
dc.contributor.authorAdam, Gürhan
dc.date.accessioned2025-01-27T18:56:23Z
dc.date.available2025-01-27T18:56:23Z
dc.date.issued2014
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractGallstones are twice as common in cirrhotic patients as in the general population. Laparoscopic cholecystectomy (LC) was originally contraindicated in cirrhotic patients because of the associated portal hypertension and coagulopathy. But nowadays, it is not considered contraindicated. This study examined the safety of LC in Child’s class A-B patients. All the cirrhotic patients with gallstones who underwent LC between September 2008-October 20011 have been included in the study. All the cirrhotic patients with Child-Pugh class A and B cirrhosis undergoing LC were included in the study. Demographic characteristics and other parameters including initial presentation, conversion rate, complication rate, mortality, and duration of hospital stay, timing operative were investigated. 21 patients with Child-Pugh A (76.1%) and Child Pugh B (23.8%), liver cirrhosis, (F/M 4/21) underwent LC. The mean age was approximately 61.1±14 years. Two patients (9.5%) developed postoperative wound infection, and mean hospital stay was 3.8 (2-12) days. Of the 21 cases, 2 (9.5%) were converted to open cholecystectomy. The mean operation time was 82.5±15 minutes. Intra-operative and postoperative complications occurred in 3 patients (14.2%) in the form of liver bed bleeding. LC is a safe and effective alternative for the treatment of symptomatic cholelithiasis in patients with well-compensated Child´s Class A and Class B cirrhosis. The laparoscopic approach offers advantages of less blood loss, shorter operative time, and shorter length of hospitalization in patients with cirrhosis compared to open cholecystectomy. © 2014, TIP ARASTIRMALARI DERNEGI. All rights reserved.
dc.identifier.doi10.15197/sabad.1.11.78
dc.identifier.endpage238
dc.identifier.issn1304-3889
dc.identifier.issue4
dc.identifier.scopus2-s2.0-84920503482
dc.identifier.scopusqualityN/A
dc.identifier.startpage235
dc.identifier.urihttps://doi.org/10.15197/sabad.1.11.78
dc.identifier.urihttps://hdl.handle.net/20.500.12428/12966
dc.identifier.volume11
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherTIP ARASTIRMALARI DERNEGI
dc.relation.ispartofEuropean Journal of General Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250125
dc.subjectCholelithiasis; Cirrhosis; Laparoscopic cholecystectomy
dc.titleLaparoscopic cholecystectomy in cirrhotic patients with symptomatic cholelithiasis
dc.title.alternativeSemptomatik safra kesesi taşı olan sirotik hastalarda laparoskopik kolesitektomi
dc.typeArticle

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