Laparoscopic cholecystectomy and cirrhosis: patient selection and technical considerations

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorPINHEIRO, Rafael S.
dc.contributor.authorWAISBERG, Daniel R.
dc.contributor.authorLAI, Quirino
dc.contributor.authorANDRAUS, Wellington
dc.contributor.authorNACIF, Lucas S.
dc.contributor.authorROCHA-SANTOS, Vinicius
dc.contributor.authorD'ALBUQUERQUE, Luiz A. C.
dc.date.accessioned2019-02-21T17:24:14Z
dc.date.available2019-02-21T17:24:14Z
dc.date.issued2017
dc.description.abstractThe incidence of cholelithiasis in cirrhotic patients is higher than in general population. In the past, open cholecystectomy (OC) was the standard approach for patients requiring cholecystectomy. However, laparoscopic cholecystectomy (LC) was introduced in 1980's and gradually became the preferred technique even to cirrhotic patients. The performance of gastrointestinal surgery procedures in cirrhotics patients is well-known to be associated with higher technical difficulty and increased morbidity-mortality. Cirrhosis is a major key intraoperative finding that contributes to surgical difficulty in LC. Model of End Stage Liver Disease (MELD) score and Child-Pugh Classification are the best devices to evaluate the underlying liver disease and to predict morbidity-mortality. Acute cholecystitis has higher incidence in patients with cirrhosis, emergency procedures in cirrhotics patients are associated with higher morbidity, longer postoperative hospitalization and a seven-fold higher mortality in comparison to elective surgery. LC in cirrhotics has a higher conversion rate to open procedure; however, LC demonstrated substantial advantage over OC providing shorter convalescence period and hospital stay.eng
dc.description.indexPubMedeng
dc.identifier.citationANNALS OF LAPAROSCOPIC AND ENDOSCOPIC SURGERY, v.2, article ID UNSP 35, 10p, 2017
dc.identifier.doi10.21037/ales.2017.01.08
dc.identifier.issn2518-6973
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/30845
dc.language.isoeng
dc.publisherAME PUBL COeng
dc.relation.ispartofAnnals of Laparoscopic and Endoscopic Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright AME PUBL COeng
dc.subjectCirrhosiseng
dc.subjectcholecystectomyeng
dc.subjectlaparoscopyeng
dc.subjectmorbidityeng
dc.subjectmortalityeng
dc.subject.wosSurgeryeng
dc.titleLaparoscopic cholecystectomy and cirrhosis: patient selection and technical considerationseng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryisoit
hcfmusp.author.externalLAI, Quirino:Univ Aquila, San Salvatore Hosp, Dept Surg, Transplant Unit, Laquila, Italy
hcfmusp.contributor.author-fmusphcRAFAEL SOARES NUNES PINHEIRO
hcfmusp.contributor.author-fmusphcDANIEL REIS WAISBERG
hcfmusp.contributor.author-fmusphcWELLINGTON ANDRAUS
hcfmusp.contributor.author-fmusphcLUCAS SOUTO NACIF
hcfmusp.contributor.author-fmusphcVINICIUS ROCHA SANTOS
hcfmusp.contributor.author-fmusphcLUIZ AUGUSTO CARNEIRO D ALBUQUERQUE
hcfmusp.description.articlenumberUNSP 35
hcfmusp.description.volume2
hcfmusp.origemWOS
hcfmusp.origem.wosWOS:000455284600005
hcfmusp.publisher.citySHATINeng
hcfmusp.publisher.countryPEOPLES R CHINAeng
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