Cholecystectomy in cirrhotic patients – how safe is it?

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 patien...

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Main Authors: Petrişor Banu, Vlad D. Constantin, Florian Popa, Ion Motofei, Cristian Bălălău
Format: Article
Language:English
Published: Digital ProScholar Media 2017-05-01
Series:Journal of Clinical and Investigative Surgery
Subjects:
Online Access:https://www.proscholar.org/jcis/archive/2017/21/17.pdf
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author Petrişor Banu
Vlad D. Constantin
Florian Popa
Ion Motofei
Cristian Bălălău
author_facet Petrişor Banu
Vlad D. Constantin
Florian Popa
Ion Motofei
Cristian Bălălău
author_sort Petrişor Banu
collection DOAJ
description 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.
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spelling doaj.art-3bfb28963e8248b49e0e2f7ed330447c2022-12-22T00:04:26ZengDigital ProScholar MediaJournal of Clinical and Investigative Surgery2559-55552017-05-01211710.25083/2559.5555.21.17Cholecystectomy in cirrhotic patients – how safe is it?Petrişor Banu0Vlad D. Constantin1Florian Popa2Ion Motofei3Cristian Bălălău4Carol Davila University, Department of Surgery, Bucharest, RomaniaCarol Davila University, Department of Surgery, Bucharest, RomaniaCarol Davila University, Department of Surgery, Bucharest, RomaniaCarol Davila University, Department of Surgery, Bucharest, RomaniaCarol Davila University, Department of Surgery, Bucharest, RomaniaLiver 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.https://www.proscholar.org/jcis/archive/2017/21/17.pdfcholecystectomygallstonescirrhosissafety
spellingShingle Petrişor Banu
Vlad D. Constantin
Florian Popa
Ion Motofei
Cristian Bălălău
Cholecystectomy in cirrhotic patients – how safe is it?
Journal of Clinical and Investigative Surgery
cholecystectomy
gallstones
cirrhosis
safety
title Cholecystectomy in cirrhotic patients – how safe is it?
title_full Cholecystectomy in cirrhotic patients – how safe is it?
title_fullStr Cholecystectomy in cirrhotic patients – how safe is it?
title_full_unstemmed Cholecystectomy in cirrhotic patients – how safe is it?
title_short Cholecystectomy in cirrhotic patients – how safe is it?
title_sort cholecystectomy in cirrhotic patients how safe is it
topic cholecystectomy
gallstones
cirrhosis
safety
url https://www.proscholar.org/jcis/archive/2017/21/17.pdf
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AT vladdconstantin cholecystectomyincirrhoticpatientshowsafeisit
AT florianpopa cholecystectomyincirrhoticpatientshowsafeisit
AT ionmotofei cholecystectomyincirrhoticpatientshowsafeisit
AT cristianbalalau cholecystectomyincirrhoticpatientshowsafeisit