Cholecystectomy in cirrhotic patients – how safe is it?

Journal of Clinical and Investigative Surgery. 2017;2(1):1-7 DOI 10.25083/2559.5555.21.17

 

Journal Homepage

Journal Title: Journal of Clinical and Investigative Surgery

ISSN: 2559-5555 (Online)

Publisher: Digital ProScholar Media

Society/Institution: Digital ProScolar media

LCC Subject Category: Medicine

Country of publisher: Romania

Language of fulltext: English

Full-text formats available: PDF

 

AUTHORS

Petrişor Banu (Carol Davila University, Department of Surgery, Bucharest, Romania)
Vlad D. Constantin (Carol Davila University, Department of Surgery, Bucharest, Romania)
Florian Popa (Carol Davila University, Department of Surgery, Bucharest, Romania)
Ion Motofei (Carol Davila University, Department of Surgery, Bucharest, Romania)
Cristian Bălălău (Carol Davila University, Department of Surgery, Bucharest, Romania)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 12 weeks

 

Abstract | Full Text

Liver cirrhosis is a major health problem worldwide with a prevalence that varies greatly from one geographical area to another. Besides the risk factors common to the general population to develop gallstone disease such as advanced age, female sex or positive family history of gallstones, in patients with liver cirrhosis there are additional risk factors that contribute to the occurrence of gallstones. They are more frequent in patients with a longer duration of the disease and in Child B and C stages. Gallstones disease occurs three times more frequently in patients with liver cirrhosis than in noncirrhotic patients. Surgery is required if symptoms or complications related to the presence of gallstones occur and a thorough preoperative evaluation and optimization of patient’s condition is necessary prior to surgery. The procedure of choice in these situations is laparoscopic cholecystectomy. The technique has some particularities resulting from local anatomical changes and conversion to open technique remains low and morbidity and mortality rates are within acceptable limits.