Colecistectomia laparoscopieã in ciroza: Revizuirea literatura privind indicatale si tehnica

Translated title of the contribution: Laparoscopic cholecystectomy in the cirrhotic: Review of literature on indications and technique

Elisa Cassinotti, Ludovica Baldari, Luigi Boni, Selman Uranues, Abe Fingerhut

Research output: Contribution to journalReview articlepeer-review

Abstract

Cholelithiasis is twice more common in patients suffering from liver cirrhosis compared to overall population and in those patients, acute cholecystitis occurs significantly more often. Our goal was to review the literature and to overview the indications, contra-indications, and alternatives in the cirrhotic with biliary stones. We conducted a systematic review of the literature using the key words “Cirrhosis”, “cholecystectomy”, “laparoscopy”, and “indications”. Selected articles were reviewed for information specific to indications, contra-indications, and alternatives to laparoscopic cholecystectomy in cirrhotics. Results showed that laparoscopic cholecystectomy might offer several advantages in cirrhotic population, however cholecystectomy can be challenging: specific indications and alternatives to surgery must be discussed case by case. Laparoscopic cholecystectomy can be performed safely in selected patients with cirrhosis; special precautions are warranted regarding pneumoperitoneum pressure, trocar placement and increased safety with Indocyanine-green (ICG) fluorescence cholangiography. Nevertheless, in high-risk cirrhotic patients (Child C) and/or in common bile duct lithiasis endoscopic and non-surgical conservative treatments are preferable.

Translated title of the contributionLaparoscopic cholecystectomy in the cirrhotic: Review of literature on indications and technique
Original languageRomanian
Pages (from-to)208-212
Number of pages5
JournalChirurgia (Romania)
Volume115
Issue number2
DOIs
Publication statusPublished - Apr 2020

Keywords

  • Cholecystectomy
  • Cirrhosis
  • Laparoscopy

ASJC Scopus subject areas

  • Surgery

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