A comparison of open and laparoscopic cholecystectomy for patients with cirrhosis

Hiroshi Saeki, Daisuke Korenaga, Hirohiko Yamaga, Kyotaro Mawatari, Hiroyuki Orita, Hidetoshi Itasaka, Kazuhiro Yano, Soichiro Maekawa, Yoichi Muto, Toshihiko Ikeda, Keizo Sugimachi

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

To evaluate the benefits of performing laparoscopic cholecystectomy (LC) in patients with cirrhosis, data on 13 patients with liver cirrhosis who underwent cholecystectomy for gallstones between 1989 and 1995 were retrospectively collected from charts filed at Fukuoka City Hospital. These 13 patients were classified into two groups; one, comprised of 7 who underwent LC, and another, comprised of 6 who underwent open cholecystectomy (OC). No statistical differences were observed in the duration of surgery or the intraoperative blood loss between the two groups; however, the C-reactive protein (CRP) level in the serum was significantly higher in the OC group than in the LC group. LC was followed by a significantly earlier resumption of a normal diet (P < 0.05) and a shorter hospital stay (P < 0.05) in comparison to OC. All of the patients who underwent OC had an uneventful clinical course; however, one of the patients who underwent LC suffered from intractable ascites postoperatively. The difference in the cost of hospitalization between the two groups was not statistically significant. These findings suggest that the therapeutic significance of performing LC in patients with cirrhosis should be assessed after carefully evaluating all factors including mortality, morbidity, and cost-effectiveness. Thus, further controlled trials are necessary.

Original languageEnglish
Pages (from-to)411-413
Number of pages3
JournalSurgery today
Volume27
Issue number5
DOIs
Publication statusPublished - May 30 1997

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Laparoscopic Cholecystectomy
Cholecystectomy
Fibrosis
Urban Hospitals
Gallstones
Ascites
Liver Cirrhosis
C-Reactive Protein
Cost-Benefit Analysis
Length of Stay
Hospitalization
Diet
Morbidity
Costs and Cost Analysis
Mortality
Serum

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Saeki, H., Korenaga, D., Yamaga, H., Mawatari, K., Orita, H., Itasaka, H., ... Sugimachi, K. (1997). A comparison of open and laparoscopic cholecystectomy for patients with cirrhosis. Surgery today, 27(5), 411-413. https://doi.org/10.1007/BF02385703

A comparison of open and laparoscopic cholecystectomy for patients with cirrhosis. / Saeki, Hiroshi; Korenaga, Daisuke; Yamaga, Hirohiko; Mawatari, Kyotaro; Orita, Hiroyuki; Itasaka, Hidetoshi; Yano, Kazuhiro; Maekawa, Soichiro; Muto, Yoichi; Ikeda, Toshihiko; Sugimachi, Keizo.

In: Surgery today, Vol. 27, No. 5, 30.05.1997, p. 411-413.

Research output: Contribution to journalArticle

Saeki, H, Korenaga, D, Yamaga, H, Mawatari, K, Orita, H, Itasaka, H, Yano, K, Maekawa, S, Muto, Y, Ikeda, T & Sugimachi, K 1997, 'A comparison of open and laparoscopic cholecystectomy for patients with cirrhosis', Surgery today, vol. 27, no. 5, pp. 411-413. https://doi.org/10.1007/BF02385703
Saeki H, Korenaga D, Yamaga H, Mawatari K, Orita H, Itasaka H et al. A comparison of open and laparoscopic cholecystectomy for patients with cirrhosis. Surgery today. 1997 May 30;27(5):411-413. https://doi.org/10.1007/BF02385703
Saeki, Hiroshi ; Korenaga, Daisuke ; Yamaga, Hirohiko ; Mawatari, Kyotaro ; Orita, Hiroyuki ; Itasaka, Hidetoshi ; Yano, Kazuhiro ; Maekawa, Soichiro ; Muto, Yoichi ; Ikeda, Toshihiko ; Sugimachi, Keizo. / A comparison of open and laparoscopic cholecystectomy for patients with cirrhosis. In: Surgery today. 1997 ; Vol. 27, No. 5. pp. 411-413.
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