Abstract
Different studies have suggested that the prevalence of gallstones is increased in patients with cirrhosis [1–3]. In the past, open cholecystectomy (OC) in cirrhotic patients was commonly accompanied by significant morbidity and mortality [4, 5]. Laparoscopic cholecystectomy (LC) has become the procedure of choice to treat symptomatic cholelithiasis in the general population. However, cirrhosis has been considered as a contraindication for LC due to the risk of bleeding and liver failure [6]. Currently, with the advances in laparoscopic technology, a range of increasingly complex procedures are performed, making traditional contraindications at best relative. Several studies have reported good results and suggested liberal use of LC in patients with early-stage cirrhosis and symptomatic cholelithiasis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Del Olmo JA, Garcia F, Serra MA et al (1997) Prevalence of gallstones in liver cirrhosis. Scand J Gastroenterol 32:1061–1065
Schwesinger WH, Kurtin WE, Levine BA, Page CP (1985) Cirrhosis and alcoholism as pathogenetic factors in pigment gallstone disease. Ann Surg 210:319–322
Conte D, Fraquelli M, Fornari F et al (1999) Close relationship between cirrhosis and gallstones: cross-sectional and longitudinal survey. Arch Intern Med 159:49–52
Aranha GV, Sontag SJ, Greenlee HB (1982) Cholecystectomy in cirrhotic patients: a formidable operation. Am J Surg 143:55–60
Schwartz SI (1981) Biliary tract surgery and cirrhosis: a critical combination. Surgery 90:577–583
NIH consensus conference statement on gallstones and laparoscopic cholecystectomy (1993) Am J Surg 165:390–398
Palanivelu C, Rajan PS, Jani K et al (2006) Laparoscopic cholecystectomy in cirrhotic patients: the role of subtotal cholecystectomy and its variants. J Am Coll Surg 203:145–151
Yerdel MA, Tsuge H, Mimura H (1993) Laparoscopic cholecystectomy in cirrhotic patients: expanding indications. Surg Laparoscoc Endosc 3:180–183
Yerdel MA, Koksoy C, Aras N, Orita K (1997) Laparoscopic versus open cholecystectomy in cirrhosis patients: a prospective study. Surg Laparosc Endosc 7:483–486
Angrisani L, Lorenzo M, Corcione F, Vincenti R (1997) Gallstones in cirrhotics revisited by a laporoscopic view. L Laparoendosc Adv Surg Tech A 7:213–220
Jan, YY, Chen MF (1997) Laproscopic cholecystectomy in cirrhotic patients. Hepatogastroenterology 44:1584–1587
Sleeman D, Namias N, Levi D et al (1998) Laparoscopic cholecystectomy in cirrhosis patients. J Am Coll Surg 187:400–403
Poggio JL, Rowland CM, Gores GJ et al (2000) A comparison of laparoscopic and open cholecystectomy in patients with compensed cirrhosis and symptomatic gallstone disease. Surgery 127:405–411
Morino M, Cavuoti G, Miglietta C et al (2000) Laparoscopic cholecystectomy in cirrhosis: contraindication or privileged indication? Surg Laparosc Endosc Percutan Tech 10:360–363
Fernandes NF, Schwesinger WH, Hilsenbeck SG et al (2000) Laparoscopic cholecystectomy and cirrhosis: a case-control study of outcomes. Liver transpl 6:340–344
Urban L, Eason GA, ReMine S et al (2001) Laparosopic cholecystectomy in patients with early cirrhosis. Curr Surg 58:312–315
Clark JR, Wills VL, Hunt DR (2001) Cirrhosis and laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 11:165–169
Leone N, Garino M, De Paolis P (2001) Laparoscopic cholecystectomy in cirrhotic patients. Dig Surg 18:449–452
Tuech JJ, Pessaux P, Regenet N et al (2002) Laparoscopic cholecystectomy in cirrhotic patients. Surg Laparosc Endosc Percutan Tech 12:227–231
Yeh CN, Chen MF, Jan YY (2002) Laparoscopic cholecystectomy in 226 cirrhotic patients. Surg Endosc 16:1583–1587
Cucinotta E, Lazzara S, Melita G (2003) Laparoscopic cholecytectomy in cirrhotic patients. Surg Endosc 17:1958–1960
Wu JI, Ling-Tang Li, Xun-Ru Chen, Jie-Shou Li (2004) Application of laparoscopic cholecystectomy in patients with cirrhotic portal hypertension. Hepatobiliary Pancreat Dis Int 3:270–274
Curro G, Lapichino G, Melita G et al. (2005) Laparoscopic cholecystectomy in Child-Pugh Class C cirrhotic patients. JSLS 9:311–315
Schiff J, Misra M, Rendon G et al. (2005) Laparoscopic cholecystectomy in cirrhotic patients. Surg Endosc 19:1278–1281
Flores Cortes M, Obispo Entrenas A, Docobo Durantez F et al (2005) Laparoscopic treatment of chletithiasis in cirrhotic patients. Rev Esp Enferm Dig 97:648–653
Puggioni A, Wong LL (2003) A metaanalysis of laparoscopic cholecystectomy in patients with cirrhosis. J Am Coll Surg 197:921–926
Feretis C, Apostolidis N, Mallas E et al. (1993) Endoscopic drainage of acute obstructive cholecystitis in patients with increased operative risk. Endoscopy 25:392–395
Welschbilling-Meunier K, Pessaux P, Lebigot J et al (2005) Percutaneous cholecystostomy for high-risk patients with acute cholecystitis. Surg Endosc 19:1256–1259
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer-Verlag Italia
About this chapter
Cite this chapter
Pessaux, P., Lermite, E. (2008). Hepatic Cirrhosis and Biliary Stones. In: Biliary Lithiasis. Springer, Milano. https://doi.org/10.1007/978-88-470-0763-5_35
Download citation
DOI: https://doi.org/10.1007/978-88-470-0763-5_35
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0762-8
Online ISBN: 978-88-470-0763-5
eBook Packages: MedicineMedicine (R0)