Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática

Background: The prevalence of gallstones is increased in patients with cirrhosis. However the presence of cirrhosis has been generally considered a relative contraindication to cholecystectomy. Aim: To investigate the complications and the outcomes of laparoscopic and open cholecystectomy in patient...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Poniachik T,Jaime, Castro A,Silvia, Madrid S,Ana María, Quera P,Rodrigo, Amat V,José, Smok S,Gladys, Cumsille G,Miguel, Brahm B,Javier
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Cholecystectomy Cholelitiasis Liver Cirrhosis Surgical procedures laparoscopic
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200003
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872002001200003
record_format	dspace
spelling	oai:scielo:S0034-988720020012000032003-02-05Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepáticaPoniachik T,JaimeCastro A,SilviaMadrid S,Ana MaríaQuera P,RodrigoAmat V,JoséSmok S,GladysCumsille G,MiguelBrahm B,Javier Cholecystectomy Cholelitiasis Liver Cirrhosis Surgical procedures laparoscopic Background: The prevalence of gallstones is increased in patients with cirrhosis. However the presence of cirrhosis has been generally considered a relative contraindication to cholecystectomy. Aim: To investigate the complications and the outcomes of laparoscopic and open cholecystectomy in patients with cirrhosis. Patients and Methods: Sixty seven patients with gallstones with well-documented cirrhosis undergoing cholecystectomy (laparoscopic cholecystectomy (LC) in 35 and open cholecystectomy (OC) in 32), were studied. The mean age was 57.7 + 10.3 years for LC and 58.9 + 11.6 years for OC. In the LC group, 26 were classified as Child-Pugh class A, 8 as Childs B class and 1 as Childs class C. In the OC group, 12 were classified as Childs class A, 15 as Childs B and 5 as Childs C. Results: Complications occurred in 4 of 35 (12.3%) LC patients (1 patients was Child A and 3 were B). In the OC group 14 of 32 patients had complications (4 Child A, 7 B and 3 C, 43.7% p <0.05 as compared with LC group). Three patients in the OC group died (9.4%). Mean hospital stay was 2.8 + 1.9 and 13 + 12 days in LC and OC patients, respectively (p <0.05). Conclusions: LC has a lower rate of complications than OC and is a reasonable option for Childs class A and B patients with cirrhosis and gallstones (Rev Méd Chile 2002; 130: 1343-8)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.12 20022002-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200003es10.4067/S0034-98872002001200003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cholecystectomy Cholelitiasis Liver Cirrhosis Surgical procedures laparoscopic
spellingShingle	Cholecystectomy Cholelitiasis Liver Cirrhosis Surgical procedures laparoscopic Poniachik T,Jaime Castro A,Silvia Madrid S,Ana María Quera P,Rodrigo Amat V,José Smok S,Gladys Cumsille G,Miguel Brahm B,Javier Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática
description	Background: The prevalence of gallstones is increased in patients with cirrhosis. However the presence of cirrhosis has been generally considered a relative contraindication to cholecystectomy. Aim: To investigate the complications and the outcomes of laparoscopic and open cholecystectomy in patients with cirrhosis. Patients and Methods: Sixty seven patients with gallstones with well-documented cirrhosis undergoing cholecystectomy (laparoscopic cholecystectomy (LC) in 35 and open cholecystectomy (OC) in 32), were studied. The mean age was 57.7 + 10.3 years for LC and 58.9 + 11.6 years for OC. In the LC group, 26 were classified as Child-Pugh class A, 8 as Childs B class and 1 as Childs class C. In the OC group, 12 were classified as Childs class A, 15 as Childs B and 5 as Childs C. Results: Complications occurred in 4 of 35 (12.3%) LC patients (1 patients was Child A and 3 were B). In the OC group 14 of 32 patients had complications (4 Child A, 7 B and 3 C, 43.7% p <0.05 as compared with LC group). Three patients in the OC group died (9.4%). Mean hospital stay was 2.8 + 1.9 and 13 + 12 days in LC and OC patients, respectively (p <0.05). Conclusions: LC has a lower rate of complications than OC and is a reasonable option for Childs class A and B patients with cirrhosis and gallstones (Rev Méd Chile 2002; 130: 1343-8)
author	Poniachik T,Jaime Castro A,Silvia Madrid S,Ana María Quera P,Rodrigo Amat V,José Smok S,Gladys Cumsille G,Miguel Brahm B,Javier
author_facet	Poniachik T,Jaime Castro A,Silvia Madrid S,Ana María Quera P,Rodrigo Amat V,José Smok S,Gladys Cumsille G,Miguel Brahm B,Javier
author_sort	Poniachik T,Jaime
title	Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática
title_short	Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática
title_full	Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática
title_fullStr	Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática
title_full_unstemmed	Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática
title_sort	colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200003
work_keys_str_mv	AT poniachiktjaime colecistectomialaparoscopicayclasicaenpacientesconcirrosishepatica AT castroasilvia colecistectomialaparoscopicayclasicaenpacientesconcirrosishepatica AT madridsanamaria colecistectomialaparoscopicayclasicaenpacientesconcirrosishepatica AT queraprodrigo colecistectomialaparoscopicayclasicaenpacientesconcirrosishepatica AT amatvjose colecistectomialaparoscopicayclasicaenpacientesconcirrosishepatica AT smoksgladys colecistectomialaparoscopicayclasicaenpacientesconcirrosishepatica AT cumsillegmiguel colecistectomialaparoscopicayclasicaenpacientesconcirrosishepatica AT brahmbjavier colecistectomialaparoscopicayclasicaenpacientesconcirrosishepatica
_version_	1718436069773410304

Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática

Ejemplares similares