Laparoscopic cholecystectomy in cirrhotic patients

ABSTRACT

It was conducted to evaluate laparoscopic cholecystectomy in cirrhotics in terms of procedural safety and better outcome with decreased morbidity. A retrospective, multicenteric study. Surgical Unit-III and IV DHQ Faisalabad. Jan 2000 to Dec 2009. 2610 patients undergoing laparoscopic cholecystectomy from January 2000 to December 2009 for cholecystitis and symptomatic gallstone disease. 61 of the patients being cirrhotics falling in child's class A and B. Evaluation of results was done by analyzing the data in SPSS V-17. Of the 2610 patients who underwent laparoscopic cholecystectomy, 61[2.3%] were cirrhotic. Of these 61, 47[77%] belonged to Childs group A and 14[23%] were group B. Hepatitis C was the major cause of cirrhosis [72%]. Morbidity in cirrhotics was 11.4% in the form of ascities leakage [57%] and port site infection [43%]. Mean hospital stay was 2 +/- 1 days and the mean operative time as 60 +/- 20 minutes in cirrhotics. Laparoscopic cholecystectomy offers a better post op recovery and decreased morbidity in Childs group A and B cirrhotics as it does in non cirrhotic patients