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Original Papers

Cholecystectomy in Cirrhotic Patients: Pitfalls and Reasonable Recommendations

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Pages 477-480 | Published online: 11 Mar 2016
 

Abstract

Cholecystectomy in cirrhotic patients remains a high risk procedure. The recent literature was reviewed in the objective to elaborate (evidence-based) recommendations for therapeutic decision. In patients with Child Pugh A or B cirrhosis, the laparoscopic approach should be preferred as it is associated with reduced morbidity and mortality as compared with open surgery (level B). In patients with decompensated Child Pugh C cirrhosis, the scarcity of literature data renders much more hazardous the definition of robust recommendations. In these patients, two options have to be considered beyond early laparoscopic cholecystectomy: first, a delayed surgery, in order to improve the preoperative patient’s general condition and namely the coagulation, and second, a percutaneous drainage in very severe cases (level C).

Additional information

Notes on contributors

V. Donckier

V. Donckier, M.D. Department of Abdominal Surgery Hôpital Erasme, Université Libre de Bruxelles 808, route de Lennik 1070 Brussels Tel.: 02 555 43 32 Fax: 02 555 49 05 E-mail: [email protected]

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