Table of Contents
HPB Surgery
Volume 10, Issue 2, Pages 79-82
http://dx.doi.org/10.1155/1996/67964

Laparoscopic Cholecystectomy in Cirrhotic Patient

1Department of Digestive Surgery, Video-Surgery and Hepatic Transplantation St. Roch Hospital, University of Nice-Sophia Antipolis, France
2Flinders Medical Center, Bedford Park, Australia

Received 25 October 1995

Copyright © 1996 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cholecystectomy is associated with increased risk in patients with liver cirrhosis. Moreover, cirrhosis and portal hypertension have been considered relative or absolute contraindication to laparoscopic cholecystectomy. As experience with laparoscopic cholecystectomy increased, we decided to treat cirrhotic patients via this approach. Between January 1994 and April 1995, nine patients with a Child-Pugh's stage A cirrhosis underwent elective laparoscopic cholecystectomy with intraoperative cholangiography. There was no significant per- or post-operative bleeding and no blood transfusion was necessary. There was no mortality and very low morbidity. Median hospital stay was 3 days. This series suggests that wellcompensated cirrhosis can not be considered a contraindication to laparoscopic cholecystectomy.